Chronic pain in the 11th Revision of the International Classification of Diseases: users' questions answered

Korwisi, Beatrice; Barke, Antonia; Rief, Winfried; Treede, Rolf‐Detlef; Kleinstäuber, Maria

doi:10.1097/j.pain.0000000000002551

Cited by 17 publications

(15 citation statements)

References 68 publications

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“…This is only required in case you would like to access the subdiagnoses that for technical reasons do not have an MG30 code. Further details and explanations regarding these technical aspects can be found in ( Korwisi, Barke, et al, 2022 ).…”

Section: Results: the New Chronic Pain Diagnoses In Icd-11 And How Th...mentioning

confidence: 99%

“…In addition, it requires thorough training for clinicians, administrative and coding staff. A helpful resource when beginning to familiarize oneself with the ICD-11 and the new chronic pain diagnoses, may be a paper in which questions regarding the classification were collected systematically and answers provided ( Korwisi, Barke, et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

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Chronic pain in the ICD-11: New diagnoses that clinical psychologists should know about

Barke¹,

Korwisi

Rief

2022

Clin. Psychol. Eur.

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Background In the 10th revision of the International Classification of Diseases and Related Health Problems (ICD-10), chronic pain was not represented adequately. Pain was left undefined and not recognized as a biopsychosocial phenomenon. Instead, a flawed dualism between psychological and somatic factors was implied. Individual diagnoses were ill-defined and scattered randomly through different chapters. Many patients received diagnoses in remainder categories devoid of meaningful clinical information. Method The International Association for the Study of Pain launched a Task Force to improve the diagnoses for the 11th revision of the ICD and this international expert team worked from 2013-2019 in cooperation with the WHO to develop a consensus based on available evidence and to improve the diagnoses. Results A new chapter on chronic pain was created with a biopsychosocial definition of pain. Chronic pain was operationalized as pain that persists or recurs longer than three months and subdivided into seven categories: Chronic primary pain and six types of chronic secondary pain. All diagnoses were based on explicit operationalized criteria. Optional extension codes allow coding pain-related parameters and the presence of psychosocial aspects together with each pain diagnosis. Conclusion First empirical studies demonstrated the integrity of the categories, the reliability, clinical utility, international applicability and superiority over the ICD-10. To improve reliability and ease of diagnosis, a classification algorithm is available. Clinical psychologists and other clinicians working with people with chronic pain should watch the national implementation strategies and advocate for multimodal and interdisciplinary treatments and adequate reimbursement for all providers involved.

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Section: Results: the New Chronic Pain Diagnoses In Icd-11 And How Th...mentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chronic pain in the ICD-11: New diagnoses that clinical psychologists should know about

Barke¹,

Korwisi

Rief

2022

Clin. Psychol. Eur.

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“…The integral classification of the ICD-11 allows us to approach chronic pain from a biopsychosocial point of view, establishing seven main diagnostic categories that, in turn, arte subdivided into specific diagnostic subcategories (World Health Organization, 2018;Korwisi et al, 2021). In the first category, called chronic primary pain, no underlying disease or known harmful process can explain the symptoms of the chronic pain; while, in the six remaining categories, called chronic secondary pain, the underlying disease or known harmful process does explain the symptoms of the chronic pain (see Figure 1) (Treede et al, 2019;Korwisi et al, 2021). Chronic primary pain is a new kind of diagnosis that aims to redress the deficiencies identified in the previous versions of the ICD, allowing a diagnosis when the etiology is not clear, but there is evidence of significant emotional distress and/or functional impairment (Nicholas et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Chronic pain is one of the most frequent health problems in the adult population, with a variable prevalence of between 11 and 50% worldwide (De Souza et al, 2017 ; Andrews et al, 2018 ; Murray et al, 2021 ). It is a prolonged and severe multifactorial illness involving biological, psychological, and social factors (Vargas et al, 2018 ; Korwisi et al, 2021 ). The World Health Organization (WHO) together with the International Association for the Study of Pain (IASP), in their last review of the International Classification of Diseases (ICD-11), defined chronic pain as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage.…”

Section: Introductionmentioning

confidence: 99%

Psychopathological and neuropsychological disorders associated with chronic primary visceral pain: Systematic review

Arévalo-Martínez

Manso²,

García-Baamonde³

et al. 2022

Front. Psychol.

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The World Health Organization (WHO), in its last review of its International Classification of Diseases, established a new classification for chronic pain. Among the principal categories, of particular interest is chronic primary pain as a new type of diagnosis in those cases in which the etiology of the disease is not clear, being termed as chronic primary visceral pain when it is situated in the thorax, abdomen, or pelvis. Due to the novelty of the term, the objective of the systematic review was to examine the psychopathological and neuropsychological disorders associated with chronic primary visceral pain. We carried out a search of the scientific literature following the PRISMA directives using the Pubmed, Medline, PsycInfo and Scopus databases. A total of 33 articles were selected after applying the inclusion and exclusion criteria. The analysis of the studies showed that most persons with chronic primary visceral pain suffer from at least one psychological disorder; the most prevalent being anxiety, depressive or somatoform disorders. The most frequent psychopathological symptoms are anxiety, depression and somatization. Similarly, the findings are insufficient to determine the existence of deficits in the domains of executive functioning, memory and intelligence. However, the existence of attention biases does seem to be clear. This review supposes a starting point for conceptualizing chronic primary visceral pain. It is necessary to continue further research so as to obtain a better understanding of this pathology and the disorders associated.

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“…Morbidity rates were applied correctly in 74.1% of cases. In terms of coding, ICD-11 outperforms ICD-10 in every way, offering better coding accuracy, complexity, and ambiguity for chronic pain conditions [39].…”

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confidence: 99%

The ICD-11 For the Twenty-First Century: The First View from The Organizational, Legal, Clinical and Pharmacological Aspects

Шаповалова

2022

SSPMPM

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The author made an organizational and legal, clinical and pharmacological study of the latest International Classification of Diseases (ICD-11) concerning its changes compared to the ICD-10. Particular attention was paid to new ways of marking of disease codes and new functions of the ICD-11. Novel structure based on cluster coding, which was implemented into the new revision was mentioned, which allows to connect the main diagnostic codes with advanced clinical indicators. Author found that for the first time, the new revision has become a fully electronic publication that provides access to more than 17,000 diagnostic categories that contain more than hundred thousand of terms of the medical diagnostic index. The new ICD-11 concept of linearization for the national needs of each country was taken into account, which will save budget expenditures for the future. In the new edition of the ICD-11, for the first time, gambling addiction is classified as a mental disorder – behavioral addiction to online and offline gambling. The list of ICD-11 short stories also includes the classification of the following: chronic pain, burnout, stroke, sexual health, post-traumatic stress disorder, allergies, alternative medicine, etc. It is a more powerful health information system based on a formal ontology, designed to integrate information technology into modern infrastructures. A comparison with the ICD-10 on mental and behavioral disorders due to the use of psychoactive substances was made. The ICD-11 has been identified as having a more comprehensive list of disease diagnosis codes, and in the ICD-10 the section on mental and behavioral disorders due to substance use has eleven core codes. Indicated the prospects of using of the ICD-11 in medical practice.

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Chronic pain in the 11th Revision of the International Classification of Diseases: users' questions answered

Cited by 17 publications

References 68 publications

Chronic pain in the ICD-11: New diagnoses that clinical psychologists should know about

Chronic pain in the ICD-11: New diagnoses that clinical psychologists should know about

Psychopathological and neuropsychological disorders associated with chronic primary visceral pain: Systematic review

The ICD-11 For the Twenty-First Century: The First View from The Organizational, Legal, Clinical and Pharmacological Aspects

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