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The latest publications from NRS Pain and across the pain research community
The World Health Organization's (WHO’s) International Classification of Diseases (ICD) currently has no diagnostic codes for chronic pain. To rectify this, the WHO and the International Association for the Study of Pain (IASP) have developed, for the first time, a series of relevant codes for the forthcoming 11th edition (ICD-11). Blair H. Smith contributed to the WHO/IASP Task Force, and to a series of papers presenting the new ICD-11 chronic pain codes, including an overview and a detailed description of the Neuropathic Pain coding. In particular, with other members of NRS Pain, he led the paper describing their relevance for primary care.
- The IASP classification of chronic pain for ICD-11: applicability in primary care
- The IASP classification of chronic pain for ICD-11: chronic neuropathic pain
- Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11).
- Data and Measurement for Chronic Pain Services: a project to inform national pain service improvement, draft progress report. This project was established to address the lack of standardised measurement of chronic pain in Scotland, and of services provided to manage chronic pain. This is an important issue as there is no clear way of measuring the prevalence of chronic pain nationally, understanding the demographics and needs of the patient group, the impact chronic pain has on them, or the effectiveness of any service provision or service improvement initiatives which often presents a problem when funding services and treatments for patients.
The opioid section of SIGN 136 is currently being updated. Anticipated publication date is December 2018. Torrance, N., et al. (2018). "Association of opioid prescribing practices with chronic pain and benzodiazepine co-prescription: a primary care data linkage study." Br J Anaesth 120(6): 1345-1355.
Fallon, Marie, Jane Walker, Lesley Colvin, Aryelly Rodriguez, Gordon Murray, Michael Sharpe, and Edinburgh Pain Assessment and Management Tool Study Group. "Pain Management in Cancer Center Inpatients: A Cluster Randomized Trial to Evaluate a Systematic Integrated Approach-The Edinburgh Pain Assessment and Management Tool" Journal of Clinical Oncology 36, no. 13 (2018): 1284-1290.
- The Management of Chronic Pain in Children and Young People: A National Clinical Guideline: The main guideline summarises available evidence, combined with consensus group agreement on key recommendations and suggested patient pathways. We have followed the methodology of SIGN 136 and hope that this guideline will facilitate the transition to adult services. Our aim is that this will ensure all health professionals are delivering a consistent, evidence-based approach. Research gaps have not been specifically listed, as these are clear from the key recommendations and current level of evidence associated with these.
Evidence for pain management
- SIGN 136; The Management of Chronic Pain was published in December 2013
- NICE Guideline on Neuropathic Pain
- SIGN106: Management of Cancer Pain
- SIGN 107; Diagnosis & Management of a Headache in Adults
- Management of Chronic Pain in Children and Young People: A National Clinical Guideline.