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Letters |20 May 2014

Opioid Prescribing

Teryl J. Nuckols, MD, MSHS; Roger Chou, MD

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IN RESPONSE:
We appreciate Dr. Manchikanti and colleagues’ interest but would like to correct some factual inaccuracies in their comment. First, we applied well-established, prespecified selection and evaluation criteria consistently across all guidelines. Criteria did not include whether guidelines were “restrictive” in the use of opioids. The Appraisal of Guidelines for Research and Evaluation II instrument and A Measurement Tool to Assess Systematic Reviews address potential conflicts of interest and funding (1).
In terms of updating, we used a cutoff of 5 years based on a study that found that about one half of 17 guidelines were out of...
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Nuckols TJ, Chou R. Opioid Prescribing. Ann Intern Med. 2014;160:737–738. doi: 10.7326/L14-5010-2

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Published: Ann Intern Med. 2014;160(10):737-738.

DOI: 10.7326/L14-5010-2

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