Ethical issues in opioid prescribing for chronic pain

The evidence supporting the capability of a treatment to achieve patient chosen outcomes be-comes an important basis for the process of shared decisionmaking, and how valid and reliable are the measures of patient satisfaction?

Abstract

aPenn Pain Medicine Center, Department of Anesthesiology and Critical Care, Tuttleman Building, 1840 South Street, Philadelphia, PA 19146, USA bDepartment of Anesthesiology and Critical Care, University of Pennsylvania Health System, 3400 Spruce Street, 6 Dulles Building, Philadelphia, PA 19104, USA *Corresponding author. Tel.: +1 215 893 7240 (O); fax: +1 215 893 7265. E-mail addresses:[email protected], [email protected] 1Tel.: +1 215 662 3738 (O); fax: +1 215 349 5341. E-mail address:[email protected] Submitted September 29, 2009; revised October 21, 2009; accepted October 23, 2009.