爱尔兰儿科慢性疼痛转介的 ICD-11 分类，以及对原发性与继发性疼痛状况的二次分析。

ICD-11 Classification of Pediatric Chronic Pain Referrals in Ireland, with Secondary Analysis of Primary vs Secondary Pain Conditions.

机构信息

Children's Health Ireland at Crumlin, Dublin, Ireland.

Children's Health Ireland at Temple Street, Dublin, Ireland.

出版信息

Pain Med. 2021 Nov 26;22(11):2533-2541. doi: 10.1093/pm/pnab116.

DOI:10.1093/pm/pnab116

PMID:33769541

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8633725/

Abstract

OBJECTIVE

To classify pediatric chronic pain referrals in Ireland according to the classification system of the 11th version of the International Classification of Diseases (ICD-11). In addition, differences between primary and secondary pain groups were assessed.

METHODS

Retrospective review of complex pain assessment forms completed at the time of initial attendance at pediatric chronic pain clinics in Dublin, Ireland. Patients were classified as having a chronic primary (CPP) or chronic secondary (CSP) pain condition as per ICD-11 classification. Secondary analysis of between-group and within-group differences between primary and secondary pain conditions was undertaken.

RESULTS

Of 285 patients coded, 123 patients were designated as having a CPP condition (77% of whom were assigned an adjunct parent code) and 162 patients as having a CSP condition (61% of whom were assigned an adjunct parent code). Between-group comparisons found that the lowest reported pain scores were higher in CPP than in CSP conditions. There were stronger correlations between parental pain catastrophizing and pain intensity, school attendance, and pain interference with social activities in the CSP group than in the CPP group.

CONCLUSIONS

The majority of children with both CPP and CSP were assigned multiple parent codes. There appears to be a gradient in the differences in biopsychosocial profile between CPP and CSP conditions. Additional field testing of the ICD-11 classification in pediatric chronic pain will be required.

摘要

目的

根据第 11 版《国际疾病分类》（ICD-11）的分类系统，对爱尔兰儿科慢性疼痛转诊进行分类。此外，还评估了原发性和继发性疼痛组之间的差异。

方法

对爱尔兰都柏林儿科慢性疼痛诊所就诊时完成的复杂疼痛评估表进行回顾性审查。根据 ICD-11 分类，患者被归类为患有慢性原发性（CPP）或慢性继发性（CSP）疼痛疾病。对原发性和继发性疼痛疾病之间的组间和组内差异进行了二次分析。

结果

在 285 名被编码的患者中，123 名患者被指定为患有 CPP 疾病（其中 77%的患者被分配了一个辅助的父母代码），162 名患者被指定为患有 CSP 疾病（其中 61%的患者被分配了一个辅助的父母代码）。组间比较发现，CPP 组的报告最低疼痛评分高于 CSP 组。在 CSP 组中，父母的疼痛灾难化与疼痛强度、出勤率以及疼痛对社交活动的干扰之间的相关性强于 CPP 组。