Evidence map›Paper›PMID 23748251›Full record

GuidelinePain research & management

2012 Canadian Guidelines for the diagnosis and management of fibromyalgia syndrome: executive summary.

Mary-Ann Fitzcharles, Peter A Ste-Marie, Don L Goldenberg, John X Pereira, Susan Abbey, Manon Choinière, Gordon Ko, Dwight E Moulin, Pantelis Panopalis, Johanne Proulx and 2 more

4 registry-linked trialsOpen access · goldAbstract readPractice Guideline
In one paragraph

Guideline in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 171 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
171citing papers in PubMed, 19 pooled it
21.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02717585 nawithdrawnnot on this map

Effect of Continuous Positive Airway Pressure (CPAP) on Symptoms of Patients With Fibromyalgia Syndrome and Obstructive Sleep Apnea (OSA): A Prospective Randomized Controlled Clinical Trial

TypeinterventionalSponsorWomen's College HospitalRan2018 to 2020Enrolled0ConditionsFibromyalgia, Obstructive Sleep ApneaArmsContinuous Positive Airway Pressure Therapy (CPAP)
NCT03270449 nacompletednot on this map

A Multi-disciplinary, Community-based Group Intervention for Fibromyalgia: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of British ColumbiaRan2017 to 2019Enrolled84ConditionsFibromyalgiaArmsMultidisciplinary intervention
NCT06197087 unknown statusnot on this map

Evaluation of Chronotype and Central Sensitization in Patients With Fibromyalgia Syndrome, Cross-sectional Study

Typeobservational_patient_registrySponsorOğuzhan KandemirRan2023 to 2024Enrolled500ConditionsChronotype, Fibromyalgia SyndromeArmscross-sectional observational survey study
NCT07782255 nacompletednot on this map

Interdisciplinary Therapeutic Intervention for People With Persistent Pain

TypeinterventionalSponsorPlaya Ancha UniversityRan2025 to 2025Enrolled15ConditionsFybromyalgiaArmsMultimodal Interdisciplinary Therapeutic Intervention
3 · Its place in the literature

Who cites it

171 citing papers in PubMed, 19 syntheses or guidelines pooled it, 395 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Flexibility exercise training for adults with fibromyalgia.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Pooled it
  7. Mirtazapine for fibromyalgia in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  8. Whole body vibration exercise training for fibromyalgia.The Cochrane database of systematic reviews · 2017
    Pooled it
  9. Cannabinoids in Pain Management and Palliative Medicine.Deutsches Arzteblatt international · 2017
    Pooled it
  10. Pooled it
  11. Oral nonsteroidal anti-inflammatory drugs for fibromyalgia in adults.The Cochrane database of systematic reviews · 2017
    Pooled it
  12. Gabapentin for fibromyalgia pain in adults.The Cochrane database of systematic reviews · 2017
    Pooled it
  13. Cannabinoids for fibromyalgia.The Cochrane database of systematic reviews · 2016
    Pooled it
  14. Antipsychotics for fibromyalgia in adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  15. Pooled it
  16. Pooled it
  17. Pooled it
  18. Cognitive behavioural therapies for fibromyalgia.The Cochrane database of systematic reviews · 2013
    Pooled it
  19. Guideline
  20. Trial

111 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 2 countries.

Mary-Ann FitzcharlesDivision of Rheumatology, McGill University Health Centre, Montreal, Quebec, Canada. mary-ann.fitzcharles@muhc.mcgill.ca
Peter A Ste-Marie
Don L Goldenberg
John X Pereira
Susan Abbey
Manon Choinière
Gordon Ko
Dwight E Moulin
Pantelis Panopalis
Johanne Proulx
Yoram Shir
National Fibromyalgia Guideline Advisory Panel
McGill University Health Centre · CAUniversity of Toronto · CACARE Canada · CACentre Hospitalier de l’Université de Montréal · CAMcGill University · CATufts University · USUniversity of Calgary · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent neurophysiological evidence attests to the validity of fibromyalgia (FM), a chronic pain condition that affects >2% of the population.

objectivesTo present the evidence-based guidelines for the diagnosis, management and patient trajectory of individuals with FM.

methodsA needs assessment following consultation with diverse health care professionals identified questions pertinent to various aspects of FM. A literature search identified the evidence available to address these questions; evidence was graded according to the standards of the Oxford Centre for Evidence-Based Medicine. Drafted recommendations were appraised by an advisory panel to reflect meaningful clinical practice.

resultsThe present recommendations incorporate the new clinical concepts of FM as a clinical construct without any defining physical abnormality or biological marker, characterized by fluctuating, diffuse body pain and the frequent symptoms of sleep disturbance, fatigue, mood and cognitive changes. In the absence of a defining cause or cure, treatment objectives should be patient-tailored and symptom-based, aimed at reducing global complaints and enhancing function. Healthy lifestyle practices with active patient participation in health care forms the cornerstone of care. Multimodal management may include nonpharmacological and pharmacological strategies, although it must be acknowledged that pharmacological treatments provide only modest benefit. Maintenance of function and retention in the workforce is encouraged.

conclusionsThe new Canadian guidelines for the treatment of FM should provide health professionals with confidence in the complete care of these patients and improve clinical outcomes.

Indexed as

FibromyalgiaPainCanadaEvidence-Based MedicineHumansPhysical Examination

Identifiers

PMID23748251
PMCPMC3673928
OpenAlexW1471779090

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.