Standards for the diagnosis and management of complex regional pain syndrome: Results of a European Pain Federation task force

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DOI

  • Andreas Goebel, The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, University of Liverpool
  • ,
  • Chris Barker, The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, University of Liverpool
  • ,
  • Frank Birklein, Johannes Gutenberg-Universität Mainz
  • ,
  • Florian Brunner, Balgrist University Hospital
  • ,
  • Roberto Casale, Habilita Hospital
  • ,
  • Chris Eccleston, Bath University, Universiteit Gent, European Pain Federation EFIC
  • ,
  • E. Eisenberg, Institute of Pain Medicine
  • ,
  • Candy S. McCabe, The University of the West of England
  • ,
  • G. Lorimer Moseley, University of South Australia
  • ,
  • R. Perez, VU University Medical Center
  • ,
  • Serge Perrot, Université Descartes, Sorbonne Paris Cité
  • ,
  • Astrid Terkelsen
  • Ilona Thomassen, Patiëntenvereniging CRPS
  • ,
  • Andrzey Zyluk, Pomeranian Medical University in Szczecin
  • ,
  • Chris Wells, European Pain Federation EFIC

Background: Complex regional pain syndrome is a painful and disabling post-traumatic primary pain disorder. Acute and chronic complex regional pain syndrome (CRPS) are major clinical challenges. In Europe, progress is hampered by significant heterogeneity in clinical practice. We sought to establish standards for the diagnosis and management of CRPS. Methods: The European Pain Federation established a pan-European task force of experts in CRPS who followed a four-stage consensus challenge process to produce mandatory quality standards worded as grammatically imperative (must-do) statements. Results: We developed 17 standards in 8 areas of care. There are 2 standards in diagnosis, 1 in multidisciplinary care, 1 in assessment, 3 for care pathways, 1 in information and education, 4 in pain management, 3 in physical rehabilitation and 2 on distress management. The standards are presented and summarized, and their generation and consequences were discussed. Also presented are domains of practice for which no agreement on a standard could be reached. Areas of research needed to improve the validity and uptake of these standards are discussed. Conclusion: The European Pain Federation task force present 17 standards of the diagnosis and management of CRPS for use in Europe. These are considered achievable for most countries and aspirational for a minority of countries depending on their healthcare resource and structures. Significance: This position statement summarizes expert opinion on acceptable standards for CRPS care in Europe.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Pain (United Kingdom)
Vol/bind23
Nummer4
Sider (fra-til)641-651
Antal sider11
ISSN1090-3801
DOI
StatusUdgivet - 2019

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