Howard Kornfeld, MD
Potential Conflicts of Interest: None disclosed.
Kornfeld H. Use of Opioids in Management of Chronic Noncancer Pain. Ann Intern Med. 2010;152:757. doi: 10.7326/0003-4819-152-11-201006010-00023
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Published: Ann Intern Med. 2010;152(11):757.
TO THE EDITOR:
While preparing some reading material for the trainees in pain medicine to whom I give a seminar as part of my clinical faculty teaching, I reviewed the recent editorial by McLellan and Turner (1), written in response to the study by Dunn and colleagues (2). As an addiction medicine specialist and an American Board of Medical Specialtiescertified pain specialist, my teaching often focuses on the substance abuse and psychosocial aspects of the therapeutic use of controlled substances.
I will not comment on the cohort study on opioid overdose or the general details of the editorial itself. Both publications make important contributions to the field of pain medicine and public health, and I predict that the issues raised will stimulate thinking and responses that will lead to important academic and policy dialogue. However, the authors should consider modifying the statement that [p]rescribing opioids at high doses is both dangerous and questionable for indications other than methadone treatment of opioid dependence, by substituting can be for is.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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