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Opioid Overdose-Related Deaths

Opioid Overdose-Related Deaths To the Editor: In the report on opioid overdose-related deaths, Dr Bohnert and colleagues1 stated in the methods that “The opioid analgesic medications dispensed by VHA pharmacies during FY2004 through FY2008 were codeine, morphine, oxycodone, hydrocodone, oxymorphone, and hydromorphone,” suggesting that all these opioids were studied. However, the authors also stated that “Semisynthetic opioids were not included because they correspond with ICD-10 T-code 40.4.” Data in tables were expressed in morphine equivalencies only. Oxycodone, hydrocodone, oxymorphone, and hydromorphone are semisynthetic opioids.2 Were these semisynthetic opioids included or excluded from the study? Back to top Article Information Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. References 1. Bohnert AS, Valenstein M, Bair MJ, et al. Association between opioid prescribing patterns and opioid overdose-related deaths. JAMA. 2011;305(13):1315-132121467284PubMedGoogle ScholarCrossref 2. Nelson LS, Olsen D. Opioids. In: Nelson LS, Lewin NA, Howland MA, Hoffman RS, Goldfrank LR, Flomenbaum NE, eds. Goldfrank's Toxicologic Emergencies. 9th ed. New York, NY: McGraw Hill; 2011:568 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Opioid Overdose-Related Deaths

JAMA , Volume 306 (4) – Jul 27, 2011

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Publisher
American Medical Association
Copyright
Copyright © 2011 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2011.1037
Publisher site
See Article on Publisher Site

Abstract

To the Editor: In the report on opioid overdose-related deaths, Dr Bohnert and colleagues1 stated in the methods that “The opioid analgesic medications dispensed by VHA pharmacies during FY2004 through FY2008 were codeine, morphine, oxycodone, hydrocodone, oxymorphone, and hydromorphone,” suggesting that all these opioids were studied. However, the authors also stated that “Semisynthetic opioids were not included because they correspond with ICD-10 T-code 40.4.” Data in tables were expressed in morphine equivalencies only. Oxycodone, hydrocodone, oxymorphone, and hydromorphone are semisynthetic opioids.2 Were these semisynthetic opioids included or excluded from the study? Back to top Article Information Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. References 1. Bohnert AS, Valenstein M, Bair MJ, et al. Association between opioid prescribing patterns and opioid overdose-related deaths. JAMA. 2011;305(13):1315-132121467284PubMedGoogle ScholarCrossref 2. Nelson LS, Olsen D. Opioids. In: Nelson LS, Lewin NA, Howland MA, Hoffman RS, Goldfrank LR, Flomenbaum NE, eds. Goldfrank's Toxicologic Emergencies. 9th ed. New York, NY: McGraw Hill; 2011:568

Journal

JAMAAmerican Medical Association

Published: Jul 27, 2011

References