The IASP classification of chronic pain for ICD-11: chronic secondary visceral pain ¦ ⸢23.04⸥
The IASP classification of chronic pain for ICD-11: chronic secondary visceral pain ¦ ⸢23.04⸥
The IASP Classification of Chronic Pain for ICD-11: Chronic Secondary Visceral Pain
Abstract
Chronic visceral pain is a prevalent condition that is often disabling, yet not systematically represented in the ICD-10. Chronic secondary visceral pain is persistent pain stemming from internal organs, which can be caused by various mechanisms such as inflammation, vascular issues, or mechanical factors. The intensity of pain may not always correlate with the underlying condition, and the pain can persist even after treating the root cause. A new classification aims to improve diagnostic processes, gather accurate epidemiological data, tailor patient-centered treatment, and promote research in this area.
Background on Visceral Pain
Internal organ pain is a common reason for seeking medical care, with chronic visceral pain being a significant portion of chronic pain cases. Various conditions such as irritable bowel syndrome, dysmenorrhea, and endometriosis contribute to the high prevalence of chronic visceral pain. It is important to differentiate between chronic primary and secondary visceral pain and consider comorbidities with other chronic pain conditions.
The Need for a Classification System
In the ICD-10, diseases underlying chronic visceral pain are classified separately, leading to inadequate recognition of chronic secondary pain. A systematic classification system for chronic visceral pain is crucial to acknowledge pain as a health condition on its own, even if the underlying disease is treated successfully. The classification should guide multimodal treatments and ensure accurate epidemiological data.
