Evidence map›Paper›PMID 40500865›Full record

GuidelineJournal of evidence-based medicine2025

Guidelines on Treating Fibromyalgia With Nonpharmacological Therapies in China.

Xuanlin Li, Hejing Pan, Liaoyao Wang, Qi Zhou, Yanfang Ma, Qi Wang, Mingzhu Wang, Zhijun Xie, Haichang Li, Lu Chen and 3 more

Registry-linked trialAbstract readPractice Guideline
In one paragraph

Guideline in Journal of evidence-based medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07782255 (Interdisciplinary Therapeutic Intervention for People With Persistent Pain), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

  1. Trial
  2. Effects ofFrontiers in pharmacology · 2026
    Trial
  3. Article
  4. Review
  5. Review
  6. Review
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

13 authors.

Xuanlin LiSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.
Hejing PanSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.
Liaoyao WangThe Wuyun Mountain Hospital of Hangzhou (The Health Promotion Institute of Hangzhou), Hangzhou, China.
Qi ZhouEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
Yanfang MaSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.
Qi WangSchool of Public Health, The University of Hong Kong, Hong Kong, China.
Mingzhu WangSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.
Zhijun XieSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.
Haichang LiSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.
Lu ChenChinese Fibromyalgia Patient Association, Hangzhou, China.
Lin HuangSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.
Yaolong ChenEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
Chengping WenSchool of Basic Medical Sciences of Zhejiang Chinese Medical University, Hangzhou, China.ORCID https://orcid.org/0009-0001-1904-8819

Funding

Annual Zhejiang Traditional Chinese Medicine Science and Technology Program 2025ZF027China Society of Traditional Chinese Medicine Young Talent 2022-QNRC2-A10Zhejiang Chinese Medical University Research Project 2024RCZXZK05
6 · The paper itself

Abstract

Fibromyalgia is a prevalent chronic condition marked by widespread pain, fatigue, and other debilitating symptoms. This guideline provides evidence-based recommendations for nonpharmacological treatments, developed by a multidisciplinary expert group, including specialists in rheumatology, rehabilitation, pain management, traditional Chinese medicine (TCM), and evidence-based medicine. The guideline follows the RIGHT checklist and is registered with the International Practice Guideline Registry Platform. The literature review incorporates systematic reviews, meta-analyses, and randomized controlled trials (RCTs) up to March 2023, focusing on the effects of nonpharmacological interventions on pain intensity, fatigue, sleep quality, mood, and quality of life. A total of 57 studies were included, with findings supporting acupuncture and health education as core therapies. These interventions significantly reduce pain, alleviate fatigue, and improve sleep quality, and are strongly recommended based on moderate-quality evidence. Additionally, aerobic exercise and resistance training are recommended for their proven effectiveness in reducing pain, enhancing physical function, and providing long-term benefits. Emerging therapies, such as transcranial magnetic stimulation (TMS) and nutritional supplements, show promise but require further research due to low-certainty evidence.

Indexed as

FibromyalgiaAcupuncture TherapyChinaEvidence-Based MedicineExercise TherapyHumansMedicine, Chinese TraditionalPain ManagementQuality of Lifeconsensusevidence‐basedfibromyalgianonpharmacological treatmentstraditional Chinese medicine

Identifiers

PMID40500865
PMCPMC12159282

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.