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Editor's Correspondence
July 23, 2012

Clinician Identification of Appropriate Long-term Opioid Therapy Candidacy

Author Affiliations

Author Affiliations: Department of Rehabilitation Medicine, Tufts University, New England Medical Center, Boston, Massachusetts, and Nashua Pain Management Corp, Nashua, New Hampshire.

Arch Intern Med. 2012;172(14):1110-1114. doi:10.1001/archinternmed.2012.2082

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.

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