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疼痛作为一种疾病在新的国际疾病分类(ICD-11)中:拉丁美洲专家共识。

Pain as a disease in the new International Classification of Diseases (ICD-11): Latin American expert consensus.

机构信息

Specialist in Anesthesiology & Pain Medicine, Coordinator of the Pain Unit, Hospital Obrero Nro. 1-Hospital Materno Infantil, Caja Nacional de Salud. La Paz, Bolivia, President of the Latin American Federation of Associations for the Study of Pain (FEDELAT), President of the Bolivian Pain Association.

Specialist in Anesthesiology, Head of the Pain Unit, Hospital Clínico FUSAT. Rancagua, Chile. President of the Chilean Association for the Study of Pain & Palliative Care.

出版信息

Pain Manag. 2024 Mar;14(3):139-151. doi: 10.2217/pmt-2023-0096. Epub 2024 Feb 21.

Abstract

Pain diagnoses in the 10th version of the International Classification of Diseases (ICD-10) did not adequately support the current management of pain. Therefore, we aimed to review the new 11th revision (ICD-11) in order to analyze its usefulness for the management, coding, research and education of chronic pain from a Latin American perspective. The Latin American Federation of Associations for the Study of Pain convened a meeting of pain experts in Lima, Peru. Pain specialists from 14 Latin American countries attended the consensus meeting. In ICD-11, chronic pain is defined as pain that persists or recurs longer than 3 months and is subdivided into seven categories: chronic primary pain and six types of chronic secondary pain. Chronic primary pain is now considered a disease in itself, and not a mere symptom of an underlying disease. The novel definition and classification of chronic pain in ICD-11 is helpful for better medical care, research and health statistics. ICD-11 will improve chronic pain management in Latin American countries, for both the pain specialist and the primary care physician.

摘要

在第十版《国际疾病分类》(ICD-10)中,疼痛诊断未能充分支持当前的疼痛管理。因此,我们旨在审查新的第十一版(ICD-11),以便从拉丁美洲的角度分析其对慢性疼痛管理、编码、研究和教育的有用性。拉丁美洲疼痛研究协会联合会在秘鲁利马召开了一次疼痛专家会议。来自 14 个拉丁美洲国家的疼痛专家参加了共识会议。在 ICD-11 中,慢性疼痛被定义为持续或复发超过 3 个月的疼痛,并细分为七类:慢性原发性疼痛和六种慢性继发性疼痛。慢性原发性疼痛现在被认为是一种本身的疾病,而不仅仅是潜在疾病的症状。ICD-11 中慢性疼痛的新定义和分类有助于更好的医疗保健、研究和健康统计。ICD-11 将改善拉丁美洲国家的慢性疼痛管理,无论是对疼痛专家还是初级保健医生。

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