0
Editor's Correspondence |

Clinician Identification of Appropriate Long-term Opioid Therapy Candidacy—Reply

Mark Sullivan, MD, PhD; Jane Ballantyne, MD
Arch Intern Med. 2012;172(14):1110-1114. doi:10.1001/archinternmed.2012.2565.
Text Size: A A A
Published online

Extract

In reply

In his letter, Dr Geller argues that employment protects against the risk of long-term opioid therapy and that the use of this therapy should be restricted to those patients who are “objectively working full time.”

We know of no studies that have examined the effects of long-term opioid treatment in employed samples. It is true that employed individuals have maintained a minimum of function despite chronic pain. They may have more flexible or less physically demanding employment, or they may have more rewarding jobs. Any rewards associated with continued function will tend to counteract any functional impairment associated with long-term opioid therapy. One recent study suggested that age and unemployment predicted opioid misuse in a small, mixed sample.1

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

July 23, 2012
Aaron S. Geller, MD
Arch Intern Med. 2012;172(14):1110-1114. doi:10.1001/archinternmed.2012.2082.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();