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

, , Joachim Scholz, Nanna B. Finnerup, Nadine Attal, Qasim Aziz, Ralf Baron, Michael I. Bennett, Rafael Benoliel, Milton Cohen, Giorgio Cruccu, Karen D. Davis, Stefan Evers, Michael B. First, Maria Adele Giamberardino, Per T. Hansson, Stein Kaasa, Beatrice Korwisi, Eva Kosek, Patricia LavandʼhommeMichael Nicholas, Turo J. Nurmikko, Serge Perrot, Srinivasa N. Raja, Andrew S. C. Rice, Michael C. Rowbotham, Stephan Schug, David M. Smipson, Blair Smith, Peter Svensson, Johan W. S. Vlaeyen, Shuu-Jiun Wang, Antonia Barke, Winfried Rief, Rolf-Detlef Treede

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

The upcoming 11th revision of the International 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, post-stroke pain, and pain associated with multiple sclerosis. Diseases not explicitly mentioned in the classification are automatically captured in the residual categories of ICD-11. These conditions 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 adequately this public health need and the therapeutic challenges related to chronic neuropathic pain.
Original languageEnglish
Pages (from-to)53-59
Number of pages7
JournalPain
Volume160
Issue number1
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

Neuralgia
Chronic Pain
Pain
Postherpetic Neuralgia
Peripheral Nerve Injuries
Trigeminal Neuralgia
Public Opinion
Radiculopathy
Polyneuropathies
International Classification of Diseases
Advisory Committees
Spinal Cord Injuries
Brain Injuries
Nervous System
Multiple Sclerosis
Public Health
Stroke
Health
Therapeutics
Population

Keywords

  • Chronic pain
  • neuropathic pain
  • diagnosis
  • classification
  • International Classification of Diseases
  • ICD11
  • World Health Organization (WHO)

Cite this

, Scholz, J., Finnerup, N. B., Attal, N., Aziz, Q., ... Treede, R-D. (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
Scholz, Joachim ; Finnerup, Nanna B. ; Attal, Nadine ; Aziz, Qasim ; Baron, Ralf ; Bennett, Michael I. ; Benoliel, Rafael ; Cohen, Milton ; Cruccu, Giorgio ; Davis, Karen D. ; Evers, Stefan ; First, Michael B. ; Giamberardino, Maria Adele ; Hansson, Per T. ; Kaasa, Stein ; Korwisi, Beatrice ; Kosek, Eva ; Lavandʼhomme, Patricia ; Nicholas, Michael ; Nurmikko, Turo J. ; Perrot, Serge ; Raja, Srinivasa N. ; Rice, Andrew S. C. ; Rowbotham, Michael C. ; Schug, Stephan ; Smipson, David M. ; Smith, Blair ; Svensson, Peter ; Vlaeyen, Johan W. S. ; Wang, Shuu-Jiun ; Barke, Antonia ; Rief, Winfried ; Treede, Rolf-Detlef. / The IASP classification of chronic pain for ICD-11 : Chronic neuropathic pain . In: Pain. 2019 ; Vol. 160, No. 1. pp. 53-59.
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abstract = "The upcoming 11th revision of the International 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, post-stroke pain, and pain associated with multiple sclerosis. Diseases not explicitly mentioned in the classification are automatically captured in the residual categories of ICD-11. These conditions 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 adequately this public health need and the therapeutic challenges related to chronic neuropathic pain.",
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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, MB, Giamberardino, MA, Hansson, PT, Kaasa, S, Korwisi, B, Kosek, E, Lavandʼhomme, P, Nicholas, M, Nurmikko, TJ, Perrot, S, Raja, SN, Rice, ASC, Rowbotham, MC, Schug, S, Smipson, DM, Smith, B, Svensson, P, Vlaeyen, JWS, Wang, S-J & Barke, A & Rief, W & Treede, R-D 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

The IASP classification of chronic pain for ICD-11 : Chronic neuropathic pain . /; Scholz, Joachim; Finnerup, Nanna B.; Attal, Nadine; Aziz, Qasim; Baron, Ralf; Bennett, Michael I.; Benoliel, Rafael; Cohen, Milton; Cruccu, Giorgio; Davis, Karen D.; Evers, Stefan; First, Michael B.; Giamberardino, Maria Adele; Hansson, Per T.; Kaasa, Stein; Korwisi, Beatrice ; Kosek, Eva; Lavandʼhomme, Patricia; Nicholas, Michael; Nurmikko, Turo J.; Perrot, Serge; Raja, Srinivasa N.; Rice, Andrew S. C.; Rowbotham, Michael C.; Schug, Stephan; Smipson, David M.; Smith, Blair; Svensson, Peter; Vlaeyen, Johan W. S.; Wang, Shuu-Jiun; Barke, Antonia (Lead / Corresponding author); Rief, Winfried; Treede, Rolf-Detlef.

In: Pain, Vol. 160, No. 1, 01.01.2019, p. 53-59.

Research output: Contribution to journalReview article

TY - JOUR

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

T2 - Chronic neuropathic pain

AU - Scholz, Joachim

AU - Finnerup, Nanna B.

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 B.

AU - Giamberardino, Maria Adele

AU - Hansson, Per T.

AU - Kaasa, Stein

AU - Korwisi, Beatrice

AU - Kosek, Eva

AU - Lavandʼhomme, Patricia

AU - Nicholas, Michael

AU - Nurmikko, Turo J.

AU - Perrot, Serge

AU - Raja, Srinivasa N.

AU - Rice, Andrew S. C.

AU - Rowbotham, Michael C.

AU - Schug, Stephan

AU - Smipson, David M.

AU - Smith, Blair

AU - Svensson, Peter

AU - Vlaeyen, Johan W. S.

AU - Wang, Shuu-Jiun

AU - Barke, Antonia

AU - Rief, Winfried

AU - Treede, Rolf-Detlef

PY - 2019/1/1

Y1 - 2019/1/1

N2 - The upcoming 11th revision of the International 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, post-stroke pain, and pain associated with multiple sclerosis. Diseases not explicitly mentioned in the classification are automatically captured in the residual categories of ICD-11. These conditions 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 adequately this public health need and the therapeutic challenges related to chronic neuropathic pain.

AB - The upcoming 11th revision of the International 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, post-stroke pain, and pain associated with multiple sclerosis. Diseases not explicitly mentioned in the classification are automatically captured in the residual categories of ICD-11. These conditions 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 adequately this public health need and the therapeutic challenges related to chronic neuropathic pain.

KW - Chronic pain

KW - neuropathic pain

KW - diagnosis

KW - classification

KW - International Classification of Diseases

KW - ICD11

KW - World Health Organization (WHO)

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U2 - 10.1097/j.pain.0000000000001365

DO - 10.1097/j.pain.0000000000001365

M3 - Review article

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VL - 160

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JF - Pain

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