The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome

Özet

In the present study, we aimed to establish a national guideline including recommendations of the Turkish Society of Physical Medicine andRehabilitation (TSPMR) for the management of Fibromyalgia (FM) syndrome. This guideline was built mainly in accordance with the 2017revised European League Against Rheumatism (EULAR) guideline recommendations for the management of FM. A total of 46 physicalmedicine and rehabilitation specialists were included. A systematic literature search was carried out in PubMed, Scopus, Cochrane, andTurkish Medical Index between 2000 and 2018. Evidence levels of the publications were evaluated, and the levels of recommendation weregraded on the basis of relevant levels of evidence, The Assessment of Level of Agreement with opinions by task force members was establishedusing the electronic Delphi technique. Recommendations were assessed by two Delphi rounds and 7 of 10 points were deemed necessary foragreement. The treatment recommendations were classified as non-pharmacological therapies (6 main items), pharmacological treatments(10 items), and complementary therapies (5 items). These were recommended in the light of evidence, depending on the clinical and generalcondition of each patient. This is the first national TSPMR guideline recommendations for the management of FM in Turkey. We believe oureffort would be helpful for the physicians who are interested in the treatment of FM.