TY - JOUR
T1 - La vejez y la nueva CIE-11
T2 - Posición de la Academia Latinoamericana de Medicina del Adulto Mayor
AU - Cano-Gutierrez, Carlos
AU - Gutiérrez-Robledo, Luis Miguel
AU - Lourenço, Roberto
AU - Marín, Pedro Paulo
AU - Martínez, Fernando Morales
AU - Parodi, José
AU - Mañas, Leocadio Rodríguez
AU - Gil, Clemente Humberto Zúñiga
N1 - Publisher Copyright:
© 2021 Pan American Health Organization. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Since 1948, the World Health Organization has been publishing the International Statistical Classification of Diseases and Related Health Problems (ICD), a coded system of causes of disease and death with an in-depth revision every 10-15 years. In its latest revision, the ICD-11 uses nomenclature characterizing old age as "initial and final geriatric periods," implying the medicalization of this stage of life, which has created confusion and sparked controversy. This article discusses the new nomenclature proposed, given the current knowledge about old age and the aging process and its most accepted definition. The ICD not only classifies diseases but periods of life and "health-related problems," and old age per se is not a health-related problem for many people at this stage of life. It is therefore essential to change or provide a more nuanced definition of the term "old age" in the ICD-11, so it is not perceived as a symptom, sign, or anomalous clinical outcome, and to introduce nomenclature that more accurately reflects pathological aging. Two terms that are enjoying growing experimental and bibliographic support are "fragility" and "loss of intrinsic capacity," which offer greater precision when defining the condition of a person who is not experiencing healthy aging.
AB - Since 1948, the World Health Organization has been publishing the International Statistical Classification of Diseases and Related Health Problems (ICD), a coded system of causes of disease and death with an in-depth revision every 10-15 years. In its latest revision, the ICD-11 uses nomenclature characterizing old age as "initial and final geriatric periods," implying the medicalization of this stage of life, which has created confusion and sparked controversy. This article discusses the new nomenclature proposed, given the current knowledge about old age and the aging process and its most accepted definition. The ICD not only classifies diseases but periods of life and "health-related problems," and old age per se is not a health-related problem for many people at this stage of life. It is therefore essential to change or provide a more nuanced definition of the term "old age" in the ICD-11, so it is not perceived as a symptom, sign, or anomalous clinical outcome, and to introduce nomenclature that more accurately reflects pathological aging. Two terms that are enjoying growing experimental and bibliographic support are "fragility" and "loss of intrinsic capacity," which offer greater precision when defining the condition of a person who is not experiencing healthy aging.
KW - Aging
KW - Healthy aging
KW - International Classification of Diseases
UR - http://www.scopus.com/inward/record.url?scp=85114022159&partnerID=8YFLogxK
U2 - 10.26633/RPSP.2021.112
DO - 10.26633/RPSP.2021.112
M3 - Artículo
AN - SCOPUS:85114022159
SN - 1020-4989
VL - 45
JO - Revista Panamericana de Salud Publica/Pan American Journal of Public Health
JF - Revista Panamericana de Salud Publica/Pan American Journal of Public Health
M1 - e112
ER -