Complex regional pain syndrome acute care pathways in England: Do they exist and what do they look like?. (September 2018)

• Record Type: Journal Article
• Authors: Gillespie, Sharon; Cowell, Fiona; McCabe, Candy; Goebel, Andreas
• Is Part Of: Hand therapy. Volume 23:Number 3(2018)
• Page Start: 95
• Page End: 99
• Publication Date: 2018-09
• Subjects: Trauma -- orthopaedics -- rheumatology; Hand -- Wounds and injuries -- Treatment -- Great Britain -- Periodicals; Hand -- Wounds and injuries -- Patients -- Rehabilitation -- Great Britain -- Periodicals; 617.57506
• DOI: 10.1177/1758998318764182
• Languages: English
• ISSNs: 1758-9983

Abstract

Introduction: Complex Regional Pain Syndrome is a condition with a high degree of morbidity and health costs to the National Health Service (NHS), characterised by persistent pain, sensory, motor, trophic and autonomic signs and symptoms. The British Orthopaedic Association (BOA) and the Royal College of Physicians (RCP) have recommended treatment guidelines and care pathways for the management of acute Complex Regional Pain Syndrome. The objective of this scoping exercise was to use Freedom of Information (FOI) requests to ascertain whether NHS Trusts in England had such pathways and what they looked like. Methods: FOI requests were sent to 126 English NHS Trusts on 9 March 2017 on behalf of the Complex Regional Pain Syndrome Clinical and Research Network UK, asking: "What does your acute Complex Regional Pain Care Syndrome pathway look like?" Results: Replies were received by 95 NHS Trusts and of these 84 had relevant services but (82%) had no pathway or agreed initial management. Conclusions: It appears to be common for no acute care pathway to exist for CRPS in NHS Trusts in England despite it being a domain in BOA national guidelines. The Royal College of Physicians guidelines also recommend integrated MDT care. Consequentially, BOA and Royal College of Physicians standards in acute CRPS management are not yet being followed in most acute NHS Trusts in England providing trauma care. Where there is a pathway agreed, it is rarely integrated and truly multidisciplinary.