Evidence map›Paper›PMID 30620109›Full record

GuidelineEuropean journal of pain (London, England)2019

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

Andreas Goebel, Chris Barker, Frank Birklein, Florian Brunner, Roberto Casale, Chris Eccleston, E Eisenberg, Candy S McCabe, G Lorimer Moseley, R Perez and 5 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in European journal of pain (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
18.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 10 countries.

Andreas GoebelWalton Centre NHS Foundation Trust, Liverpool, UK.
Chris BarkerWalton Centre NHS Foundation Trust, Liverpool, UK.
Frank BirkleinDepartment of Neurology, University of Mainz, Mainz, Germany.
Florian BrunnerPhysical Medicine and Rheumatology, Balgrist University Hospital, Zurich, Switzerland.
Roberto CasalePain Rehabilitation Unit, Habilita Hospitals, Zingonia di Ciserano, Italy.
Chris EcclestonCentre for Pain Research, The University of Bath, Bath, Uk.
E EisenbergRambam Health Care Campus, Institute of Pain Medicine, Haifa, Israel.
Candy S McCabeFlorence Nightingale Foundation Clinical Professor of Nursing, University of West of England, Bristol & Royal United Hospitals NHS Foundation Trust, Bath, UK.
G Lorimer MoseleySansom Institute, University of South Australia, Adelade, Australia.
R PerezDepartment of Anaesthesiology, VU University Medical Center, Amsterdam, Netherlands.
Serge PerrotPain Center, Cochin Hospital, Paris Descartes University, Paris, France.
Astrid TerkelsenDanish Pain Research Center and Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.
Ilona ThomassenPatiëntenvereniging CRPS, Nijmegen, The Netherlands.
Andrzey ZylukDepartment of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland.
Chris WellsEuropean Pain Federation, Brussels, Belgium.
European Steel Association · BEUniversity of Liverpool · GBAmsterdam UMC Location VUmc · NLDanish Pain Research Center · DKFlorence Nightingale Foundation · GBJohannes Gutenberg University Mainz · DEPomeranian Medical University · PLRambam Health Care Campus · ILUniversitätsklinik Balgrist · CHUniversité Paris Cité · FRUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex 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.

methodsThe 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.

resultsWe 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.

conclusionThe 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.

Indexed as

Pain ManagementAnxietyComplex Regional Pain SyndromesDepressionEuropeHumansMass ScreeningPatient Education as TopicStress Disorders, Post-Traumatic

Identifiers

PMID30620109
PMCPMC6593444
OpenAlexW2911145152

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.