Poor prognostic factors in complex regional pain syndrome 1: a Delphi survey.
DOI:
https://doi.org/10.2340/16501977-0856Keywords:
complex regional pain syndrome 1, prognosis, Delphi� survey.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.Downloads
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