title: [Differential diagnostic considerations using ICD-10 in chronic back pain with special regard to persistent somatoform pain disorder with somatic and psychological factors (ICD-10 F45.41)].
abstract: It is often difficult to pass an expert opinion in cases of chronic back pain. This article analyses the differential diagnostic considerations related to coding various causes in line with ICD-10. It emphasises the I importance of making a careful distinction between orthopoedic and psychiatric conditions and disorders. Simultaneous coding of orthopoedic and psychiatric illnesses and disorders based on a distinct cluster of symptoms necessitates an interdisciplinary approach that consistently applies the ICD-10 definitions of mental an behavioural disorders in order to clearly identify the main reason for a functional impairment in the insurance and sociomedical context. Persistant somatoform pain disorder with somatic and psychological factors (ICD-10 F45.41) should be regarded as related to the underlying disease and be used primarily as an additional and descriptive diagnosis.
authors.forename: D
authors.initials: D
authors.lastname: Wolff
mesh_terms: D001416:Back Pain / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D002908:Chronic Disease; D059350:Chronic Pain / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D003937:Diagnosis, Differential; D005858:Germany; D006801:Humans; D038801:International Classification of Diseases / Q000592:standards*; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013001:Somatoform Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology