Dx Revision Watch · @dxrevisionwatch
3rd Aug 2019 from TwitLonger
Errors in Peter Denton White paper in Journal of Evaluation in Clinical Practice
As posted in three places on the ICD-11 Orange Maintenance Platform. I shall contact WHO's Dr Jakob and Dr Reed tomorrow, Ccing in the journal editors and PDW:
https://icd.who.int/dev11/proposals...lGroupId=9eed7282-e22b-4d03-95bf-dacb7e9fdb04
ORIGINAL PAPER
A perspective on causation of the chronic fatigue syndrome by considering its nosology
Peter Denton White MD
First published: 01 August 2019 https://doi.org/10.1111/jep.13240
https://onlinelibrary.wiley.com/doi/abs/10.1111/jep.13240
This is to advise WHO, MSAC and CSAC, that this paper published by Peter Denton White ( Emeritus Professor of Psychological Medicine, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London EC1M 7BQ, UK. peter.white@qmul.ac.uk ) in Journal of Evaluation in Clinical Practice contains several errors and misconceptions in relation to the content of ICD-10 and ICD-11:
1 This statement within the paper is incorrect:
"Turning to established diagnostic classification systems, how are CFS and ME considered? There are arguably seven different ways to classify the illness within the International Classification of Diseases, 10th edition (ICD‐10)...Finally, the miscellaneous chapter includes "R53.82 Chronic fatigue, unspecified," which includes "chronic fatigue syndrome NOS".24
24. World Health Organisation. International Classification of Diseases,
10th edition. 2016. Retrieved from: https://www.who.int/classifications/icd/icdonlineversions/en/
The entities, "R53.82 Chronic fatigue, unspecified" and its inclusion, "chronic fatigue syndrome NOS" are specific to the U.S's clinical modification, ICD-10-CM. These two terms are not coded for or indexed in the WHO's ICD-10.
2 Peter Denton White has also stated:
"The 11th edition of the ICD still holds ME in the neurology chapter, classified under post‐viral fatigue syndrome, whereas there has been a radical change to somatoform disorders within the mental and behavioural disorders chapter, which now considers these as examples of “body distress disorder.” Neurasthenia has been omitted.2"
which is correct, but Prof White also states:
"This clustering of functional somatic syndromes has been reported many times and needs to be considered in any study of the aetiology of CFS. Fink's concept of body distress syndrome recently incorporated into ICD‐11 is an alternative way of considering this finding.29"
29. Fink P, Schröder A. One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders. J Psychosom Res. 2010;68(5): 415‐426.
The Fink et al (2010) diagnostic construct, "Bodily distress syndrome (BDS)" has not been incorporated into the core ICD-11. For the core ICD-11, WHO has approved the differently conceptualized, "Bodily distress disorder (BDD)" [1].
WHO's Dr Robert Jakob and Dr Geoffrey Reed are being informed of the errors within this paper, as are the journal editorial staff and the author. I suggest that WHO also discusses these errors with the journal and the author of this paper and requests that an Erratum is published in the journal's next edition.
This paper provides WHO, MSAC and CSAC with further evidence of clinicians and researchers confusing and conflating ICD-11's BDD with the differently conceptualised, Fink et al (2010) Bodily distress syndrome (BDS) in published journal papers [2].
[1] ICD-11 for Mortality and Morbidity Statistics (Version : 04 / 2019), 6C20 Bodily distress disorder:
https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/767044268
[2] Proposal, Suzy Chapman, submitted March, 02, 2017:
https://icd.who.int/dev11/proposals/l-m/en#/http://id.who.int/icd/entity/767044268?
Suzy Chapman 2019-Aug-03 - 15:12 UTC