Evidence map›Paper›PMID 41792513›Full record

ReviewNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Fibromyalgia: the Italian survey by the ministry of health.

Alice Giordano, Davide Sasssos, Roberto Fancellu, Massimo Del Sette, Luca Boni, Alberto Sulli

Abstract readReview
In one paragraph

Review in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

6 authors.

Alice GiordanoClinical Epidemiology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy. alicegiordano1991@gmail.com.ORCID http://orcid.org/0009-0008-5239-3527
Davide SasssosNeurology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0000-0002-7271-6038
Roberto FancelluNeurology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0000-0001-7357-5049
Massimo Del SetteNeurology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0009-0004-1594-2604
Luca BoniClinical Epidemiology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0000-0003-2217-4047
Alberto SulliRheumatology Clinic Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0000-0003-3674-4880

Funding

Ministero della Salute RF-2019-12369647
6 · The paper itself

Abstract

backgroundFibromyalgia (FM) is a chronic condition with complex etiology, characterized by widespread pain and associated symptoms that significantly impact quality of life. In Italy, organizational heterogeneity and the absence of standardized care pathways hinder uniform management. The RF-2019-12369647 project was launched to develop a national strategy for integrated and multidisciplinary care.

methodsA nationwide mapping of clinical centers dedicated to FM was conducted through online reconnaissance and validation by Regional Health Departments. A structured survey was administered to 131 identified centers to collect data on organizational models, clinical workload, and care practices. In addition, a systematic literature review of diagnostic and therapeutic guidelines was performed, and a digital repository was developed to support information sharing.

resultsA total of 131 centers were mapped, and 56 completed the survey (42.7% response rate). Centers managed an average of 485 patients annually, supported by multidisciplinary teams dominated by rheumatologists (91%). Despite territorial coverage, only 16% of centers were part of regional networks, and 21% reported not using any formal care protocol. Critical issues included lack of standardized pathways, insufficient training, and limited multidisciplinary integration. A cloud-based repository and web portal were developed to facilitate knowledge dissemination.

conclusionsThe findings highlight wide regional disparities, fragmented care models, and insufficient adoption of guidelines for FM management in Italy. These results support the urgent need for a coordinated national strategy to ensure equitable, standardized, and multidisciplinary care pathways for patients with fibromyalgia.

Indexed as

FibromyalgiaHumansItalySurveys and QuestionnairesChronic painClinical pathwaysFibromyalgiaIntegrated careNational survey

Identifiers

PMID41792513
PMCPMC12966183

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.