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GLOBAL IMPLEMENTATION OF THE WORLD HEALTH ORGANIZATION’S INTERNATIONAL CLASSIFICATION OF DISEASES (ICD)-11: THE ALLERGIC AND HYPERSENSITIVITY CONDITIONS MODEL
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  • LUCIANA TANNO,
  • Robert Chalmers,
  • Robert Jakob,
  • Nenad Kostanjsek,
  • Ana Luiza Bierrenbach,
  • Bryan Martin,
  • Nicolas Molinari,
  • Isabella Annesi,
  • Nikolaos Papadopoulos,
  • Mario Sanchez-Borges,
  • Lanny Rosenwasser,
  • Ignacio J Ansotegui,
  • Motohiro Ebisawa,
  • Juan Carlos Sisul,
  • Edgardo Jares,
  • Maximiliano Gómez,
  • Ioana Agache,
  • Antonella Muraro,
  • Gary Wong,
  • Francis Thien,
  • Ruby Pawankar,
  • Tood Mahr,
  • JAMES Sublett,
  • David Lang,
  • Thomas Casale,
  • Pascal Demoly
LUCIANA TANNO
Hospital Sírio Libanês
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Robert Chalmers
World Health Organization
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Robert Jakob
World Health Organization
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Nenad Kostanjsek
World Health Organization
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Ana Luiza Bierrenbach
Hospital Sírio Libanês
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Bryan Martin
Columbus State University
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Nicolas Molinari
service DIM
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Isabella Annesi
EPAR U707 INSERM
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Nikolaos Papadopoulos
Second Pediatric Clinic
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Mario Sanchez-Borges
Centro Medico-Docente La Trinidad
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Lanny Rosenwasser
Children's Mercy Hospitals and Clinics
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Ignacio J Ansotegui
Hospital Quironsalud Bizkaia
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Motohiro Ebisawa
National Hospital Organization, Sagamihara National Hospital
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Juan Carlos Sisul
Latin American Society of Allergy, Asthma and Immunology
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Edgardo Jares
LIBRA Foundation and CMP SA
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Maximiliano Gómez
Fundación Ayre
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Ioana Agache
Transylvania University of Brasov
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Antonella Muraro
Padua General University Hospital
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Gary Wong
Chinese University of Hong Kong
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Francis Thien
Monash University
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Ruby Pawankar
Nippon Medical School
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Tood Mahr
Gundersen Health System in La Crosse
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JAMES Sublett
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
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David Lang
Department of Allergy
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Thomas Casale
University of South Florida
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Pascal Demoly
University Hospital of Montpellier
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Abstract

The International Classification of Diseases (ICD) provides a common language for use worldwide as a diagnostic and classification tool for epidemiology, clinical purposes and health management. Since its first edition, the ICD has maintained a framework distributing conditions according to topography, with the result that some complex conditions, such as allergies and hypersensitivity disorders (A/H) including anaphylaxis, have been poorly represented. The change in hierarchy in ICD-11 permitted the construction of the pioneer section addressed to A/H, which may result in more accurate mortality and morbidity statistics, including more accurate accounting for mortality due to anaphylaxis, strengthen classification, terminology and definitions. The ICD-11 was presented and adopted by the 72nd World Health Assembly in May 2019 and the implementation is ongoing worldwide. We here present the outcomes from an online survey undertaken to reach out the allergy community worldwide in order to peer review the terminology, classification and definitions of A/H introduced into ICD-11 and to support their global implementation. Data are presented here for 406 respondents from 74 countries. All of the sub-sections of the new A/H section of the ICD-11 had been considered with good accuracy by the majority of respondents. We believe that, in addition to help during the implementation phase, all the comments provided will help to improve the A/H classification and to increase awareness by different disciplines of what actions are needed to ensure more accurate epidemiological data and better clinical management of A/H patients.

Peer review status:ACCEPTED

16 May 2020Submitted to Allergy
18 May 2020Submission Checks Completed
18 May 2020Assigned to Editor
19 May 2020Reviewer(s) Assigned
30 May 2020Review(s) Completed, Editorial Evaluation Pending
30 May 2020Editorial Decision: Revise Minor
03 Jun 20201st Revision Received
04 Jun 2020Submission Checks Completed
04 Jun 2020Assigned to Editor
05 Jun 2020Reviewer(s) Assigned
07 Jun 2020Review(s) Completed, Editorial Evaluation Pending
08 Jun 2020Editorial Decision: Accept