Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
BMJ Open. 2024 Oct 29;14(10):e082801. doi: 10.1136/bmjopen-2023-082801.
To identify the types of conditions reported in peer-reviewed literature that result in chronic musculoskeletal lower limb pain in children and adolescents and explore the alignment of these conditions with the chronic pain reporting codes indexed in the International Classification of Diseases 11th Revision (ICD-11).
This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Five electronic databases were searched (Medline, EMBASE, PsycINFO, CINAHL and the Cochrane Library).
Articles involving children and adolescents under 18 years and reporting on chronic musculoskeletal pain of the lower limb were included.
We assigned an ICD-11 code to each condition based on details reported in the study. We recorded whether any of the presenting conditions were linked to an ICD-11 chronic pain manifestation code.
From 12 343 records, 418 papers were included. There were 124 unique conditions associated with chronic lower limb pain, the most commonly reported being chronic widespread musculoskeletal pain (24 studies) and juvenile idiopathic arthritis (26 studies). Only 11.1% of presenting conditions were linked to an ICD-11 chronic pain manifestation code.
Most presenting conditions associated with chronic pain in the lower limb do not have a chronic pain manifestation code in the new global standard for recording health information. This means chronic pain associated with common lower limb conditions may remain invisible in global statistics.
确定在同行评议文献中报告的导致儿童和青少年慢性肌肉骨骼下肢疼痛的各种病症，并探讨这些病症与国际疾病分类第 11 版（ICD-11）中索引的慢性疼痛报告代码的一致性。
本范围综述遵循系统评价和荟萃分析的首选报告项目指南。
五个电子数据库（Medline、EMBASE、PsycINFO、CINAHL 和 Cochrane 图书馆）进行了搜索。
纳入涉及 18 岁以下儿童和青少年并报告慢性肌肉骨骼下肢疼痛的文章。
我们根据研究报告中的详细信息为每种病症分配一个 ICD-11 代码。我们记录了任何出现的病症是否与 ICD-11 慢性疼痛表现代码相关联。
从 12343 条记录中，纳入了 418 篇论文。有 124 种与慢性下肢疼痛相关的独特病症，最常报告的是慢性广泛性肌肉骨骼疼痛（24 项研究）和青少年特发性关节炎（26 项研究）。只有 11.1%的出现病症与 ICD-11 慢性疼痛表现代码相关联。
与下肢慢性疼痛相关的大多数出现病症在记录健康信息的新全球标准 ICD-11 中没有慢性疼痛表现代码。这意味着与常见下肢病症相关的慢性疼痛可能在全球统计数据中仍然不可见。
