Less than 5% of people whose opioid therapy is managed in a pain management setting test positive for illicit drugs, a new study found.
More than 95% of the overall study group tested negative for all four illicit drugs. In addition, 24% of those who had been prescribed opioids were negative for their prescribed medication.
The study was not designed to measure adherence, Passik said, and there are several reasons why a patient's urine sample may have been negative for their prescribed opioid.Andrew J. Saxon, MD, professor of psychiatry and behavioral sciences, University of Washington School of Medicine, Seattle, noted that although the findings are interesting, several questions remain.
"The paper is silent about how frequently urine testing was done," he said."Infrequent testing is likely to miss episodes of illicit substance use." "Many patients with chronic pain managed with opioids are seen in primary care settings, where clinicians are responsible for treating patients with a wide array of medical diagnoses, not just pain, and may not have the expertise in treating pain as would pain specialists," Saxon said.
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