What is a meaningful pain reduction in patients with complex regional pain syndrome type 1
作者： Tymour Forouzanfar , Wilhelm E. J. Weber , Marius Kemler , Maarten van Kleef
DOI: 10.1097/00002508-200309000-00001
关键词: After treatment 、 In patient 、 Medicine 、 Complex regional pain syndrome 、 Physical therapy 、 Visual analogue scale 、 Pain reduction 、 Pain relief 、 Reduction (orthopedic surgery) 、 Anesthesia
摘要: OBJECTIVE To investigate the degree of pain reduction in patients with complex regional syndrome type 1 (CRPS 1) that can be defined as "successful." DESIGN All rated their on a visual analog scale (VAS; 0-10) before treatment and three occasions after treatment, at 6 months, year, 2 years. Patients also Global Perceived Effect (GPE) for relief same time periods. The GPE items were classified "successful" or "unsuccessful." mean absolute relative (using VAS) was calculated both "unsuccessful" classifications each period. Sensitivity specificity analyses performed. PATIENTS Sixty-one CRPS 1. RESULTS 58% (SD, 23.4) more "successful," whereas patient groups reduced significantly VAS. Furthermore, sensitivity showed cut-off point 50% 3-cm VAS have highest likelihood will report GPE. CONCLUSIONS Relative an least 3 cm are accurate predicting successful given treatment.
vumc.nl
sci-hub.se 参考文章(22)
John T. Farrar, Russell K. Portenoy, Jesse A. Berlin, Judith L. Kinman, Brian L. Strom, Defining the clinically important difference in pain outcome measures Pain. ,vol. 88, pp. 287- 294 ,(2000) , 10.1016/S0304-3959(00)00339-0
Robert E. Kettler, Stephen E. Abram, Intravenous regional droperidol in the management of reflex sympathetic dystrophy: a double-blind, placebo-controlled, crossover study. Anesthesiology. ,vol. 69, pp. 933- 935 ,(1988) , 10.1097/00000542-198812000-00020
Elizabeth F Juniper, Gordon H Guyatt, Andrew Willan, Lauren E Griffith, Determining a minimal important change in a disease-specific quality of life questionnaire Journal of Clinical Epidemiology. ,vol. 47, pp. 81- 87 ,(1994) , 10.1016/0895-4356(94)90036-1
Stuart A. Grossman, Vivian R. Sheidler, Karen Swedeen, John Mucenski, Steven Piantadosi, Correlation of patient and caregiver ratings of cancer pain Journal of Pain and Symptom Management. ,vol. 6, pp. 53- 57 ,(1991) , 10.1016/0885-3924(91)90518-9
Alejandro R. Jadad, Dawn Carroll, Christopher J. Glynn, Henry J. McQuay, Intravenous regional sympathetic blockade for pain relief in reflex sympathetic dystrophy: A systematic review and a randomized, double-blind crossover study Journal of Pain and Symptom Management. ,vol. 10, pp. 13- 20 ,(1995) , 10.1016/0885-3924(94)00064-R
W. W. A. Zuurmond, P. N. J. Langendijk, P. D. Bezemer, H. E. J. Brink, J. J. Lange, A. C. Loenen, Treatment of acute reflex sympathetic dystrophy with DMSO 50% in a fatty cream Acta Anaesthesiologica Scandinavica. ,vol. 40, pp. 364- 367 ,(1996) , 10.1111/J.1399-6576.1996.TB04446.X
Allen H. Hord, Michael D. Rooks, Brian O. Stephens, H. Gary Rogers, Lamar L. Fleming, Intravenous Regional Bretylium and Lidocaine for Treatment of Reflex Sympathetic Dystrophy Anesthesia & Analgesia. ,vol. 74, pp. 818???821- 821 ,(1992) , 10.1213/00000539-199206000-00007
Marius A. Kemler, Gerard A.M. Barendse, Maarten van Kleef, Henrica C.W. de Vet, Coen P.M. Rijks, Carina A. Furnée, Frans A.J.M. van den Wildenberg, Spinal Cord Stimulation in Patients with Chronic Reflex Sympathetic Dystrophy The New England Journal of Medicine. ,vol. 343, pp. 618- 624 ,(2000) , 10.1056/NEJM200008313430904
Y. Dezu, B. Schneider, Th. Leitha, M. I. Korpan, V. Fialka-Moser, Acupuncture in the treatment of posttraumatic pain syndrome. Acta Orthopaedica Belgica. ,vol. 65, pp. 197- 201 ,(1999)