The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Comparison of the Two Impairment Classes Publicized by the American Medical Association in Complex Regional Pain Syndrome Patients

복합부위통증증후군 환자에서 미국의사협회 영구장애평가지침에서 제시된 장애등급 평가방법의 비교

  • Shin, Hwa Yong (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Choi, Yong Min (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Nahm, Francis Sahngun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Park, Seong Joo (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Koo, Mi Suk (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Suh, Jeong Hun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Sim, Sung Eun (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Jo, Ji Yon (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine) ;
  • Kim, Yong Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 신화용 (서울대학교 의과대학 마취통증의학교실) ;
  • 최용민 (서울대학교 의과대학 마취통증의학교실) ;
  • 남상건 (서울대학교 의과대학 마취통증의학교실) ;
  • 박성주 (서울대학교 의과대학 마취통증의학교실) ;
  • 구미숙 (서울대학교 의과대학 마취통증의학교실) ;
  • 서정훈 (서울대학교 의과대학 마취통증의학교실) ;
  • 심성은 (서울대학교 의과대학 마취통증의학교실) ;
  • 조지연 (서울대학교 의과대학 마취통증의학교실) ;
  • 이상철 (서울대학교 의과대학 마취통증의학교실) ;
  • 김용철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2007.09.19
  • Accepted : 2007.11.09
  • Published : 2007.12.10
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Abstract

Background: Complex regional pain syndrome (CRPS) is not regarded as an impairment in Korea. Guidelines for rating this impairment are under development by the Korean Academy of Medical Science based on that of the American Medical Association (AMA). However, no studies have been done on the validity of these guidelines in Korea. We therefore evaluated the validity of these guidelines using the criteria from the chapter on the central and peripheral nervous system (CNS-PNS class) and the worksheet for calculating total pain-related impairment score (TPRIS class). Methods: TPRIS and CNS-PNS classes were calculated through interviews of 28 CRPS patients. The correlation between the two classes was calculated. Results: TPRIS class and CNS-PNS class were well correlated (r = 0.593, P < 0.05). Conclusions: Both TPRIS or CNS-PNS classes were well correlated and could be used for evaluation of impairment. However, the CNS-PNS class is simpler and quicker to complete.

Keywords

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