title: Revisiting Desensitization and Allergen Immunotherapy Concepts for the International Classification of Diseases (ICD)-11.
abstract: 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.
authors.affiliation: 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.
authors.forename: Luciana Kase
authors.initials: LK
authors.lastname: Tanno
authors.affiliation: Section of Allergy and Clinical Immunology, Imperial College London, National Heart and Lung Institute, Royal Brompton Hospital, London, United Kingdom.
authors.forename: Moises A
authors.initials: MA
authors.lastname: Calderon
authors.affiliation: Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, United Kingdom; Department of Allergy, 2nd Pediatric Clinic, University of Athens, Athens, Greece.
authors.forename: Nikolaos G
authors.initials: NG
authors.lastname: Papadopoulos
authors.affiliation: Allergy and Clinical Immunology Department, Centro Medico Docente La Trinidad, Caracas, Venezuela.
authors.forename: Mario
authors.initials: M
authors.lastname: Sanchez-Borges
authors.affiliation: Division of Immunology Research, Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Mo.
authors.forename: Lanny J
authors.initials: LJ
authors.lastname: Rosenwasser
authors.affiliation: Division of Allergy, Department of Pulmonology, University Hospital of Montpellier, Montpellier, France; Pierre Louis Institute of Epidemiology and Public Health, Sorbonne Universités, Paris, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Bousquet
authors.affiliation: Division of Allergy, Department of Pediatrics, Nippon Medical School, Tokyo, Japan.
authors.forename: Ruby
authors.initials: R
authors.lastname: Pawankar
authors.affiliation: American College of Allergy, Asthma and Immunology, Asunción, Paraguay.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Sisul
authors.affiliation: Latin American Society of Allergy, Asthma and Immunology, Unidad Médica Portoazul, Corredor Universitario, Puerto Colombia, Colombia.
authors.forename: Alfonso Mario
authors.initials: AM
authors.lastname: Cepeda
authors.affiliation: Division of Allergic Diseases, Mayo Clinic, Rochester, Minn.
authors.forename: James
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Women and Child Health Padua General University Hospital, Padua, Italy.
authors.forename: Antonella
authors.initials: A
authors.lastname: Muraro
authors.affiliation: Department of Pediatrics, Emory University School of Medicine, Atlanta, Ga.
authors.forename: Stanley
authors.initials: S
authors.lastname: Fineman
authors.affiliation: Section of Allergy and Immunology, Department of Pediatrics, University of Louisville School of Medicine, Louisville, Ky.
authors.forename: James L
authors.initials: JL
authors.lastname: Sublett
authors.affiliation: Department of Immunology and Allergy, Western Sydney University and Campbelltown Hospital, Sydney, NSW, Australia.
authors.forename: Constance H
authors.initials: CH
authors.lastname: Katelaris
authors.affiliation: Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi-do, Korea.
authors.forename: Yoon-Seok
authors.initials: YS
authors.lastname: Chang
authors.affiliation: Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan, Seoul, Korea.
authors.forename: Hee-Bom
authors.initials: HB
authors.lastname: Moon
authors.affiliation: Morsani College of Medicine, University of South Florida, Tampa, Fla.
authors.forename: Thomas
authors.initials: T
authors.lastname: Casale
authors.affiliation: Division of Allergy, Department of Pulmonology, University Hospital of Montpellier, Montpellier, France; Pierre Louis Institute of Epidemiology and Public Health, Sorbonne Universités, Paris, France. Electronic address: pascal.demoly@inserm.fr.
authors.forename: Pascal
authors.initials: P
authors.lastname: Demoly
mesh_terms: D003888:Desensitization, Immunologic; D006801:Humans; D038801:International Classification of Diseases
keywords: Allergy; Desensitization; Immunotherapy; International Classification of Diseases (ICD); World Health Organization (WHO)