Development of standard classification tool for chronic pain and its clinical application

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  • Ushida Takahiro
    Multidisciplinary Pain Center, Aichi Medical University School of Medicine
  • Yamaguchi Shigeki
    Department of Anesthesiology, Dokkyo Medical University, School of Medicine
  • Kimura Yoshiyuki
    Department of Anesthesiology, Dokkyo Medical University, School of Medicine
  • Aono Shuichi
    Department of Pain Data Management, Aichi Medical University School of Medicine

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Other Title
  • 長引く痛みの克服に向けて：慢性疼痛の分類（ICD–11）や治療モード，治療施設などの分類と臨床利用

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Abstract

<p>Chronic pain is a biological psychosocial pathological condition, which is caused by various elements involved in many ways. Therefore, it is necessary to analyze the disease state from various viewpoints and to treat multimodally. Since there was no standard diagnostic tool for chronic pain so far, it was difficult to develop epidemiological research and development and evaluation of treatment in accordance with specific pathological conditions. Therefore, the IASP proceeded development to add the item of Chronic Pain in ICD–11, which was officially announced from WHO in June 2018. This attempts to classify chronic pain into seven major categories (① chronic primary pain, ② chronic cancer related pain, ③ chronic postoperative and posttraumatic pain, ④ chronic secondary musculoskeletal pain, ⑤ chronic secondary visceral pain, ⑥ chronic neuropathic pain, ⑦ chronic secondary headache and/or orofacial pain) and others.</p><p>By developing a more realistic method of using this new standard disease name, effective utilization not only in research but also in clinical practice is needed. In addition, this review will also introduce the versions that the Chronic Pain Research Group of the Ministry of Health, Labor and Welfare has been developing. At the same time as disease name classification, it is important to know where and how to treat chronic pain.</p><p>In 2017, IASP defined the treatment by forming “Task Force on Multimodal Pain Treatment Defines Terms for Chronic Pain Care” in order to unify the names of confused treatment modes. At the same time as disease name classification, it is important to know where and how to treat chronic pain. Also, in the past, IASP has been defining treatment facilities such as Multidisciplinary Pain Center. In addition, this time we will introduce the assessment of O–P factor which is helpful for thinking about what kind of patients and where to receive medical treatment.</p>

Journal

  • PAIN RESEARCH

    PAIN RESEARCH 33 (4), 257-268, 2018-12-28

    JAPANESE ASSOCIATION FOR STUDY OF PAIN

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