The article discusses the limitations of current diagnostic classification systems for chronic pain and introduces the concept of chronic primary pain (CPP) in ICD-11. The proposed classification aims to provide a clear definition that considers biological, psychological, and social factors contributing to chronic pain conditions. It aims to overcome the shortcomings of existing systems and provide a framework for individualized management plans.
The article proposes the new diagnosis of CPP to address the shortcomings of current classification systems like DSM and ICD. The goal is to create a classification that is useful in primary care and specialized pain management settings, focusing on positive terms and avoiding diagnoses by exclusion.
The International Association for the Study of Pain (IASP) established a Task Force dedicated to improving the classification of chronic pain in ICD-11. The classification excludes acute pain and focuses on chronic pain syndromes, with CPP being defined as pain lasting or recurring for longer than 3 months.