The IASP classification of chronic pain for ICD-11

chronic neuropathic pain

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)53-59
Number of pages7
JournalPain
Volume160
Issue number1
DOIs
StatePublished - Jan 1 2019

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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
Therapeutics
Population

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

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

The IASP classification of chronic pain for ICD-11 : chronic neuropathic pain. / Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG).

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

Research output: Contribution to journalArticle

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
Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG). The IASP classification of chronic pain for ICD-11: chronic neuropathic pain. Pain. 2019 Jan 1;160(1):53-59. https://doi.org/10.1097/j.pain.0000000000001365
Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG). / 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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