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August 12, 1998

Preemptive Analgesia for Prostatectomy

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(6):517-518. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-6-jac057001

To the Editor.—The article by Dr Gottschalk and colleagues1 is misleading and not clinically relevant and represents neither optimal care nor standard of care in prostate cancer patients undergoing radical prostatectomy. Their hypothesis concerning the value of preemptive analgesia and the study design to test this question may be appropriate in many clinical settings but not for radical prostatectomy. The use of epidural analgesia is neither cost-effective nor necessary to provide excellent postoperative pain control after this procedure.