Center for Pain Studies, Rehabilitation Institute of Chicago, Illinois 60611, USA.
Pain Med. 2013 Feb;14(2):180-229. doi: 10.1111/pme.12033. Epub 2013 Jan 17.
This is the fourth edition of diagnostic and treatment guidelines for complex regional pain syndrome (CRPS; aka reflex sympathetic dystrophy).
Expert practitioners in each discipline traditionally utilized in the treatment of CRPS systematically reviewed the available and relevant literature; due to the paucity of levels 1 and 2 studies, less rigorous, preliminary research reports were included. The literature review was supplemented with knowledge gained from extensive empirical clinical experience, particularly in areas where high-quality evidence to guide therapy is lacking.
The research quality, clinical relevance, and "state of the art" of diagnostic criteria or treatment modalities are discussed, sometimes in considerable detail with an eye to the expert practitioner in each therapeutic area. Levels of evidence are mentioned when available, so that the practitioner can better assess and analyze the modality under discussion, and if desired, to personally consider the citations. Tables provide details on characteristics of studies in different subject domains described in the literature.
In the humanitarian spirit of making the most of all current thinking in the area, balanced by a careful case-by-case analysis of the risk/cost vs benefit analysis, the authors offer these "practical" guidelines.
这是复杂性区域疼痛综合征（CRPS；又名反射性交感神经营养不良）诊断和治疗指南的第四版。
在 CRPS 治疗中传统应用的各专科专家，系统地复习了现有相关文献；由于 1 级和 2 级研究较少，因此纳入了一些不太严格的初步研究报告。文献复习补充了从广泛的临床经验中获得的知识，特别是在缺乏指导治疗的高质量证据的领域。
讨论了诊断标准或治疗方法的研究质量、临床相关性和“最新技术”，有时会详细讨论，以便每个治疗领域的专家都能关注。在有条件的情况下提到了证据水平，以便从业者能够更好地评估和分析所讨论的方法，如果需要，还可以亲自考虑引用的文献。表格提供了文献中不同主题领域研究特征的详细信息。
本着充分利用该领域现有所有思维的人道精神，并结合对风险/成本与效益分析的仔细个案分析，作者提供了这些“实用”指南。
