Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.
Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Pain. 2019 Jan;160(1):88-94. doi: 10.1097/j.pain.0000000000001433.
Physical, mental, and social well-being are part of the concept of health according to the World Health Organization, in addition to the absence of disease and infirmity. Therefore, for a full description of a person's health status, the International Classification of Functioning, Disability and Health (ICF) was launched in 2001 to complement the existing International Classification of Diseases (ICD). The 11th version of the ICD (ICD-11) is based on so-called content models, which have 13 main parameters. One of them is functioning properties (FPs) that, according to the WHO, consist of the activities and participation components of the ICF. Recently, chronic pain codes were added to the 11th edition of the ICD, and hence, a specific set of FPs for chronic pain is required as a link to the ICF. In addition, pain is one of the 7 dimensions of the generic set of the ICF, which applies to any person. Thus, assessment and management of pain are also important for the implementation of the ICF in general. This article describes the current consensus proposal by the International Association for the Study of Pain (IASP) and the International Society of Physical and Rehabilitation Medicine (ISPRM) for a specific set of FPs of chronic pain, which will have to be empirically validated in a next step. The combined use of ICD-11 and ICF is expected to improve research reports on chronic pain by a more precise and adequate coding, as well as patient management through better diagnostic classification.
根据世界卫生组织的定义，除了没有疾病和身体不适外，身体、心理和社会福祉也是健康概念的一部分。因此，为了全面描述一个人的健康状况，2001 年推出了《国际功能、残疾和健康分类》（ICF）来补充现有的《国际疾病分类》（ICD）。第 11 版《疾病和有关健康问题的国际统计分类》（ICD-11）基于所谓的内容模型，这些模型有 13 个主要参数。其中一个是功能特性（FPs），根据世界卫生组织的说法，它由 ICF 的活动和参与成分组成。最近，慢性疼痛代码被添加到 ICD 的第 11 版中，因此，需要一组特定的慢性疼痛 FPs 作为与 ICF 的联系。此外，疼痛是 ICF 通用集的 7 个维度之一，适用于任何人。因此，疼痛的评估和管理对于 ICF 的普遍实施也很重要。本文描述了国际疼痛研究协会（IASP）和国际物理医学与康复医学学会（ISPRM）目前对慢性疼痛特定 FPs 的共识建议，下一步还需要进行实证验证。预计 ICD-11 和 ICF 的联合使用将通过更精确和适当的编码来提高慢性疼痛研究报告的质量，并通过更好的诊断分类来改善患者管理。
