Evidence map›Paper›PMID 37809234›Full record

ReviewCureus2023

Is Fibromyalgia a Fashionable Diagnosis or a Medical Mystery?

Giustino Varrassi, Martina Rekatsina, Serge Perrot, Elyse Bouajina, Antonella Paladini, Stefano Coaccioli, Marco Antonio Narvaez Tamayo, Piercarlo Sarzi Puttini

Abstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Fibromyalgia in the Era of Brain PET/CT Imaging.Journal of clinical medicine · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
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

8 authors.

Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
Martina RekatsinaPain Management, Basildon University Hospital, London, GBR.
Serge PerrotPain, Cochin University Hospital, Paris, FRA.
Elyse BouajinaRheumatology, Farhat Hached University Hospital Center, Sousse, TUN.
Antonella PaladiniLife, Health and Environmental Sciences (MESVA), University of L'Aquila, L'Aquila, ITA.
Stefano CoaccioliInternal Medicine, Universita di Perugia, Terni, ITA.
Marco Antonio Narvaez TamayoPain Medicine, Hospital Obrero, La Paz, BOL.
Piercarlo Sarzi PuttiniRheumatology, Luigi Sacco University Hospital, Milan, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite its prevalence, there is no clear-cut diagnostic path or treatment paradigm for fibromyalgia; this can lead to a multiplicity of symptoms and comorbid conditions that complicate care. "Overlapping symptoms" describe conditions that can occur concomitantly with fibromyalgia and include migraine, irritable bowel syndrome, obesity, and pelvic pain syndromes. A variety of pharmacologic and nonpharmacologic treatments are available for fibromyalgia, but treatment is best personalized for an individual and recognizes potential comorbidities. Opioids are not the recommended front-line treatment, cannabinoids hold promise but with limitations and nonpharmacologic options, such as aerobic or resistance exercise and cognitive behavior therapy, can play a very important but often underestimated role. Amitriptyline appears to be safe and effective in treating six of the main fibromyalgia domains: pain, disturbed sleep, fatigue, affective symptoms, functional limitations, and impaired cognition ("fibro fog"). Very low-dose naltrexone (2.5-4.5 mg) may offer analgesic and anti-inflammatory benefits to fibromyalgia patients, but further studies are needed. Fibromyalgia can be a devastating and debilitating condition for patients, and clinicians are challenged with its diagnosis and treatment as well. Further research as well as compassionate approaches to offering personalized care to those with fibromyalgia are required.

Indexed as

chronic painfibromyalgiafibromyalgia criteriafibromyalgia diagnosispainpain diagnosis

Identifiers

PMID37809234
PMCPMC10560069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.