Evidence map›Paper›PMID 35687369›Full record

GuidelinePain medicine (Malden, Mass.)2022

Complex Regional Pain Syndrome: Practical Diagnostic and Treatment Guidelines, 5th Edition.

R Norman Harden, Candida S McCabe, Andreas Goebel, Michael Massey, Tolga Suvar, Sharon Grieve, Stephen Bruehl

4 registry-linked trialsOpen access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Pain medicine (Malden, Mass.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 118 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 6 pooled it
47.3field-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.

NCT05777889 recruitingnot on this mapstarted 2023, after this paper: background citation

The Effect of Spinal Cord Stimulation on Thermal Forward Looking InfraRed (FLIR) Imaging in Complex Regional Pain Syndrome (CRPS)

TypeobservationalSponsorHospital for Special Surgery, New YorkRan2023 to 2027Enrolled12ConditionsComplex Regional Pain SyndromesArmsForward Looking InfraRed Camera
NCT05998889 naunknown statusnot on this mapstarted 2024, after this paper: background citation

A Feasibility Study of a Combination of Graded Pain Exposure and Graded Motor Imagery in People With Complex Regional Pain Syndrome Type 1

TypeinterventionalSponsorUniversity of Vic - Central University of CataloniaRan2024 to 2025Enrolled26ConditionsComplex Regional Pain Syndrome I (CRPS I)ArmsExperimental group, Control group
NCT06337526 withdrawnnot on this mapstarted 2026, after this paper: background citation

Identifying Factors Associated With Acute Pain Exacerbation in Children With Complex Regional Pain Syndrome (CRPS): A Novel Research Plan

TypeobservationalSponsorStanford UniversityRan2026 to 2026Enrolled0ConditionsComplex Regional Pain SyndromesArmsApple Watch v8
NCT07129811 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effect of Ultrasound-Guided Stellate Ganglion Block on Pain, Functionality, and Quality of Life in Type 1 Complex Regional Pain Syndrome in Stroke Patients

TypeinterventionalSponsorAnkara City Hospital BilkentRan2025 to 2025Enrolled32ConditionsStellate Ganglion BlockArmsStellate Ganglion Block
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 6 syntheses or guidelines pooled it, 197 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Cognitive Function in Patients With Complex Regional Pain Syndrome (CRPS).European journal of pain (London, England) · 2025
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Management of Neuropathic Pain in Complex Regional Pain Syndrome: A Comprehensive Review.Pain practice : the official journal of World Institute of Pain · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Mechanisms Underlying Pain Avoidance in Complex Regional Pain Syndrome.European journal of pain (London, England) · 2026
    Observational
  19. Article
  20. Observational

58 more citing papers are in PubMed but not listed here.

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

7 authors at 7 institutions in 2 countries.

R Norman HardenDepartments of PM&R and Physical Therapy and Human Movement Sciences, Northwestern University.
Candida S McCabeUniversity of the West of England, Stapleton, Bristol, UK.
Andreas GoebelPain Research Institute, Faculty of Health and Life Science, University of Liverpool, Liverpool, UK.ORCID 0000-0002-3763-8206
Michael MasseyCentraCare Neurosciences Pain Center, CentraCare, St. Cloud, Minnesota, USA.
Tolga SuvarDepartment of Anesthesiology and Pain Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Sharon GrieveRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Stephen BruehlDepartment of Anesthesiology, Vanderbilt University Medical Centers, Nashville, Tennessee, USA.
CentraCare Health System · USNorthwestern University · USRoyal United Hospital Bath NHS Trust · GBRush University Medical Center · USUniversity of Liverpool · GBUniversity of the West of England · GBVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There have been some modest recent advancements in the research of Complex Regional Pain Syndrome, yet the amount and quality of the work in this complicated multifactorial disease remains low (with some notable exceptions; e.g., the recent work on the dorsal root ganglion stimulation). The semi-systematic (though in some cases narrative) approach to review is necessary so that we might treat our patients while waiting for "better research." This semi-systematic review was conducted by experts in the field, (deliberately) some of whom are promising young researchers supplemented by the experience of "elder statesman" researchers, who all mention the system they have used to examine the literature. What we found is generally low- to medium-quality research with small numbers of subjects; however, there are some recent exceptions to this. The primary reason for this paucity of research is the fact that this is a rare disease, and it is very difficult to acquire a sufficient sample size for statistical significance using traditional statistical approaches. Several larger trials have failed, probably due to using the broad general diagnostic criteria (the "Budapest" criteria) in a multifactorial/multi-mechanism disease. Responsive subsets can often be identified in these larger trials, but not sufficient to achieve statistically significant results in the general diagnostic grouping. This being the case the authors have necessarily included data from less compelling protocols, including trials such as case series and even in some instances case reports/empirical information. In the humanitarian spirit of treating our often desperate patients with this rare syndrome, without great evidence, we must take what data we can find (as in this work) and tailor a treatment regime for each patient.

Indexed as

Complex Regional Pain SyndromesReflex Sympathetic DystrophyAgedGanglia, SpinalHumansComplex Regional Pain SyndromeCRPSDiagnostic CriteriaReflex Sympathetic DystrophyRSDTreatment Guidelines

Identifiers

PMID35687369
PMCPMC9186375
OpenAlexW4226275346

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.