Contribution of previous literature to the latest definition of chronic postsurgical pain in the ICD-11

Literature Macrae [12] Werner and Kongsgaard [13] Treede et al. [14] Schug et al. [15]
Temporal relationship with surgery The pain develops after the surgery The pain develops or increases in intensity after the surgery The pain develops after the surgery The pain develops or increases in intensity after the surgery
Duration of pain after surgery At least 2 months’ duration At least 3–6 months’ duration At least 3 months’ duration
Exclusion of other causes Other causes of pain need to be excluded; pain continuing from a pre-existing pain-related condition should also be excluded Other causes of pain need to be excluded Other causes of pain need to be excluded; pain continuing from a pre-existing pain-related condition should also be excluded
Location of pain - The pain is either localized to the surgical field, projected to the innervation territory of a nerve situated in this area, or referred to a dermatome - The pain is either localized to the surgical field, projected to the innervation territory of a nerve situated in this area, or referred to a dermatome
Others - The pain is either a continuation of acute postsurgical pain or develops after an asymptomatic period CPSP is often neuropathic

CPSP: chronic postsurgical pain, ICD-11: International Classification of Diseases, 11th Revision.

Korean J Pain 2023;36:149~162 https://doi.org/10.3344/kjp.23080
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