{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:57:20Z","timestamp":1777661840835,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>One of the most feared complications following treatment of Dupuytren contracture is complex regional pain syndrome (CRPS). This study aims to provide a national perspective on the incidence of CRPS following treatment of Dupuytren contracture and identify patient factors to target for risk reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using the Truven MarketScan databases from 2007 to 2016, individuals aged \u226518 years who developed CRPS within 1 year of treatment of Dupuytren contracture were identified using the International Classification of Disease diagnosis code for CRPS. Predictor variables included: age, sex, employment status, region, type of procedure, and concurrent carpal tunnel surgery. Multivariable logistic regression was used to analyze outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all, 48\u2009327 patients received treatment for Dupuytren contracture, including collagenase injection (13.6%); percutaneous palmar fasciotomy (10.3%); open palmar fasciotomy (3.9%); palmar fasciectomy with 0 (10.8%), 1 (29.2%), or multiple (19.6%) digit releases; or a combination of these procedures (12.8%). One hundred forty-five patients (0.31%) were diagnosed with CRPS at a mean of 3.4 months (standard deviation, 2.3) following treatment. Significant predictors of CRPS included female sex (odds ratio [OR], 2.02; P &lt; .001), Southern region (OR, 1.80; P = .022), long-term disability status (OR, 4.73; P = .035), palmar fasciectomy with release of 1 (OR, 5.91; P = .003) or &gt;1 digit (OR, 13.32; P &lt; .001), or multiple concurrent procedures for Dupuytren contracture (OR, 8.23; P = .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on national commercial claims data, there is a lower incidence of CRPS following treatment of Dupuytren contracture than previously reported. Risk factors identified should help with preoperative counseling and assist clinicians in targeting risk reduction measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1558944720963915","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T02:25:12Z","timestamp":1603247112000},"page":"825-832","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Separating Fact From Fiction: A Nationwide Longitudinal Examination of Complex Regional Pain Syndrome Following Treatment of Dupuytren Contracture"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-3455","authenticated-orcid":false,"given":"Danielle H.","family":"Rochlin","sequence":"first","affiliation":[{"name":"Stanford University, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford C.","family":"Sheckter","sequence":"additional","affiliation":[{"name":"Stanford University, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-9575","authenticated-orcid":false,"given":"Ellen S.","family":"Satteson","sequence":"additional","affiliation":[{"name":"University of Florida, Gainesville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney C.","family":"Swan","sequence":"additional","affiliation":[{"name":"University of Florida, Gainesville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4166-8547","authenticated-orcid":false,"given":"Paige M.","family":"Fox","sequence":"additional","affiliation":[{"name":"Stanford University, Palo Alto, CA, USA"},{"name":"VA Palo Alto Health Care System, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Curtin","sequence":"additional","affiliation":[{"name":"Stanford University, Palo Alto, CA, USA"},{"name":"VA Palo Alto Health Care System, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"bibr1-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(93)92877-V"},{"key":"bibr2-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181e3db38"},{"key":"bibr3-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-10-20"},{"key":"bibr4-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h2730"},{"key":"bibr5-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(97)80263-X"},{"key":"bibr6-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B1.2298766"},{"key":"bibr7-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2009.11.001"},{"key":"bibr8-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000438455.37604.0f"},{"key":"bibr9-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.05.008"},{"key":"bibr10-1558944720963915","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90151-G"},{"key":"bibr11-1558944720963915","first-page":"e15","volume":"10","author":"Denkler K","year":"2010","journal-title":"Eplasty"},{"key":"bibr12-1558944720963915","unstructured":"Hansen L. 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