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dc.contributor.authorBarke, Antonia
dc.contributor.authorKorwisi, Beatrice
dc.contributor.authorCasser, Hans-Raimund
dc.contributor.authorFors, Egil Andreas
dc.contributor.authorGeber, Christian
dc.contributor.authorSchug, Stephan A.
dc.contributor.authorStubhaug, Audun
dc.contributor.authorUshida, Takahiro
dc.contributor.authorWetterling, Thomas
dc.contributor.authorRief, Winfried
dc.contributor.authorTreede, Rolf-Detlef
dc.date.accessioned2019-09-05T11:22:29Z
dc.date.available2019-09-05T11:22:29Z
dc.date.created2018-12-14T17:00:11Z
dc.date.issued2018
dc.identifier.citationBMC Public Health. 2018, 18:1239 1-9.nb_NO
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/11250/2612647
dc.description.abstractBackground A task force of the International Association for the Study of Pain (IASP) has developed a classification of chronic pain for the ICD-11 consisting of seven major categories. The objective was to test whether the proposed categories were exhaustive and mutually exclusive. In addition, the perceived utility of the diagnoses and the raters’ subjective diagnostic certainty were to be assessed. Methods Five independent pain centers in three continents coded 507 consecutive patients. The raters received the definitions for the main diagnostic categories of the proposed classification and were asked to allocate diagnostic categories to each patient. In addition, they were asked to indicate how useful they judged the diagnosis to be from 0 (not at all) to 3 (completely) and how confident they were in their category allocation. Results The two largest groups of patients were coded as either chronic primary pain or chronic secondary musculoskeletal pain. Of the 507 patients coded, 3.0% had chronic pain not fitting any of the proposed categories (97% exhaustiveness), 20.1% received more than one diagnosis. After adjusting for double coding due to technical reasons, 2.0% of cases remained (98% uniqueness). The mean perceived utility was 1.9 ± 1.0, the mean diagnostic confidence was 2.0 ± 1.0. Conclusions The categories proved exhaustive with few cases being classified as unspecified chronic pain, and they showed themselves to be mutually exclusive. The categories were regarded as useful with particularly high ratings for the newly introduced categories (chronic cancer-related pain among others). The confidence in allocating the diagnoses was good although no training regarding the ICD-11 categories had been possible at this stage of the development.nb_NO
dc.language.isoengnb_NO
dc.publisherBMC (part of Springer Nature)nb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titlePilot field testing of the chronic pain classification for ICD-11: The results of ecological codingnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber1-9nb_NO
dc.source.volume18:1239nb_NO
dc.source.journalBMC Public Healthnb_NO
dc.identifier.doi10.1186/s12889-018-6135-9
dc.identifier.cristin1643548
dc.description.localcode© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)nb_NO
cristin.unitcode194,65,20,0
cristin.unitcode194,65,20,10
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.unitnameAllmennmedisinsk forskningsenhet i Trondheim
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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