Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: Dr Bernabei and colleagues1 must be praised for helping to
define the significant problem of inadequate pain management in the
elderly and advocating improved care. However, the authors'
expectations of pain management are grossly unrealistic and possibly
counterproductive, implying that physicians can eliminate any and all
pain, and the failure to "prevent . . . pain effectively at
virtually all times" is a "first-line indicator of poor quality of
Kempen PM. Managing Pain in Elderly Patients. JAMA. 1999;281(7):605–606. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-7-jbk0217
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