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Clinical Trial
Medical malpractice allegations of iatrogenic addiction in chronic opioid analgesic therapy: forensic case reports.
- David A Fishbain, John E Lewis, and Jinrun Gao.
- Department of Psychiatry, Miami Veterans Administration Hospital, Miami, Florida, USA. d.fishbain@miami.edu
- Pain Med. 2010 Oct 1; 11 (10): 1537-45.
ObjectivesThe objectives for presenting these medico-legal forensic case reports are the following: 1) detail three cases where chronic opioid analgesic therapy (COAT) was alleged to cause iatrogenic addiction and/or re-addiction; 2) detail the plaintiff's and defendant's medical experts' opinions on these allegations; and 3) through analyzing these cases, develop some recommendations for future prevention of such allegations during COAT.MethodsCase Reports.ResultsMedico-legal issues surrounding the allegation of iatrogenic addiction were identified in each case.ConclusionsBefore starting COAT, physicians should obtain and document patient informed consent for the risk of addiction/re-addiction with COAT treatment. Patients with a history of addictions pre-COAT should be placed on adherence monitoring immediately on beginning COAT.Wiley Periodicals, Inc.
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