Use of Opioids in Management of Chronic Noncancer Pain
Authors: Howard Kornfeld
Journal: Annals of Internal Medicine (2010)

Letters1 June 2010Use of Opioids in Management of Chronic Noncancer PainHoward Kornfeld, MDHoward Kornfeld, MDFrom University of California, San Francisco, School of Medicine, San Francisco, CA 94122.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-11-201006010-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail 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 Specialties–certified 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 ...References1. McLellan AT, Turner BJ. Chronic noncancer pain management and opioid overdose: time to change prescribing practices [Editorial]. Ann Intern Med. 2010;152:123-4. [PMID: 20083830] LinkGoogle Scholar2. Dunn KM, Saunders KW, Rutter CM, Banta-Green CJ, Merrill JO, Sullivan MD, et al. Opioid prescriptions for chronic pain and overdose: a cohort study. Ann Intern Med. 2010;152:85-92. [PMID: 20083827] LinkGoogle Scholar3. Rosenblum A, Marsch LA, Joseph H, Portenoy RK. Opioids and the treatment of chronic pain: controversies, current status, and future directions. Exp Clin Psychopharmacol. 2008;16:405-16. [PMID: 18837637] CrossrefMedlineGoogle Scholar4. Chou R. 2009 Clinical Guidelines from the American Pain Society and the American Academy of Pain Medicine on the use of chronic opioid therapy in chronic noncancer pain: what are the key messages for clinical practice? Pol Arch Med Wewn. 2009;119:469-77. [PMID: 19776687] MedlineGoogle Scholar5. Fields HL. Should we be reluctant to prescribe opioids for chronic non-malignant pain? [Editorial]. Pain. 2007;129:233-4. [PMID: 17449177] CrossrefMedlineGoogle Scholar6. Katz N. Opioids: after thousands of years, still getting to know you. Clin J Pain. 2007;23:303-6. [PMID: 17449990] CrossrefMedlineGoogle Scholar7. Medical Board of California. Guidelines for Prescribing Controlled Substances for Pain. 2007. Accessed at www.medbd.ca.gov/pain_guidelines.htm on 21 April 2010. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of California, San Francisco, School of Medicine, San Francisco, CA 94122.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoChronic Noncancer Pain Management and Opioid Overdose: Time to Change Prescribing Practices A. Thomas McLellan and Barbara J. Turner Opioid Prescriptions for Chronic Pain and Overdose Kate M. Dunn , Kathleen W. Saunders , Carolyn M. Rutter , Caleb J. Banta-Green , Joseph O. Merrill , Mark D. Sullivan , Constance M. Weisner , Michael J. Silverberg , Cynthia I. Campbell , Bruce M. Psaty , and Michael Von Korff Use of Opioids in Management of Chronic Noncancer Pain Marcus M. Reidenberg Use of Opioids in Management of Chronic Noncancer Pain A. Thomas McLellan and Barbara J. Turner Opioids in Management of Chronic Noncancer Pain Stephen G. Gelfand Metrics 1 June 2010Volume 152, Issue 11Page: 757KeywordsCohort studiesConflicts of interestDrug policyDrug regulationOpioid addictionOpioidsPrevention, policy, and public healthPublic policySubstance abuseTreatment guidelines ePublished: 1 June 2010 Issue Published: 1 June 2010 CopyrightCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...