IASP diagnostic criteria for Complex Regional Pain Syndrome: A preliminary empirical validation study
IASP diagnostic criteria for Complex Regional Pain Syndrome: A preliminary empirical validation study
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DOI：
10.1097/00002508-199803000-00007
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发表时间：
1998-03-01
影响因子：
2.9
通讯作者：
Harden, RN
中科院分区：
文献类型：
--
作者：
Galer, BS;Bruehl, S;Harden, RN
目的：评估国际疼痛复杂区域疼痛综合征（CRPS）诊断标准和相关特征研究协会区分CRPS患者和疼痛性糖尿病神经病变患者的能力。设计：前瞻性评估一系列CRPS和糖尿病神经病变患者的体征和症状。设置：华盛顿大学多学科疼痛中心。患者：一个连续的系列18 CRPS患者和30糖尿病神经病变patients.Interventions：患者完成了10项病史问卷评估症状的CRPS之前的医疗评估。评估医生完成了10项患者检查问卷评估客观的迹象CRPS.Outcome措施：进行分析的目的是测试能力的CRPS体征和症状及相关功能，以区分CRPS患者和糖尿病神经病变patients.Results：数据分析表明，CRPS的决策规则可能会导致过度诊断的疾病。在某些情况下，基于自我报告的症状的诊断在诊断上是有用的。增加营养组织变化、运动范围变化和疼痛的“燃烧”性质并没有提高诊断的准确性，但增加运动忽视体征可以提高诊断的准确性。测试的CRPS评分系统导致在提高准确性相对于当前的标准和决策rules.Conclusions：缺乏典型的体征/症状和诊断实验室检测的理解不清的疾病必须依赖于可靠的诊断指南的发展。本研究的结果应有助于进一步完善CRPS的诊断标准。
Objective: To assess the ability of the international Association for the Study of Pain Complex Regional Pain Syndrome (CRPS) diagnostic criteria and associated features to discriminate between CRPS patients and patients with painful diabetic neuropathy.Design: Prospective assessment of signs and symptoms in a series of CRPS and diabetic neuropathy patients.Setting: University of Washington Multidisciplinary Pain Center.Patients: A consecutive series of 18 CRPS patients and 30 diabetic neuropathy patients.Interventions: Patients completed a 10-item patient history questionnaire assessing symptoms of CRPS prior to medical evaluation. The evaluating physician completed a 10-item patient examination questionnaire assessing objective signs of CRPS.Outcome Measures: The analyses conducted were designed to test the ability of CRPS signs and symptoms and associated features to discriminate between CRPS patients and diabetic neuropathy patients.Results: Data analysis suggested that CRPS decision rules may lead to overdiagnosis of the disorder. Diagnosis based on self-reported symptoms can be diagnostically useful in some circumstances, The addition of trophic tissue changes, range of motion changes, and "burning" quality of pain did not improve diagnostic accuracy, but the addition of motor neglect signs did. Test of a CRPS scoring system resulted in improved accuracy relative to current criteria and decision rules.Conclusions: Poorly understood disorders lacking prototypical signs/symptoms and diagnostic laboratory testing must rely on the development of reliable diagnostic guidelines. The results of this study should assist in the further refinement of the CRPS diagnostic criteria.