The ACTTION-American Pain Society Pain Taxonomy (AAPT): an evidence-based and multidimensional approach to classifying chronic pain conditions.
The ACTTION-American Pain Society Pain Taxonomy (AAPT): an evidence-based and multidimensional approach to classifying chronic pain conditions.
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DOI：
10.1016/j.jpain.2014.01.004
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发表时间：
2014-03
期刊：
影响因子：
4
通讯作者：
Wesselmann, Ursula
中科院分区：
文献类型：
--
作者：
Fillingim, Roger B.;Bruehl, Stephen;Dworkin, Robert H.;Dworkin, Samuel F.;Loeser, John D.;Turk, Dennis C.;Widerstrom-Noga, Eva;Arnold, Lesley;Bennett, Robert;Edwards, Robert R.;Freeman, Roy;Gewandter, Jennifer;Hertz, Sharon;Hochberg, Marc;Krane, Elliot;Mantyh, Patrick W.;Markman, John;Neogi, Tuhina;Ohrbach, Richard;Paice, Judith A.;Porreca, Frank;Rappaport, Bob A.;Smith, Shannon M.;Smith, Thomas J.;Sullivan, Mark D.;Verne, G. Nicholas;Wasan, Ajay D.;Wesselmann, Ursula
关键词：
目前慢性疼痛状况的分类方法缺乏系统实施和基于证据的分类法。此外，现有的诊断方法通常不能纳入有关生物心理社会机制的知识，有助于疼痛条件。为了解决这些差距，镇痛、麻醉和成瘾临床试验翻译创新机会和网络（行动）与美国食品和药物管理局和美国疼痛学会（APS）的公私合作伙伴关系共同开发了一种基于证据的慢性疼痛分类系统，称为行动-APS疼痛分类法（AAPT）。这篇手稿描述了一个行动- aps共识会议的结果，在这个会议上，专家们就慢性疼痛的新分类结构达成了一致意见。提出并总结了围绕讨论的几个主要问题，并给出了分类学的结构。AAPT将包括以下维度：1)核心诊断标准，2)共同特征，3)常见医学合并症，4)神经生物学，社会心理和功能后果，以及5)假定的神经生物学和社会心理机制，风险因素和保护因素。在接下来的几个月里，专家工作组将把这种分类法应用于慢性疼痛疾病的集群，从而制定一套诊断标准，这些标准已经在几乎所有常见的慢性疼痛疾病中得到一致和系统的实施。预计这种基于证据和机制的疼痛分类方法的可用性将对慢性疼痛的研究和治疗有实质性的好处。action - aps疼痛分类法是一个基于证据的慢性疼痛分类系统，旨在根据以下维度对慢性疼痛进行分类：1)核心诊断标准，2)共同特征，3)常见医学合共病，4)神经生物学，社会心理和功能后果，以及5)假定的神经生物学和社会心理机制，风险因素和保护因素。
Current approaches to classification of chronic pain conditions suffer from the absence of a systematically implemented and evidence-based taxonomy. Moreover, existing diagnostic approaches typically fail to incorporate available knowledge regarding the biopsychosocial mechanisms contributing to pain conditions. To address these gaps, the Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks (ACTTION) public-private partnership with the US Food and Drug Administration and the American Pain Society (APS) have joined together to develop an evidence-based chronic pain classification system called the ACTTION-APS Pain Taxonomy (AAPT). This manuscript describes the outcome of an ACTTION-APS consensus meeting, at which experts agreed on a structure for this new taxonomy of chronic pain conditions. Several major issues around which discussion revolved are presented and summarized, and the structure of the taxonomy is presented. AAPT will include the following Dimensions: 1) Core Diagnostic Criteria, 2) Common Features, 3) Common Medical Comorbidities, 4) Neurobiological, Psychosocial and Functional Consequences, and 5) Putative Neurobiological and Psychosocial Mechanisms, Risk Factors & Protective Factors. In coming months, expert working groups will apply this taxonomy to clusters of chronic pain conditions, thereby developing a set of diagnostic criteria that have been consistently and systematically implemented across nearly all common chronic pain conditions. It is anticipated that the availability of this evidence-based and mechanistic approach to pain classification will be of substantial benefit to chronic pain research and treatment. The ACTTION-APS Pain Taxonomy is an evidence-based chronic pain classification system designed to classify chronic pain along the following Dimensions: 1) Core Diagnostic Criteria, 2) Common Features, 3) Common Medical Comorbidities, 4) Neurobiological, Psychosocial and Functional Consequences, and 5) Putative Neurobiological and Psychosocial Mechanisms, Risk Factors & Protective Factors.
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影响因子：
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