Thousand Red Banners

Fishman, Mark S.

doi:10.2307/25303970

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Random Drug Testing1

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2009

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“…The majority of opioid contracts contain a requirement that patients submit to random drug tests. 27 The purpose of toxicology screens is to detect the prescribed opioid (verify compliance) and to identify any other substance which should not be present, including both licit and illicit drugs. 28 Blood and urine are both screened but urine drug tests are most commonly used for people with chronic pain, 29 more specifically urine immunoassay.…”

Section: Random Drug Testingmentioning

confidence: 99%

Opioid Contracts and Random Drug Testing for People with Chronic Pain — Think Twice

Collen¹

2009

J. Law. Med. Ethics

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The use of opioid contracts, which often require patients to submit to random drug screens, have become widespread amongst physicians using opioids to treat chronic pain. The main purpose of the contract is to improve care through better adherence to opioid therapy but there is little evidence as to its efficacy. The author suggests the use of opioid contracts and random drug testing destroys patients' trust which impacts health outcomes, and that physicians' motivation for their use are concerns about prosecution, medication abuse and misuse, and addiction. Statistics are provided to counter fears, and evidence is offered suggesting opioid contracts are unenforceable and lack efficacy; random drug testing is often inconclusive, and a patient's trust improves adherence to treatment.

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Section: Random Drug Testingmentioning

confidence: 99%

Opioid Contracts and Random Drug Testing for People with Chronic Pain — Think Twice

Collen¹

2009

J. Law. Med. Ethics

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show abstract

Thousand Red Banners

Cited by 1 publication

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Opioid Contracts and Random Drug Testing for People with Chronic Pain — Think Twice

Opioid Contracts and Random Drug Testing for People with Chronic Pain — Think Twice

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