Fibromyalgia and Chronic Pain Syndromes: A White Paper Detailing Current Challenges in the Field.
Fibromyalgia and Chronic Pain Syndromes: A White Paper Detailing Current Challenges in the Field.
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DOI：
10.1097/ajp.0000000000000354
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Wang G
中科院分区：
文献类型：
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作者：
Arnold LM;Choy E;Clauw DJ;Goldenberg DL;Harris RE;Helfenstein M Jr;Jensen TS;Noguchi K;Silverman SL;Ushida T;Wang G
补充数字内容可在文本中找到。这份手稿由来自世界各地的一组慢性疼痛研究人员和临床医生编写，旨在解决有关纤维肌痛（FM）的知识状况，并确定FM和其他慢性疼痛综合征领域的持续挑战，这些综合征的特征可能是疼痛集中/放大/超敏反应。在FM和相关综合征的病理生理学和治疗的研究中有许多令人兴奋的进展，这些进展有可能改善FM和其他FM样疼痛患者的识别和管理。然而，许多新的信息还没有到达所有的临床医生，特别是初级保健临床医生，谁拥有最大的潜力，利用这些新知识，积极影响他们的病人的生活。此外，对FM存在持续的误解，并且对FM的诊断和治疗缺乏共识。本文提出了未来全球努力的框架，以提高对FM和其他相关慢性疼痛综合征的理解和治疗，传播研究成果，确定加强对这些患者的宣传的方法，并改善全球努力，就FM和慢性疼痛相关的关键问题进行合作并达成共识。
Supplemental Digital Content is available in the text. This manuscript, developed by a group of chronic pain researchers and clinicians from around the world, aims to address the state of knowledge about fibromyalgia (FM) and identify ongoing challenges in the field of FM and other chronic pain syndromes that may be characterized by pain centralization/amplification/hypersensitivity. There have been many exciting developments in research studies of the pathophysiology and treatment of FM and related syndromes that have the potential to improve the recognition and management of patients with FM and other conditions with FM-like pain. However, much of the new information has not reached all clinicians, especially primary care clinicians, who have the greatest potential to use this new knowledge to positively impact their patients’ lives. Furthermore, there are persistent misconceptions about FM and a lack of consensus regarding the diagnosis and treatment of FM. This paper presents a framework for future global efforts to improve the understanding and treatment of FM and other associated chronic pain syndromes, disseminate research findings, identify ways to enhance advocacy for these patients, and improve global efforts to collaborate and reach consensus about key issues related to FM and chronic pain in general.