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• W4288066222 abstract "In Brief Background/Objective Complex regional pain syndrome type 1 (CRPS-1) is a disabling painful disease, with variable outcomes in terms of chronic pain and disability. A long time between onset and diagnosis seems predictive for late recovery and progression toward a chronic disease. This study aims to investigate demographic and clinical variables associated with delayed CRPS-1 diagnosis. Methods From March 2013 to January 2018, consecutive patients newly diagnosed according to International Association for the Study of Pain diagnostic criteria for CRPS-1 were recruited. Demographic and clinical variables were collected at diagnosis. Student t test and Mann-Whitney U test were used for comparisons; Cox proportional hazards model was applied to evaluate the variables associated with delayed CRPS-1 diagnosis. Results One hundred eighty patients entered the study. At diagnosis, women were older, and foot was more often involved than hand. The triggering event was more commonly a trauma without fracture for foot disease and a fracture for hand localization. No differences between hand and foot disease were found by the International Association for the Study of Pain diagnostic categories (clinical vs research) or pain measures. Variables significantly associated with a longer time between disease onset and diagnosis were foot localization, general practitioner referral, higher number of visits before CRPS diagnosis, and prior physiotherapy prescribed for symptoms later diagnosed as CRPS. An overt clinical manifestation (research CRPS-1) predicted a shorter delay. Conclusions Foot localization, prior physiotherapy prescribed for symptoms later diagnosed as CRPS, and a disease without overt clinical manifestations were independent predictive factors for a delayed diagnosis. Clinicians should pay attention to these issues to ensure a timely diagnosis and possibly avoid progression toward a chronic disease. Key message: Early complex regional pain syndrome type 1 (CRPS-1) diagnosis is one of the main factors to prevent progression toward chronic disease. Foot localization, CRPS-1 without overt clinical manifestation, previous physiotherapy treatments prescribed before CRPS-1 diagnosis, general practitioner's management, and a triggering event other than fracture were associated with a delayed diagnosis. Clinicians should ensure a timely diagnosis." @default.
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• W4288066222 date "2020-09-08" @default.
• W4288066222 modified "2023-09-27" @default.
• W4288066222 title "Determinants of Diagnostic Delay in Complex Regional Pain Syndrome Type 1" @default.
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• W4288066222 doi "https://doi.org/10.1097/rhu.0000000000001558" @default.
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