Newly Published
Correspondence  |   June 2020
Methadone and Chronic Pain: Comment
Author Notes
  • Wake Forest University Medical School, Winston-Salem, North Carolina. mromanof@wakehealth.edu
  • Accepted for publication May 27, 2020.
    Accepted for publication May 27, 2020.×
Article Information
Correspondence
Correspondence   |   June 2020
Methadone and Chronic Pain: Comment
Anesthesiology Newly Published on June 17, 2020. doi:https://doi.org/10.1097/ALN.0000000000003432
Anesthesiology Newly Published on June 17, 2020. doi:https://doi.org/10.1097/ALN.0000000000003432
I read with interest the article by Murphy et al.1  Their study was thought provoking in the context of reducing postoperative medication requirements in the midst of our nation’s opioid crisis. I was most interested in the results of the complex back surgery patients and their postoperative pain medication use.
Preoperative opioid use is not documented in their study. Previous studies have shown that preoperative use of opioids is one of the most important risk factors in long-term opioid use postoperatively.2  Without knowing which patients were taking preoperative opioids, it is difficult to interpret their postoperative analgesic requirements and frequency of use results.