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Coding of postsurgical pain in ICD-11: between conceptual richness and practical constraints
Valeria Martinez1, Annachiara Spagna2, Nadine Attal3
1Centre d'Evaluation et de Traitement de la Douleur, Hôpital Raymond Poincaré, Assistance Publique Hôpitaux de Paris, Garches, France; Inserm U987, APHP, UVSQ Paris Saclay University, Hôpital Ambroise Paré, Boulogne-Billancourt, France.
British Journal of Anaesthesia
|July 11, 2025
Summary
The International Classification of Diseases (ICD-11) recognizes chronic postsurgical pain, but clinical practice lags behind. Improved diagnostic integration and focus on neuropathic and psychosocial factors are needed for better patient care.
Area of Science:
- Pain Medicine
- Medical Classification Systems
- Clinical Practice Integration
Background:
- The International Classification of Diseases, 11th Revision (ICD-11) establishes chronic postsurgical pain as a distinct clinical entity.
- This advancement aims to standardize the recognition and management of this complex condition.
- However, implementation faces challenges in bridging the gap between the classification framework and daily healthcare delivery.
Discussion:
- Significant discrepancies exist between the ICD-11's conceptualization of chronic postsurgical pain and its practical application in clinical settings.
- Coding tools and diagnostic criteria require enhanced integration to accurately reflect the nuances of the condition.
- There is a critical need to elevate the visibility of underlying neuropathic pain mechanisms and the crucial psychosocial dimensions influencing patient outcomes.
Key Insights:
- The ICD-11 represents a significant conceptual leap in defining chronic postsurgical pain.
- Real-world clinical practice demonstrates a lag in adopting and integrating these new diagnostic criteria.
- Addressing the disconnect between classification and practice is essential for effective pain management.
Outlook:
- Future efforts should prioritize the seamless integration of ICD-11 diagnostic criteria into clinical workflows.
- Enhanced focus on identifying and addressing neuropathic pain mechanisms is crucial.
- Incorporating the psychosocial aspects of pain into assessment and treatment plans will improve patient-centered care.
Keywords:
International Classification of Diseases-11chronic postsurgical paindiagnostic criterianeuropathic painpsychosocial dimensions of painMore Related Videos
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