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Table 4 Characteristics of the 33 selected randomised controlled trials and the patients studied in them

From: A meta-analysis of the efficacy of fibromyalgia treatment according to level of care

N

Randomized controlled trial

Year

Country

Treatment

Level of care

% of women

Mean age

Length of treatment (years)

Simple size

Oxford scoring (quality)

Duration of disease at baseline (years)

Instruments used (outcome assessed)

1

Carette

94

Canada

Amitryptiline Cyclobenzaprine

Primary care

93.8

44.4

24

208

3

7.7

Mc Gill-BPI (p) SIP (gf)

2

Russell

94

USA

Malic acid

Specialised care

90

49.5

8

24

3

 

VAS (p) TPI (tp)

3

Wolfe

94

USA

Fluoxetine

Primary care

100

50.4

3

42

5

13

TPI (tp) BDI (ad)

4

Carette

95

Canada

Amitryptiline

Primary care

95.5

43.8

8

22

2

6.9

VAS (p) VAS (i) VAS (gf)

5

Chesky

95

USA

Music vibration

Specialised care

92.6

48.8

30 minutes

26

3

11

VAS (p) TPI (tp)

6

Goldenberg

96

USA

Fluoxetine Amitryptiline

Primary care

90.3

43

6

31

5

5.7

VAS (p) FIQ (GF) BDI (ad) VAS (i) VAS (gf) VAS (f) TPI (tp)

7

Ginsberg

96

Belgium

Amitryptiline

Primary care

82.5

46

8

46

2

32

VAS (p) VAS (i) TPI (tp) VAS (f) VAS (gf) NTP (tp)

8

Moldofsky

96

Canada

Zolpidem

Primary care

95

42

2.5

19

4

 

NTP (tp) PGI (i)

9

Vlayen

96

Holland

Cognitive behavioural therapy Education training

Specialised care

87

44

6

131

5

10

BDI (ad)

10

Wigers

96

Norway

Aerobic exercise Stress-reduction treatment

Specialised care

92

44

14

48

3

10

VAS (p) VAS (i) VAS (f)

11

Pearl

96

Canada

Bright light treatment

Specialised care

100

38

10

14

2

5

VAS (p) VAS (f) VAS (i)

12

Kelli

97

Canada

Chiropractic treatment

Specialised care

-

49

4

19

4

8

VAS (p) NTP (tp)

13

Hannonen

98

Finland

Moclobemide Amitryptiline

Primary care

100

49

12

130

5

11.2

NTP (tp) VAS (p) VAS (f) VAS (i)

14

Yavuzer

98

Turkey

Moclobemide

Primary care

58

33

6

60

1

 

TPI (tp)

15

Ginsberg

98

Belgium

Pirlindole

Specialised care

85

40

4

61

4

2.9

VAS (p) TPI (tp) VAS (gf)

16

Russell

00

USA

Tramadol

Primary care

94

49

6

69

4

4.7

VAS (p) FIQ (gf) NTP (tp)

17

Heymann

01

Brazil

Amitryptiline Nortryptiline

Primary care

100

50

8

118

4

 

FIQ (gf) NTP (tp)

18

Färber

01

Germany

Tropisetron

Specialised care

92

48

1.5

403

3

11

Vas (p) NTP (tp)

19

Gowans

01

Canada

Exercise

Specialised care

88

47

23

50

3

9

FIQ (gf) BDI (ad) STAI (ad) NTP (tp)

20

Mannerkorpi

01

Sweden

Education training

Specialised care

100

46

24

58

4

8.7

FIQ (gf) QOLS (ql)

21

Gür

02

Turkey

Laser Amitryptiline

Primary care (Amytriptiline) – Specialised care (laser)

80

30

8

75

3

4.6

HADS (ad) FIQ (gf)

22

Joaquim

02

Sweden

Education training Behavioural therapy

Specialised care

100

45

12

53

6

3.6 pain

FIQ (gf) Mc Gill (p)

23

King

02

Canada

Exercise Education training

Specialised care

100

46

12

152

4

 

FIQ (gf) NTP (tp)

24

Lemstra

05

Canada

Rehabilitation

Specialised care

84.5

49.5

6

79

3

10

VAS (p) BDI (ad)

25

Schachter

03

Canada

Aerobic exercise (long-term and short-term)

Specialised care

100

42

16

143

4

3.5

VAS (p) FIQ (gf)

26

Arnold

04

USA

Duloxetine

Primary care

88

49

12

207

6

8.9

BDI (ad) BPI (ad) NTP (tp) CGI (gf) FIQ (gf)

27

Yildiz

04

Turkey

Hyperbaric oxigen therapy

Specialised care

70

40

2.5

50

2

4.5

VAS (p) NTP (tp)

28

Crofford

05

USA

Pregabaline

Primary care

92

48.5

8

529

5

9

VAS (p) MAF (f)

29

Arnold

05

USA

Duloxetine

Primary care

100

50

12

354

5

 

BPI (ad)

30

Gendreau

05

USA

Milnacipran

Primary care

98

47

12

125

6

4.1

FIQ (gf)

31

Finckh

05

Switzerland

Dehydroepiandrosterone (DHA)

Specialised care

100

59

12

52

6

13

HADS (ad) VAS (f)

32

Holman

05

USA

Pramipexole

Specialised care

94.4

48.5

14

60

6

8.4

BDI (ad) HAMD (ad) TPI (tp) FIQ (gf)

33

Edinger

05

USA

Cognitive behavioural therapy Sleep hygiene

Specialised care

100

49

6

47

3

 

Mc Gill (p) BPI (ad) SF-36 (ql)

  1. Outcome types: P, Pain; QL, Quality of life; AD, Anxiety-depression; I, Insomnia; TP, Tender points; F, Fatigue; GF, Global Function.
  2. Questionnaires: Mc Gill PQ, Mc Gill Pain Questionnaire; BPI, Brief Pain Inventory; VAS, Visual Analogue Scale; QOLS, Quality of Life Scale; BDI, Beck Depression Inventory; HADS, Hospital Anxiety and Depression Scale; HDS, Hamilton Depression Scale; STAI, State-trait Anxiety Inventory; PGI, Patient Global Impression; TPI, Tender Points Index; MAF, Multi-dimensional Assessment of Fatigue; FIQ, Fibromyalgia Impact Questionnaire; CGIS, Clinical Global Impression of Severity; SIP, Sickness Impact Profile.