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

Joachim Scholz; Nanna Brix Finnerup; Nadine Attal; Qasim Aziz; Ralf Baron; Michael I Bennett; Rafael Benoliel; Milton Cohen; Giorgio Cruccu; Karen D Davis; Stefan Evers; Michael First; Maria Adele Giamberardino; Per Hansson; Stein Kaasa; Beatrice Korwisi; Eva Kosek; Patricia Lavandʼhomme; Michael Nicholas; Turo Nurmikko; Serge Perrot; Srinivasa N Raja; Andrew S C Rice; Michael C Rowbotham; Stephan Schug; David M Simpson; Blair H Smith; Peter Svensson; Johan W S Vlaeyen; Shuu-Jiun Wang; Antonia Barke; Winfried Rief; Rolf-Detlef Treede; Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG)

doi:10.1097/j.pain.0000000000001365

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

Joachim Scholz, Nanna Brix Finnerup, Nadine Attal, Qasim Aziz, Ralf Baron, Michael I Bennett, Rafael Benoliel, Milton Cohen, Giorgio Cruccu, Karen D Davis, Stefan Evers, Michael First, Maria Adele Giamberardino, Per Hansson, Stein Kaasa, Beatrice Korwisi, Eva Kosek, Patricia Lavandʼhomme, Michael Nicholas, Turo NurmikkoSerge Perrot, Srinivasa N Raja, Andrew S C Rice, Michael C Rowbotham, Stephan Schug, David M Simpson, Blair H Smith, Peter Svensson, Johan W S Vlaeyen, Shuu-Jiun Wang, Antonia Barke, Winfried Rief, Rolf-Detlef Treede, Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG)

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Abstract

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.

Original language	English
Journal	Pain
Volume	160
Issue	1
Pages (from-to)	53-59
Number of pages	7
ISSN	0304-3959
DOIs	https://doi.org/10.1097/j.pain.0000000000001365
Publication status	Published - Jan 2019

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Scholz, J., Finnerup, N. B., Attal, N., Aziz, Q., Baron, R., Bennett, M. I., Benoliel, R., Cohen, M., Cruccu, G., Davis, K. D., Evers, S., First, M., Giamberardino, M. A., Hansson, P., Kaasa, S., Korwisi, B., Kosek, E., Lavandʼhomme, P., Nicholas, M., ... Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG) (2019). The IASP classification of chronic pain for ICD-11: chronic neuropathic pain. Pain, 160(1), 53-59. https://doi.org/10.1097/j.pain.0000000000001365

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title = "The IASP classification of chronic pain for ICD-11: chronic neuropathic pain",

abstract = "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.",

author = "Joachim Scholz and Finnerup, {Nanna Brix} and Nadine Attal and Qasim Aziz and Ralf Baron and Bennett, {Michael I} and Rafael Benoliel and Milton Cohen and Giorgio Cruccu and Davis, {Karen D} and Stefan Evers and Michael First and Giamberardino, {Maria Adele} and Per Hansson and Stein Kaasa and Beatrice Korwisi and Eva Kosek and Patricia Lavandʼhomme and Michael Nicholas and Turo Nurmikko and Serge Perrot and Raja, {Srinivasa N} and Rice, {Andrew S C} and Rowbotham, {Michael C} and Stephan Schug and Simpson, {David M} and Smith, {Blair H} and Peter Svensson and Vlaeyen, {Johan W S} and Shuu-Jiun Wang and Antonia Barke and Winfried Rief and Rolf-Detlef Treede and {Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG)}",

year = "2019",

month = jan,

doi = "10.1097/j.pain.0000000000001365",

language = "English",

volume = "160",

pages = "53--59",

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issn = "0304-3959",

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Scholz, J, Finnerup, NB, Attal, N, Aziz, Q, Baron, R, Bennett, MI, Benoliel, R, Cohen, M, Cruccu, G, Davis, KD, Evers, S, First, M, Giamberardino, MA, Hansson, P, Kaasa, S, Korwisi, B, Kosek, E, Lavandʼhomme, P, Nicholas, M, Nurmikko, T, Perrot, S, Raja, SN, Rice, ASC, Rowbotham, MC, Schug, S, Simpson, DM, Smith, BH, Svensson, P, Vlaeyen, JWS, Wang, S-J, Barke, A, Rief, W, Treede, R-D & Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG) 2019, 'The IASP classification of chronic pain for ICD-11: chronic neuropathic pain', Pain, vol. 160, no. 1, pp. 53-59. https://doi.org/10.1097/j.pain.0000000000001365

TY - JOUR

T1 - The IASP classification of chronic pain for ICD-11: chronic neuropathic pain

AU - Scholz, Joachim

AU - Finnerup, Nanna Brix

AU - Attal, Nadine

AU - Aziz, Qasim

AU - Baron, Ralf

AU - Bennett, Michael I

AU - Benoliel, Rafael

AU - Cohen, Milton

AU - Cruccu, Giorgio

AU - Davis, Karen D

AU - Evers, Stefan

AU - First, Michael

AU - Giamberardino, Maria Adele

AU - Hansson, Per

AU - Kaasa, Stein

AU - Korwisi, Beatrice

AU - Kosek, Eva

AU - Lavandʼhomme, Patricia

AU - Nicholas, Michael

AU - Nurmikko, Turo

AU - Perrot, Serge

AU - Raja, Srinivasa N

AU - Rice, Andrew S C

AU - Rowbotham, Michael C

AU - Schug, Stephan

AU - Simpson, David M

AU - Smith, Blair H

AU - Svensson, Peter

AU - Vlaeyen, Johan W S

AU - Wang, Shuu-Jiun

AU - Barke, Antonia

AU - Rief, Winfried

AU - Treede, Rolf-Detlef

AU - Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG)

PY - 2019/1

Y1 - 2019/1

N2 - 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.

AB - 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.

U2 - 10.1097/j.pain.0000000000001365

DO - 10.1097/j.pain.0000000000001365

M3 - Review

C2 - 30586071

SN - 0304-3959

VL - 160

SP - 53

EP - 59

JO - Pain

JF - Pain

IS - 1

ER -

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

Abstract

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