Header

UZH-Logo

Maintenance Infos

Poor prognostic factors in complex regional pain syndrome 1: a Delphi survey


Brunner, F; Nauer, M; Bachmann, L M (2011). Poor prognostic factors in complex regional pain syndrome 1: a Delphi survey. Journal of Rehabilitation Medicine, 43(9):783-786.

Abstract

OBJECTIVE:

A major challenge in the management of patients with complex regional pain syndrome 1 is identifying those individuals who are at risk of developing severe problems. Data from large follow-up studies providing empirical evidence are largely lacking. The goal of this study was to obtain an expert-agreed priority list of parameters that are correlated with a poor prognosis.
METHODS:

In a two-round Delphi survey, experts were asked to list those parameters that they considered to be strongly associated with a poor prognosis (first round) and to weight parameters that they believed to be most relevant for poor prognosis (second round). Median ratings and interquartile ranges were calculated. Rates > 7 and interquartile ranges < 3 depicted important and expert-agreed parameters.
RESULTS:

Thirty-nine experts compiled a list of 254 items. Twenty-eight experts reached a consensus on 49 important items associated with poor prognosis. They primarily agreed on clinical manifestations of complex regional pain syndrome 1. Psychosocial factors were considered less important.
CONCLUSION:

The findings of this study indicate that poor prognosis for complex regional pain syndrome 1 is primarily dependent on clinical manifestations. While evidence suggests that psychosocial factors may play a role in the development of the condition, their role in poor prognosis appears to be less important.

Abstract

OBJECTIVE:

A major challenge in the management of patients with complex regional pain syndrome 1 is identifying those individuals who are at risk of developing severe problems. Data from large follow-up studies providing empirical evidence are largely lacking. The goal of this study was to obtain an expert-agreed priority list of parameters that are correlated with a poor prognosis.
METHODS:

In a two-round Delphi survey, experts were asked to list those parameters that they considered to be strongly associated with a poor prognosis (first round) and to weight parameters that they believed to be most relevant for poor prognosis (second round). Median ratings and interquartile ranges were calculated. Rates > 7 and interquartile ranges < 3 depicted important and expert-agreed parameters.
RESULTS:

Thirty-nine experts compiled a list of 254 items. Twenty-eight experts reached a consensus on 49 important items associated with poor prognosis. They primarily agreed on clinical manifestations of complex regional pain syndrome 1. Psychosocial factors were considered less important.
CONCLUSION:

The findings of this study indicate that poor prognosis for complex regional pain syndrome 1 is primarily dependent on clinical manifestations. While evidence suggests that psychosocial factors may play a role in the development of the condition, their role in poor prognosis appears to be less important.

Statistics

Citations

3 citations in Web of Science®
4 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

332 downloads since deposited on 29 Jan 2012
33 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
04 Faculty of Medicine > University Hospital Zurich > Clinic and Policlinic for Internal Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:September 2011
Deposited On:29 Jan 2012 15:08
Last Modified:05 Apr 2016 15:29
Publisher:Stiftelsen Rehabiliteringsinformation
ISSN:1650-1977
Publisher DOI:https://doi.org/10.2340/16501977-0856
Official URL:http://www.medicaljournals.se/jrm/content/?doi=10.2340/16501977-0856
PubMed ID:21874213

Download

Preview Icon on Download
Preview
Content: Published Version
Filetype: PDF
Size: 467kB
View at publisher