Validation of proposed diagnostic criteria (the “Budapest Criteria”) for Complex Regional Pain Syndrome
Top Cited Papers
- 1 August 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 150 (2), 268-274
- https://doi.org/10.1016/j.pain.2010.04.030
Abstract
Current IASP diagnostic criteria for CRPS have low specificity, potentially leading to overdiagnosis. This validation study compared current IASP diagnostic criteria for CRPS to proposed new diagnostic criteria (the “Budapest Criteria”) regarding diagnostic accuracy. Structured evaluations of CRPS-related signs and symptoms were conducted in 113 CRPS-I and 47 non-CRPS neuropathic pain patients. Discriminating between diagnostic groups based on presence of signs or symptoms meeting IASP criteria showed high diagnostic sensitivity (1.00), but poor specificity (0.41), replicating prior work. In comparison, the Budapest clinical criteria retained the exceptional sensitivity of the IASP criteria (0.99), but greatly improved upon the specificity (0.68). As designed, the Budapest research criteria resulted in the highest specificity (0.79), again replicating prior work. Analyses indicated that inclusion of four distinct CRPS components in the Budapest Criteria contributed to enhanced specificity. Overall, results corroborate the validity of the Budapest Criteria and suggest they improve upon existing IASP diagnostic criteria for CRPS.Keywords
This publication has 32 references indexed in Scilit:
- Proposed New Diagnostic Criteria for Complex Regional Pain SyndromePain Medicine, 2007
- The incidence of complex regional pain syndrome: A population-based studyPain, 2007
- Quantitative sensory testing: a comprehensive protocol for clinical trialsEuropean journal of pain, 2006
- Complex regional pain syndrome: are there distinct subtypes and sequential stages of the syndrome?Pain, 2002
- External validation of IASP diagnostic criteria for Complex Regional Pain Syndrome and proposed research diagnostic criteriaPain, 1999
- Validation of Thermography in the Diagnosis of Reflex Sympathetic DystrophyThe Clinical Journal of Pain, 1996
- Reflex sympathetic dystrophy: changing concepts and taxonomyPain, 1995
- RSD ScoreThe Clinical Journal of Pain, 1992
- Reflex Sympathetic Dystrophy SyndromePlastic and Reconstructive Surgery, 1991
- Predictive Power Methods May Be More Helpful for Making a Diagnosis than Sensitivity and SpecificityJournal of Child and Adolescent Psychopharmacology, 1991