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Hiding in plain sight: the evolving definition of chronic breathlessness and new ICD-11 wording

Slavica Kochovska, Magnus Ekström, John Hansen-Flaschen, Diana Ferreira, Thomas Similowski, Miriam J. Johnson, David C. Currow
European Respiratory Journal 2023 61: 2300252; DOI: 10.1183/13993003.00252-2023
Slavica Kochovska
1Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia
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Magnus Ekström
2Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund, Sweden
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  • ORCID record for Magnus Ekström
John Hansen-Flaschen
3School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Diana Ferreira
1Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia
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Thomas Similowski
4Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France
5AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Hôpital Pitié-Salpêtrière, Département R3S (Respiration, Réanimation, Réhabilitation respiratoire, Sommeil), Paris, France
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Miriam J. Johnson
6Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK
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David C. Currow
1Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia
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  • For correspondence: dcurrow@uow.edu.au
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Abstract

The International Classification of Disease (ICD-11) has adopted three timeframes for dyspnoea: acute, subacute and chronic, the latter despite underlying causes being optimally treated. Breathlessness, a word patients use, is now a synonym for dyspnoea. https://bit.ly/3Z2qNya

Extract

Reflecting the evolving understanding of breathlessness and its impacts, the International Classification of Disease (ICD) version 11 has recently listed “breathlessness” (the patients’ descriptor of their subjective symptom) as a synonym for “dyspnoea” for the first time [1]. ICD-11 also now incorporates wording for three durations of breathlessness: “acute” (hours to 3 weeks), “subacute” (3–8 weeks) and “chronic” (>8 weeks).

Footnotes

  • Conflicts of interest: M. Ekström, M.J. Johnson, D. Ferreira, T. Similowski, J. Hansen-Flaschen and S. Kochovska declare no conflicts of interest relevant for this work. D.C. Currow has received intellectual property payments and consultancies from Mayne Pharma International Pty Ltd and Helsinn Pharmaceuticals.

  • Received February 13, 2023.
  • Accepted February 14, 2023.
  • Copyright ©The authors 2023. For reproduction rights and permissions contact permissions{at}ersnet.org
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Hiding in plain sight: the evolving definition of chronic breathlessness and new ICD-11 wording
Slavica Kochovska, Magnus Ekström, John Hansen-Flaschen, Diana Ferreira, Thomas Similowski, Miriam J. Johnson, David C. Currow
European Respiratory Journal Mar 2023, 61 (3) 2300252; DOI: 10.1183/13993003.00252-2023

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Hiding in plain sight: the evolving definition of chronic breathlessness and new ICD-11 wording
Slavica Kochovska, Magnus Ekström, John Hansen-Flaschen, Diana Ferreira, Thomas Similowski, Miriam J. Johnson, David C. Currow
European Respiratory Journal Mar 2023, 61 (3) 2300252; DOI: 10.1183/13993003.00252-2023
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