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Making Connections: Using TeleHealth to Improve the Diagnosis and Treatment of Complex Regional Pain Syndrome, an Underrecognized Neuroinflammatory Disorder

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Abstract

Complex Regional Pain Syndrome (CRPS) is a common and complex, but often underrecognized neuroinflammatory disorder. This syndrome can cause significant intractable pain, worsening motor changes, negative sensory symptoms as well as autonomic, vasomotor and trophic changes. Primary care providers and specialists are frequently challenged with patients who present with unusual symptoms and are unsure of the differential diagnosis and best practices treatment options for CRPS. The Project ECHO Pain Team leverages tele-health technologies to connect clinician specialists and primary care providers in order to increase awareness and create knowledge networks regarding improvement in clinical care for patients with CRPS.

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References

  • Arora S, Thornton K, Murata G, Deming P, Kalishman S, Dion D, Parish B, Burke T, Pak W, Dunkelberg J, Kistin M, Brown J, Jenkusky S, Komaromy M, Qualls C (2011a) Outcomes of treatment of hepatitis C virus infection by primary care providers. N Engl J Med 364:2199–2207

    Article  PubMed  CAS  Google Scholar 

  • Arora S, Kalishman S, Don D, Som D, Thornton K, Bankhurst A, Boyle J, Harkins M, Moseley K, Murata G, Komaramy M, Katzman J, Colleran K, Deming P, Yutsy S (2011b) Quality profile: partnering urban academic medical centers and rural primary care clinicians to provide complex chronic disease care. Heal Aff 30(6):1176–1184

    Article  Google Scholar 

  • Berwick DM, Nolan TW, Whittington J (2008) The triple aim: care, health, cost. Heal Aff 27(3):759–769

    Article  Google Scholar 

  • Binkley KE (2012) Improving the diagnosis and treatment of CRPS: insights from a clinical immunologist's personal experience with an underrecognized neuroinflammatory disorder. J Neuroimmune Pharmacol [Epub ahead of print]

  • Burton R, Boedeker B (2000) Application of telemedicine in a pain clinic: the changing face of medical practice. Pain Medicine 1(4):351–357

    Article  PubMed  CAS  Google Scholar 

  • Cook NL, Hicks LS, O’Malley AJ, Keegan T, Guadagnoli E, Landon BE (2007) Access to specialty care and medical services in community health centers. Health Affair 26(5):1459–1468

    Google Scholar 

  • Cooper MS, and Clark VP (2012) Neuroinflammation, neuroautoimmunity, and the co-morbidities of complex regional pain syndrome. J Neurimmune Pharmacol [Epub ahead of print]

  • de Mos M, de Bruijn AGJ, Huygen FJPM, Dieleman JP, Stricker BH, Sturkenboom MCJM (2006) The incidence of complex regional pain syndrome: a population-based study. Pain 129(1–2):12–20

    PubMed  Google Scholar 

  • Goebel A (2011) Complex regional pain syndrome in adults. Rheumatology 50(10):1739–1750

    Article  PubMed  Google Scholar 

  • Ingelfinger JR, Drazam JM (2011) Patient organizations and research on rare diseases. N Engl J Med 364(17):1670–1691

    Article  PubMed  CAS  Google Scholar 

  • Marinus J, Moseley GL, Birklein F, Baron R, Maihofner C, Kingery WS, Van Hilten JJ (2011) Clinical features and pathophysiology of complex regional pain syndrome. Lancet 10(7):637–648

    Article  Google Scholar 

  • Meyer BC, Clarke CA, Troke TM, Friedman LS (2012) Essential telemedicine elements (Tele-Ments) for connecting the academic health center and remote community providers to enhance patient care. Academic Medicine 87(8):1032–1040

    Article  PubMed  Google Scholar 

  • Singh G, Willen SN, Boswell MV, Janata JW, Chelimsky TC (2004) The value of interdisciplinary pain management in complex regional pain syndrome type I: a prospective outcome study. Pain Physician 7:203–209

    PubMed  Google Scholar 

  • Sood S, Mbarika V, Jugoo S, Dookhy R, Doarn CR, Prakash N, Merrell RC (2007) What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemedicine and e-Health 13:573–590

    Article  PubMed  Google Scholar 

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Conflict of interest disclosure

Dr. Joanna Katzman has no conflicts of interest to disclose.

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Authors and Affiliations

  1. Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, 87131-0001, USA

    Joanna G. Katzman

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  1. Joanna G. Katzman
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Correspondence to Joanna G. Katzman.

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Katzman, J.G. Making Connections: Using TeleHealth to Improve the Diagnosis and Treatment of Complex Regional Pain Syndrome, an Underrecognized Neuroinflammatory Disorder. J Neuroimmune Pharmacol 8, 489–493 (2013). https://doi.org/10.1007/s11481-012-9408-6

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  • DOI: https://doi.org/10.1007/s11481-012-9408-6

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