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Revisiting Desensitization and Allergen Immunotherapy Concepts for the International Classification of Diseases (ICD)-11. 2016
Luciana Kase Tanno, and
Moises A Calderon, and
Nikolaos G Papadopoulos, and
Mario Sanchez-Borges, and
Lanny J Rosenwasser, and
Jean Bousquet, and
Ruby Pawankar, and
Juan Carlos Sisul, and
Alfonso Mario Cepeda, and
James Li, and
Antonella Muraro, and
Stanley Fineman, and
James L Sublett, and
Constance H Katelaris, and
Yoon-Seok Chang, and
Hee-Bom Moon, and
Thomas Casale, and
Pascal Demoly, and
Hospital Sírio Libanês, São Paulo, Brazil; Division of Allergy, Department of Pulmonology, University Hospital of Montpellier, Montpellier, France; Pierre Louis Institute of Epidemiology and Public Health, Sorbonne Universités, Paris, France.
Allergy and hypersensitivity intervention management procedures, such as desensitization and/or tolerance induction and immunotherapy, have not been pondered up to now in the content of International Classification of Diseases (ICD) context because the focus has been on prioritizing the condition implementations. Tremendous efforts have been devoted to implementing allergic and hypersensitivity conditions in the forthcoming ICD-11. However, we consider that it is crucial now to have nomenclature and classification universally accepted for these procedures to be able to provide scientifically consistent proposals into the new ICD-11 platform for the best practice parameters of our specialty. With the aim of promoting a harmonized comprehension and aligning it with the ICD-11 revision, we have reviewed the definitions and concepts currently used for desensitization and/or tolerance induction and immunotherapy. We strongly believe that this review is a key instrument to support the allergy specialty identity into the ICD-11 framework and serves as a platform to perform positive quality improvement in clinical practice.
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Pain,
