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Complex Regional Pain Syndrome
Course Description
The term "Complex Regional Pain Syndrome" (CRPS) describes two related chronic pain conditions that are somewhat uncommon and that are difficult to diagnose. This podcast will provide risk management strategies related to the diagnosis and treatment of CRPS I, which in recent years has become more prevalent in professional liability claims against physicians.Target Audience
This course is intended for all healthcare providers who manage pain patients.Educational Objectives
By listening to a case synopsis of a closed malpractice claim and implementing the risk management strategies presented, this educational activity will support your ability to:- Maintain a high index of suspicion for CRPS with the goal of early diagnosis, referral and treatment;
- Apply effective patient education;
- Implement appropriate informed consent practices;
- Adopt risk management-based mindset toward supervision of residents and staff.
Disclosure Policy
As an ACCME accredited provider, NORCAL Mutual Insurance Company requires planners, reviewers or authors who influence or control content of a CME activity to disclose financial relationships (of any amount) they have with commercial interests associated with the CME activity during the past 12 months. Any identified conflicts of interest are resolved prior to the commencement the activity.Disclosure
Individuals involved in the planning, reviewing or execution of this activity have indicated they have no relevant financial relationship to disclose.Content Advisors/Planners
Stephen M. FarberVice President, Risk Management and Continuing Medical Education
Dustin Shaver
Manager, Risk Management and Continuing Medical Education
Paula Snyder, RN CPHRM
Manager, Risk Management
Mary Jo Capuano
Claims Data Analyst
Karen K. Davis, MA, CPHRM
Risk Management Project Manager
Sonia Rutherford
Risk Management/CME Program Services Coordinator
Jo Townson
Risk Management Specialist/Continuing Medical Education
Expert Reviewer
Leo M. Hartz, MD, FAAFPAccreditation Statement
NORCAL Mutual Insurance Company is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
NORCAL Mutual Insurance Company designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Original release date: September 2009
Expiration date: September 30, 2012
Footnotes
1 Rho RH, Brewer RP, Lamer TJ, Wilson PR. Complex Regional Pain Syndrome. Mayo Clinic Proceedings. 2002;77(2):174-180.
2 Baron R, Levine JD. Complex Regional Pain Syndromes: reflex sympathetic dystrophy and causalgia. In: Imboden JB, Hellmann DB, Stone JH, eds. Current Rheumatology: Diagnosis and Treatment. 1st ed. New York, NY: Lange Medical Books, McGraw-Hill; 2004:129-134.
3 Kirkpatrick AF, ed. International Research Foundation for RSD/CRPS Clinical Practice Guidelines, Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome (RSD/CRPS). 3rd ed. Available at: http://www.rsdfoundation.org/en/en_clinical_practice_guidelines.html. Accessed May 13, 2008.
4 Schurmann M, Gradl G, Rommel O. Early diagnosis in post-traumatic Complex Regional Pain Syndrome. Orthopedics. 2007;30(6):450-456.
5 Harden RN, Bruehl S, Stanton-Hicks M, Wilson PR. Proposed new diagnostic criteria for Complex Regional Pain Syndrome. Pain Medicine. 2007;8(4):326-331.
6 All statistics in this section come from PMSLIC Insurance Company’s claims database.
7 Sandroni P, Benrud-Larson LM, McClelland RL, Low PA. Complex Regional Pain Syndrome type I: incidence and prevalence in Olmsted County, a population-based study. Pain. 2003;103(1-2):199-207.
8 de Mos M, de Bruijn AGJ, Huygen FJPM, et al. The incidence of Complex Regional Pain Syndrome: a population-based study. Pain. 2007;129(1-2):12-20.
9 Mogilevsky M, Janig W, Baron R, Harden RN. Complex Regional Pain Syndrome—a multifaceted disorder requiring multidimensional care: case study. The Journal of Pain. 2007;8(9):677-681.
