Validation of proposed diagnostic criteria (the “Budapest Criteria”) for Complex Regional Pain Syndrome
Johannes Gutenberg University Mainz · Leiden University Medical Center · +8 more institutions
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…
Citation impact
- FWCI
- 37.00
- Percentile
- 100%
- References
- 36
Authors
14Topics & keywords
- Overdiagnosis
- Medicine
- Complex regional pain syndrome
- Diagnostic accuracy
- Signs and symptoms
- Physical therapy
- Research Diagnostic Criteria
- Chronic pain
- Reduced inequalities