Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

What Are We Treating With Long-term Opioid Therapy?

What Are We Treating With Long-term Opioid Therapy? COMMENTARY What Are We Treating With Long-term Opioid Therapy? T PRESENT, WE SEE that once LtOT is established (90 gether, these suggest that LtOT is of- widespread use of days), it is often prolonged and may ten used to treat the sequelae of both long-term opioid be a self-perpetuating or lifelong physical and psychological trauma. therapy (LtOT) for therapy. High daily doses and opi- This conclusion is consistent with A chronic noncancer oid misuse predict LtOT continua- current theories about the multiple pain based on the moral argument tion, which suggests that this self- purposes of the endogenous opioid that this type of pain causes as much selected group is a high-risk group. system: to provide stress-related pain suffering and deserves treatment as Analysis of claims data concern- relief (from injury-related “physical much as cancer pain, as well as on ing the use of opioids in clinical prac- pain”) and to facilitate maternal- the “scientific” argument that en- tice reveals that patients with men- infant and other attachments (the dis- during analgesia can be achieved at tal health and substance abuse ruption of which is one of the pri- stable doses with minimal risk of ad- comorbidities are more http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

What Are We Treating With Long-term Opioid Therapy?

JAMA Internal Medicine , Volume 172 (5) – Mar 12, 2012

Loading next page...
 
/lp/american-medical-association/what-are-we-treating-with-long-term-opioid-therapy-YRP0z5XJvS
Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2011.2156
pmid
22412109
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY What Are We Treating With Long-term Opioid Therapy? T PRESENT, WE SEE that once LtOT is established (90 gether, these suggest that LtOT is of- widespread use of days), it is often prolonged and may ten used to treat the sequelae of both long-term opioid be a self-perpetuating or lifelong physical and psychological trauma. therapy (LtOT) for therapy. High daily doses and opi- This conclusion is consistent with A chronic noncancer oid misuse predict LtOT continua- current theories about the multiple pain based on the moral argument tion, which suggests that this self- purposes of the endogenous opioid that this type of pain causes as much selected group is a high-risk group. system: to provide stress-related pain suffering and deserves treatment as Analysis of claims data concern- relief (from injury-related “physical much as cancer pain, as well as on ing the use of opioids in clinical prac- pain”) and to facilitate maternal- the “scientific” argument that en- tice reveals that patients with men- infant and other attachments (the dis- during analgesia can be achieved at tal health and substance abuse ruption of which is one of the pri- stable doses with minimal risk of ad- comorbidities are more

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Mar 12, 2012

References