Author Affiliations: Department of Rehabilitation Medicine, Tufts University, New England Medical Center, Boston, Massachusetts, and Nashua Pain Management Corp, Nashua, New Hampshire.
Sullivan and Ballantyne1 appropriately scorned indiscriminate long-term opioid therapy, since considerable numbers of patients receive these potentially dangerous agents but only rarely return to work. Characteristically, patients with high psychiatric comorbidity self-select as “requiring” opioids as well as disability from work, and the authors correctly report that most are not viable opioid candidates, given greater abuse and death risks.
Geller AS. Clinician Identification of Appropriate Long-term Opioid Therapy Candidacy. Arch Intern Med. 2012;172(14):1110-1114. doi:10.1001/archinternmed.2012.2082