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In Reply: We want to acknowledge Drs Lin and Mathew's valuable contribution to the literature with respect to managing cancer pain symptoms in incarcerated populations¹ and regret not citing it in our article. We endorse their suggestion of collaboration as a primary vehicle to improve pain management in this setting.

A PubMed search for similar articles yields 260 additional references; many of these are old, and none except Lin and Mathew's survey deal explicitly with inmate pain using a formal research design. This confirms the scarcity of research in this area. There is a need to build on their work researching inmate cancer pain and to study other disease types and pain experienced in the general prison population.

With respect to the issue of whether the availability of curative and life-prolonging therapies is limited for inmates, we acknowledge a need for research to identify the various factors that might account . . . [Full Text of this Article]

John Linder, MSW, LCSW; Frederick J. Meyers, MD
fred.meyers@ucdmc.ucdavis.edu
Department of Internal Medicine
University of California, Davis
Sacramento

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Prison Inmates and Palliative Care
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Palliative Care for Prison Inmates: "Don't Let Me Die in Prison"
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