The IASP classification of chronic pain for ICD-11: chronic neuropathic pain

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

    Joachim Scholz, Pharmacology, Columbia University Medical Center, New York, NY, United States.,
  • Nanna Brix Finnerup
  • Nadine Attal, Université Versailles Saint Quentin en Yvelines, Versailles, France., Qasim Aziz, Centre for Neuroscience and Trauma, Wingate Institute of Neurogastroenterology, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom., Ralf Baron, Department of Neurology, Universitätsklinikum Schleswig-Holstein, Christian Albrechts University Kiel, Kiel, Germany., Michael I Bennett, Academic Unit of Palliative Care, University of Leeds, Leeds, United Kingdom., Rafael Benoliel, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, United States., Milton Cohen, St Vincent's Clinical School, University of New South Wales, Sydney, NSW, Australia., Giorgio Cruccu, Department of Human Neuroscience, Sapienza University, Rome, Italy., Karen D Davis, Division of Brain, Imaging and Behavior-Systems Neuroscience, Krembil Research Institute, University Health Network, Toronto, ON, Canada., Stefan Evers, Faculty of Medicine, University of Münster, Münster, Germany., Michael First, Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY, United States., Maria Adele Giamberardino, Department of Medicine and Science of Aging, CeSI-MeT, G D'Annunzio University of Chieti, Chieti, Italy., Per Hansson, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden., Stein Kaasa, Department of Clinical Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Institute of Clinical Medicine, Oslo University, Oslo, Norway., Beatrice Korwisi, Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Marburg, Germany., Eva Kosek, University of Gothenburg, Patricia Lavandʼhomme, Department of Anesthesiology and Acute Postoperative Pain Service, Saint Luc Hospital, Catholic University of Louvain, Brussels, Belgium., Michael Nicholas, Pain Management Research Institute, Royal North Shore Hospital, University of Sydney, Sydney, Australia., Turo Nurmikko, Institute of Aging and Chronic Disease, University of Liverpool, Liverpool, United Kingdom., Serge Perrot, INSERM U 987, Pain Clinic, Cochin Hospital, Paris Descartes University, Paris, France., Srinivasa N Raja, Division of Pain Medicine, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States., Andrew S C Rice, Pain Research, Department of Surgery and Cancer, Imperial College, London, United Kingdom., Michael C Rowbotham, California Pacific Medical Center Research Institute, San Francisco, CA, United States., Stephan Schug, Anaesthesiology and Pain Medicine, Medical School, University of Western Australia and Royal Perth Hospital, Perth, Australia., David M Simpson, Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States., Blair H Smith, Division of Population Health and Genomics, University of Dundee, Dundee, Scotland.,
  • Peter Svensson
  • Johan W S Vlaeyen, Experimental Health Psychology, Maastricht University, Maastricht, the Netherlands., Shuu-Jiun Wang, Brain Research Center, National Yang-Ming University, Taipei, Taiwan., Antonia Barke, Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Marburg, Germany., Winfried Rief, Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Marburg, Germany., Rolf-Detlef Treede, Department of Neurophysiology, CBTM, Medical Faculty Mannheim of Heidelberg University, Mannheim, Germany., Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG)

The upcoming 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) of the World Health Organization (WHO) offers a unique opportunity to improve the representation of painful disorders. For this purpose, the International Association for the Study of Pain (IASP) has convened an interdisciplinary task force of pain specialists. Here, we present the case for a reclassification of nervous system lesions or diseases associated with persistent or recurrent pain for ≥3 months. The new classification lists the most common conditions of peripheral neuropathic pain: trigeminal neuralgia, peripheral nerve injury, painful polyneuropathy, postherpetic neuralgia, and painful radiculopathy. Conditions of central neuropathic pain include pain caused by spinal cord or brain injury, poststroke pain, and pain associated with multiple sclerosis. Diseases not explicitly mentioned in the classification are captured in residual categories of ICD-11. Conditions of chronic neuropathic pain are either insufficiently defined or missing in the current version of the ICD, despite their prevalence and clinical importance. We provide the short definitions of diagnostic entities for which we submitted more detailed content models to the WHO. Definitions and content models were established in collaboration with the Classification Committee of the IASP's Neuropathic Pain Special Interest Group (NeuPSIG). Up to 10% of the general population experience neuropathic pain. The majority of these patients do not receive satisfactory relief with existing treatments. A precise classification of chronic neuropathic pain in ICD-11 is necessary to document this public health need and the therapeutic challenges related to chronic neuropathic pain.

Sider (fra-til)53-59
Antal sider7
StatusUdgivet - jan. 2019

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