I just ran across a good article in the newly launched Wiley Online Library -- then discovered the offer of free downloads of most read and most cited articles from the journal Pain Medicine (The Official Journal of the American Academy of Pain Medicine and of the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists and of the International Spine Intervention Society).
Okay, it amounts to just a handful of articles, but some of them are quite good, especially those of the sort I often malign (but always read!) -- the dread review article.
So let us rejoice.
Amen, and amen!
From Volume 8, Number 4, 2007 -- more on diagnostic criteria in CRPS, just in case you haven't realized the importance of this issue by the fact that I have been droning on and on about it at every opportunity. Anyway, this is a great foundational article about the discussion and helps to put the IASP criteria and the Budapest group's proposals in context.
Proposed New Diagnostic Criteria for Complex Regional Pain Syndrome
R. Norman Harden, MD, Stephen Bruehl, PhD, Michael Stanton-Hicks, MB, BS, DMSc, FRCA, ABPM, and Peter R. Wilson, MB, BS
Rehabilitation Institute of Chicago, Northwestern University, Chicago, Illinois; Vanderbilt University School of Medicine, Nashville, Tennessee; Cleveland Clinic, Cleveland, Ohio; Mayo Clinic, Rochester, Minnesota, USA
ABSTRACT: This topical update reports recent progress in the international effort to develop a more accurate and valid diagnostic criteria for complex regional pain syndrome (CRPS). The diagnostic entity of CRPS (published in the International Association for the Study of Pain’s Taxonomy monograph in 1994; International Association for the Study of Pain [IASP]) was intended to be descriptive, general, and not imply etiopathology, and had the potential to lead to improved clinical communication and greater generalizability across research samples. Unfortunately, realization of this potential has been limited by the fact that these criteria were based solely on consensus and utilization of the criteria in the literature has been sporadic at best. As a consequence, the full potential benefits of the IASP criteria have not been realized. Consensus-derived criteria that are not subsequently validated may lead to over- or underdiagnosis, and will reduce the ability to provide timely and optimal treatment. Results of validation studies to date suggest that the IASP/CRPS diagnostic criteria are adequately sensitive; however, both internal and external validation research suggests that utilization of these criteria causes problems of overdiagnosis due to poor specificity. This update summarizes the latest international consensus group’s action in Budapest, Hungary to approve and codify empirically validated, statistically derived revisions of the IASP criteria for CRPS.
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