Evidence map›Paper›PMID 38399559›Full record

ReviewMedicina (Kaunas, Lithuania)2024

Unraveling the Complex Web of Fibromyalgia: A Narrative Review.

Sarah Al Sharie, Scott J Varga, Lou'i Al-Husinat, Piercarlo Sarzi-Puttini, Mohammad Araydah, Batool Riyad Bal'awi, Giustino Varrassi

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07280273 (Effectiveness of Pain Science Education), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
10.4field-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.

NCT07280273 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Pain Science Education (PSE) in Patients With Fibromyalgia Syndrome (FMS) Living in Rural Areas.: a Randomized Clinical Trial.

TypeinterventionalSponsorMaría Catalina Osuna PérezRan2026 to 2026Enrolled54ConditionsFibromyalgia SyndromeArmsPain Science Education
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Personality Assessment Inventory in Fibromyalgia: Links to Functional, Physical-Somatic, and Emotional Impact.European journal of investigation in health, psychology and education · 2025
    Article
  14. Article
  15. Review
  16. Fibromyalgia in the Era of Brain PET/CT Imaging.Journal of clinical medicine · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. 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

7 authors at 6 institutions in 3 countries.

Sarah Al SharieFaculty of Medicine, Yarmouk University, Irbid 21163, Jordan.ORCID 0000-0002-8004-0963
Scott J VargaDepartment of Neurology, OhioHealth Mansfield General Hospital, Mansfield, OH 44903, USA.
Lou'i Al-HusinatDepartment of Clinical Sciences, Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.ORCID 0000-0001-8945-8330
Piercarlo Sarzi-PuttiniRheumatology Unit, Internal Medicine Department, ASST Fatebenefratelli-Sacco, University School of Medicine, 20157 Milan, Italy.
Mohammad AraydahDepartment of Internal Medicine, Istishari Hospital, Amman 11942, Jordan.ORCID 0000-0002-8440-8585
Batool Riyad Bal'awiDepartment of Family Medicine, Jordan Royal Medical Services, Amman 11855, Jordan.
Giustino VarrassiPaolo Procacci Foundation, 00193 Rome, Italy.ORCID 0000-0002-3822-2923
Yarmouk University · JOASST Fatebenefratelli Sacco · ITFondazione Roma · ITJordan Hospital · JOKing Hussein Medical Center · JOOhioHealth Mansfield Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibromyalgia is a complex and often misunderstood chronic pain disorder. It is characterized by widespread musculoskeletal pain, fatigue, and heightened sensitivity, and has evolved in diagnostic criteria and understanding over the years. Initially met with skepticism, fibromyalgia is now recognized as a global health concern affecting millions of people, with a prevalence transcending demographic boundaries. The clinical features and diagnosis of fibromyalgia encompass a range of symptoms beyond pain, including sleep disturbances and cognitive difficulties. This study emphasizes the importance of a comprehensive evaluation for accurate diagnosis, considering the shift from tender point reliance to a more holistic approach. Etiology and pathophysiology involve genetic predisposition, neurotransmitter dysregulation, central sensitization, and immune system involvement. Risk factors such as gender, age, family history, and comorbid conditions contribute to susceptibility. The impact on quality of life is profound, affecting physical and social aspects, often accompanied by mood disorders. Management approaches include pharmacological interventions, non-pharmacological therapies, lifestyle modifications, and alternative treatments. This study also delves into emerging research, exploring advances in neurobiological understanding, brain imaging, genetic markers, glutamate modulation, cannabinoids, gut microbiome, and digital health tools for fibromyalgia management. Overall, this study provides a nuanced and up-to-date overview of the complexities surrounding fibromyalgia, aiming to enhance understanding and support for individuals grappling with this challenging condition.

Indexed as

Chronic PainFibromyalgiaSleep Wake DisordersFatigueHumansQuality of Lifechronic paindiagnosisemerging treatmentsfibromyalgiamanagement

Identifiers

PMID38399559
PMCPMC10890445
OpenAlexW4391543184

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.