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

Narvaez Tamayo M.A.; Aguayo C.; Atencio E.; Garcia J.B.; Cabrera C.; Castañeda C.; Castroman P.; Elizeche G.; Gomez P.; Guaycochea S.; Guerrero M.; Guillen R.; Pereira C.L.; López G.; Macias J.; Martinez B.; Mejia F.; Orrillo E.; Oliveira J.O.; Piedimonte F.; Samayoa F.; Toro M. · Pain Management (2024) · DOI: 10.2217/pmt-2023-0096

Resumen

Aims: 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. Methods: 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. Results: 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. Conclusion: 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.

Instituciones: Universidad Nacional Mayor de San Marcos