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C. Stratton Hill, Jr, MD
University of Texas—M. D. Anderson Cancer Center Houston

JAMA. 1996;275(17):1311.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—These letters focus on many unresolved pain treatment issues that are barriers to establishing a universally acceptable standard of practice for pain treatment. One group of issues is related to education: failure to teach physicians proper opioid prescribing practices resulting in indiscriminantly prescribing them, usually for pain of nonmalignant origin; not teaching physicians that some pain responds poorly to opioids; failure to teach how to assess the patient's subjective report of pain; and not teaching a full range of nondrug modalities for pain. Another group of issues relates to opioid use in our society: how does one distinguish between the legitimate use for medical purposes and the abuse and diversion of legal drugs to illegal use, and if and when is a physician at risk for addicting a patient to these drugs? The final 2 issues deal with the importance of the physician-patient relationship, and the influence of . . . [Full Text PDF of this Article]

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