Division of Population Health and Genomics, School of Medicine, University of Dundee, Dundee, Scotland.
General Practice Research Unit, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Pain. 2019 Jan;160(1):83-87. doi: 10.1097/j.pain.0000000000001360.
The International Classification of Diseases, 11th Revision (ICD-11), proposes, for the first time, a coding system for chronic pain. This system contains 1 code for "chronic primary pain," where chronic pain is the disease, and 6 codes for chronic secondary pain syndromes, where pain developed in the context of another disease. This provides the opportunity for routine, standardised coding of chronic pain throughout all health care systems. In primary care, this will confer many important, novel advantages over current or absent coding systems. Chronic pain will be recognized as a centrally important condition in primary care. The capacity to measure incidence, prevalence, and impact will help in identification of human, financial, and educational needs required to address chronic pain in primary care. Finally, opportunities to match evidence-based treatment pathways to distinct chronic pain subtypes will be enhanced.
《国际疾病分类》第 11 版(ICD-11)首次为慢性疼痛提出了一个编码系统。该系统包含 1 个“慢性原发性疼痛”的编码,其中慢性疼痛是疾病本身,还有 6 个慢性继发性疼痛综合征的编码,这些疼痛是在其他疾病的背景下发展起来的。这为所有医疗保健系统中慢性疼痛的常规、标准化编码提供了机会。在初级保健中,这将带来许多比现有或不存在的编码系统更为重要的新优势。慢性疼痛将被视为初级保健中一个至关重要的核心条件。衡量发病率、患病率和影响的能力将有助于确定解决初级保健中慢性疼痛所需的人力、财力和教育需求。最后,将有更多机会将循证治疗途径与不同的慢性疼痛亚型相匹配。