Validation of proposed diagnostic criteria (the "Budapest Criteria") for Complex Regional Pain Syndrome

被引：858

作者：

Harden, R. Norman ^{[1
]}

Bruehl, Stephen ^{[2
]}

Perez, Roberto S. G. M. ^{[3
,4
]}

Birklein, Frank ^{[5
]}

Marinus, Johan ^{[4
]}

Maihofner, Christian ^{[6
]}

Lubenow, Timothy ^{[7
]}

Buvanendran, Asokumar ^{[7
]}

Mackey, Sean ^{[8
]}

Graciosa, Joseph ^{[1
]}

Mogilevski, Mila ^{[1
]}

Ramsden, Christopher ^{[1
]}

Chont, Melissa ^{[2
]}

Vatine, Jean-Jacques ^{[9
]}

机构：

[1] Ctr Pain Studies, Rehabil Inst Chicago, Chicago, IL 60611 USA

[2] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA

[3] Vrije Univ Amsterdam, Med Ctr, Amsterdam, Netherlands

[4] Leiden Univ, Med Ctr, Trauma Related Neuronal Dysfunct Consortium TREND, Leiden, Netherlands

[5] Univ Med Ctr Mainz, Mainz, Germany

[6] Univ Erlangen Nurnberg, Erlangen, Germany

[7] Rush Univ, Med Ctr, Chicago, IL 60612 USA

[8] Stanford Univ, Med Ctr, Stanford, CA 94305 USA

[9] Tel Aviv Univ, Sackler Fac Med, Reuth Med Ctr, IL-69978 Tel Aviv, Israel

来源：

PAIN | 2010年 / 150卷 / 02期

关键词：

Complex Regional Pain Syndrome; Reflex sympathetic dystrophy; CRPS; RSD; Diagnosis; Validation; REFLEX SYMPATHETIC DYSTROPHY; SIGNS;

D O I：

10.1016/j.pain.2010.04.030

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

Current IASP diagnostic criteria for CRPS have low specificity, potentially leading to overdiagnosis. This validation study compared current IASP diagnostic criteria for CRPS to proposed new diagnostic criteria (the "Budapest Criteria") regarding diagnostic accuracy. Structured evaluations of CRPS-related signs and symptoms were conducted in 113 CRPS-I and 47 non-CRPS neuropathic pain patients. Discriminating between diagnostic groups based on presence of signs or symptoms meeting IASP criteria showed high diagnostic sensitivity (1.00), but poor specificity (0.41), replicating prior work. In comparison, the Budapest clinical criteria retained the exceptional sensitivity of the IASP criteria (0.99), but greatly improved upon the specificity (0.68). As designed, the Budapest research criteria resulted in the highest specificity (0.79), again replicating prior work. Analyses indicated that inclusion of four distinct CRPS components in the Budapest Criteria contributed to enhanced specificity. Overall, results corroborate the validity of the Budapest Criteria and suggest they improve upon existing IASP diagnostic criteria for CRPS. (C) 2010 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

引用

页码：268 / 274

页数：7

共 36 条

[1]

REFLEX SYMPATHETIC DYSTROPHY SYNDROME - CONSENSUS REPORT OF AN AD HOC COMMITTEE OF THE AMERICAN-ASSOCIATION-FOR-HAND-SURGERY ON THE DEFINITION OF REFLEX SYMPATHETIC DYSTROPHY SYNDROME [J].

AMADIO, PC ;

MACKINNON, SE ;

MERRITT, WH ;

BRODY, GS ;

TERZIS, JK .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1991, 87 (02) :371-375

[2]

Pattern of autonomic dysfunction in time course of complex regional pain syndrome [J].

Birklein, F ;

Riedl, B ;

Claus, D ;

Neundorfer, B .

CLINICAL AUTONOMIC RESEARCH, 1998, 8 (02) :79-85

[3]

Neuropeptides, neurogenic inflammation and complex regional pain syndrome (CRPS) [J].

Birklein, Frank ;

Schmelz, Martin .

NEUROSCIENCE LETTERS, 2008, 437 (03) :199-202

[4]

BLUMBERG H, 1991, PAIN RES CL, V4, P399

[5]

Validation of thermography in the diagnosis of reflex sympathetic dystrophy [J].

Bruehl, S ;

Lubenow, TR ;

Nath, H ;

Ivankovich, O .

CLINICAL JOURNAL OF PAIN, 1996, 12 (04) :316-325

[6]

External validation of IASP diagnostic criteria for complex regional pain syndrome and proposed research diagnostic criteria [J].

Bruehl, S ;

Harden, RN ;

Galer, BS ;

Saltz, S ;

Bertram, M ;

Backonja, M ;

Gayles, R ;

Rudin, N ;

Bhugra, MK ;

Stanton-Hicks, M .

PAIN, 1999, 81 (1-2) :147-154

[7]

Complex regional pain syndrome: are there distinct subtypes and sequential stages of the syndrome? [J].

Bruehl, S ;

Harden, RN ;

Galer, BS ;

Saltz, S ;

Backonja, M ;

Stanton-Hicks, M .

PAIN, 2002, 95 (1-2) :119-124

[8]

Centrally mediated sensory decline induced by differential C-fiber stimulation [J].

De Col, Roberto ;

Maihoefner, Christian .

PAIN, 2008, 138 (03) :556-564

[9]

The incidence of complex regional pain syndrome: A population-based study [J].

de Mos, M. ;

de Bruijn, A. G. J. ;

Huygen, F. J. P. M. ;

Dieleman, J. P. ;

Stricker, B. H. Ch. ;

Sturkenboom, M. C. J. M. .

PAIN, 2007, 129 (1-2) :12-20

[10]

IASP diagnostic criteria for Complex Regional Pain Syndrome: A preliminary empirical validation study [J].

Galer, BS ;

Bruehl, S ;

Harden, RN .

CLINICAL JOURNAL OF PAIN, 1998, 14 (01) :48-54

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