Standards for the diagnosis and management of Complex Regional Pain Syndrome: results of a European Pain Federation task force.



Goebel, A ORCID: 0000-0002-3763-8206, Barker, C, Birklein, F, Brunner, F, Casale, R, Eccleston, C, Eisenberg, E, McCabe, CS, Moseley, GL, Perez, R
et al (show 5 more authors) (2019) Standards for the diagnosis and management of Complex Regional Pain Syndrome: results of a European Pain Federation task force. European journal of pain (London, England).

[img] Text
202012 EJP_Standards manuscript_2nd revision.docx - Accepted Version

Download (4MB)

Abstract

BACKGROUND:Complex Regional Pain Syndrome is a painful and disabling post-traumatic primary pain disorder. Acute and chronic 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 CPRS. 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 multi-disciplinary care, 1 on assessment, 3 for care pathways, 1 on information and education, 4 in pain management, 3 in physical rehabilitation, and 2 on distress management. The standards are presented, summarised, and their generation and consequences 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 CPRS 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. This article is protected by copyright. All rights reserved.

Item Type: Article
Depositing User: Symplectic Admin
Date Deposited: 17 Jan 2019 11:15
Last Modified: 19 Aug 2022 18:11
DOI: 10.1002/ejp.1362
URI: https://livrepository.liverpool.ac.uk/id/eprint/3031419