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Medical Pearls from the Internet Medical Association


Opioid naive patients prescribed an opioid for acute pain are at increased risk of additional opioid use at one year later.

Comment: This article contains extreme biases, because it does not control for the etiology of the acute pain. The acute pain may be due to a more severe injury that is likely to be chronic. Another conclusion could be that people suffering an injury causing pain severe enough to require opioids for pain control, are more likely to have chronic pain one year later.



Ann Emerg Med. 2014 Dec 17    (retrieved Dec, 2014). There are currently 887 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2019 by the Internet Medical Association. Click Here to view more medical pearls.