In Reply We thank Chua et al for their thoughtful comments on our article.1 We concur with much of their Letter and begin with 3 points of agreement.
First, we wholeheartedly agree that decisions to prescribe opioids should be made cautiously, balancing possible benefits with harms, and only in the minimum required quantity. Certainly, risk of diversion to others, although not the focus of our study, is relevant to that balance.