Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.— Our Commentary about pain
and chemical dependency sought to highlight a disquieting situation: physicians
who specialize in pain management or who treat patients with chronic pain
in primary care know little about addiction medicine, and those who primarily
treat patients with substance abuse know little about the management of pain.
Given the overlapping importance of opioid drugs, the monitoring of drug-related
behaviors in both of these disciplines, and the potential overlap in the neurobiological
substrates of chronic pain and addiction, these deficiencies could compromise
both patient care and research.
Portenoy RL. Pain Management and Chemical Dependency—Reply. JAMA. 1998;279(1):17-18. doi:10.1001/jama.279.1.17