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Authors
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Professor of Psychiatry and Behavioral Sciences at University of WashingtonMark Sullivan, MD, PhD
Professor of Psychiatry and Behavioral Sciences at University of WashingtonProfessor of Psychiatry and Behavioral Sciences at University of Washington
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Pain specialist at University of Washington, SeattleJane Ballantyne, MD, FRCA
Pain specialist at University of Washington, SeattlePain specialist at University of Washington, Seattle
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Experts
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Professor of Medicine, Departments of Medicine and Medical Informatics & Clinical Epidemiology at Oregon Health & Science UniversityRoger Chou, MD
Professor of Medicine, Departments of Medicine and Medical Informatics & Clinical Epidemiology at Oregon Health & Science UniversityProfessor of Medicine, Departments of Medicine and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University
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Assistant Commissioner for the Bureau of Alcohol and Drug Use Prevention at New York City Department of Health and Mental HygieneHillary Kunins, MD, MPH, MS
Assistant Commissioner for the Bureau of Alcohol and Drug Use Prevention at New York City Department of Health and Mental HygieneAssistant Commissioner for the Bureau of Alcohol and Drug Use Prevention at New York City Department of Health and Mental Hygiene
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Co-Chair, Pain Curriculum Committee, Yale SOMWilliam Becker, MD
Co-Chair, Pain Curriculum Committee, Yale SOMCo-Chair, Pain Curriculum Committee, Yale SOM
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Senior Investigator, Institute for Health Research at Kaiser PermanenteIngrid Binswanger, MD, MPH, MS
Senior Investigator, Institute for Health Research at Kaiser PermanenteSenior Investigator, Institute for Health Research at Kaiser Permanente
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Director of Substance Use Research, San Francisco Department of Public HealthPhillip Coffin, MD, MIA
Director of Substance Use Research, San Francisco Department of Public HealthDirector of Substance Use Research, San Francisco Department of Public Health
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Co-Chair, VA Primary Care Pain Champions Initiative, Director of Virtual Pain Care, Richmond VAIlene Robeck, MD
Co-Chair, VA Primary Care Pain Champions Initiative, Director of Virtual Pain Care, Richmond VACo-Chair, VA Primary Care Pain Champions Initiative, Director of Virtual Pain Care, Richmond VA
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Assistant Professor, Department of Psychiatry at University of Michigan Health SystemAmy Bohnert, PhD, MHS
Assistant Professor, Department of Psychiatry at University of Michigan Health SystemAssistant Professor, Department of Psychiatry at University of Michigan Health System
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Senior Investigator at Group Health Research InstituteMichael Von Korff, ScD
Senior Investigator at Group Health Research InstituteSenior Investigator at Group Health Research Institute
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Director of the Prevention Department at CPCMori Krantz, MD, FACC
Director of the Prevention Department at CPCDirector of the Prevention Department at CPC
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Director & Founder, Comprehensive Pain Program, Toronto Western HospitalAngela Mailis, MD, MSc, FRCPC
Director & Founder, Comprehensive Pain Program, Toronto Western HospitalDirector & Founder, Comprehensive Pain Program, Toronto Western Hospital
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Geriatrics and Palliative Care at UCLABruce Ferrell, MD
Geriatrics and Palliative Care at UCLAGeriatrics and Palliative Care at UCLA
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Primary Care Clinician-Investigator at Boston Medical Center and Boston University School of MedicineMarc LaRochelle, MD, MPH
Primary Care Clinician-Investigator at Boston Medical Center and Boston University School of MedicinePrimary Care Clinician-Investigator at Boston Medical Center and Boston University School of Medicine
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Associate Professor at Ambroise Pare HospitalNadine Attal, MD, PhD
Associate Professor at Ambroise Pare HospitalAssociate Professor at Ambroise Pare Hospital
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Lead Moderators
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Resident Physician at Baystate Medical CenterWill Jaffee, DO
Resident Physician at Baystate Medical CenterResident Physician at Baystate Medical Center
About the Discussion
@NEJM Ask the Authors & Experts: Intensity of Chronic Pain — The Wrong Metric?
Perspective
Intensity of Chronic Pain — The Wrong Metric?
Pain causes widespread suffering, disability, social displacement, and expense. Whether the issue is viewed from a moral, political, or public health perspective, pain that can be relieved should be relieved. Yet the most rapidly effective drugs for relieving pain — opioids — are caught up in a morass of concerns about addiction. Achieving a balance between the benefits and potential harms of opioids has become a matter of national importance.
The United States recently established a national plan to address pain, as Canada, Australia, Portugal, and Malaysia have previously done. This National Pain Strategy grew out of recognition by the Institute of Medicine (now the National Academy of Medicine) of the enormous burden of chronic pain in the United States. For three decades, there has been hope that more liberal use of opioids would help reduce the number of Americans with unrelieved chronic pain. Instead, it produced what has been termed an epidemic of prescription-opioid abuse, overdoses, and deaths — and no demonstrable reduction in the burden of chronic pain.
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Authors
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Professor of Psychiatry and Behavioral Sciences at University of WashingtonMark Sullivan, MD, PhD
Professor of Psychiatry and Behavioral Sciences at University of Washington
Professor of Psychiatry and Behavioral Sciences at University of Washington
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Pain specialist at University of Washington, SeattleJane Ballantyne, MD, FRCA
Pain specialist at University of Washington, Seattle
Pain specialist at University of Washington, Seattle
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Experts
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Professor of Medicine, Departments of Medicine and Medical Informatics & Clinical Epidemiology at Oregon Health & Science UniversityRoger Chou, MD
Professor of Medicine, Departments of Medicine and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University
Professor of Medicine, Departments of Medicine and Medical Informatics & Clinical Epidemiology at Oregon Health & Science University
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Assistant Commissioner for the Bureau of Alcohol and Drug Use Prevention at New York City Department of Health and Mental HygieneHillary Kunins, MD, MPH, MS
Assistant Commissioner for the Bureau of Alcohol and Drug Use Prevention at New York City Department of Health and Mental Hygiene
Assistant Commissioner for the Bureau of Alcohol and Drug Use Prevention at New York City Department of Health and Mental Hygiene
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Co-Chair, Pain Curriculum Committee, Yale SOMWilliam Becker, MD
Co-Chair, Pain Curriculum Committee, Yale SOM
Co-Chair, Pain Curriculum Committee, Yale SOM
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Senior Investigator, Institute for Health Research at Kaiser PermanenteIngrid Binswanger, MD, MPH, MS
Senior Investigator, Institute for Health Research at Kaiser Permanente
Senior Investigator, Institute for Health Research at Kaiser Permanente
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Director of Substance Use Research, San Francisco Department of Public HealthPhillip Coffin, MD, MIA
Director of Substance Use Research, San Francisco Department of Public Health
Director of Substance Use Research, San Francisco Department of Public Health
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Co-Chair, VA Primary Care Pain Champions Initiative, Director of Virtual Pain Care, Richmond VAIlene Robeck, MD
Co-Chair, VA Primary Care Pain Champions Initiative, Director of Virtual Pain Care, Richmond VA
Co-Chair, VA Primary Care Pain Champions Initiative, Director of Virtual Pain Care, Richmond VA
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Assistant Professor, Department of Psychiatry at University of Michigan Health SystemAmy Bohnert, PhD, MHS
Assistant Professor, Department of Psychiatry at University of Michigan Health System
Assistant Professor, Department of Psychiatry at University of Michigan Health System
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Senior Investigator at Group Health Research InstituteMichael Von Korff, ScD
Senior Investigator at Group Health Research Institute
Senior Investigator at Group Health Research Institute
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Director of the Prevention Department at CPCMori Krantz, MD, FACC
Director of the Prevention Department at CPC
Director of the Prevention Department at CPC
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Director & Founder, Comprehensive Pain Program, Toronto Western HospitalAngela Mailis, MD, MSc, FRCPC
Director & Founder, Comprehensive Pain Program, Toronto Western Hospital
Director & Founder, Comprehensive Pain Program, Toronto Western Hospital
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Geriatrics and Palliative Care at UCLABruce Ferrell, MD
Geriatrics and Palliative Care at UCLA
Geriatrics and Palliative Care at UCLA
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Primary Care Clinician-Investigator at Boston Medical Center and Boston University School of MedicineMarc LaRochelle, MD, MPH
Primary Care Clinician-Investigator at Boston Medical Center and Boston University School of Medicine
Primary Care Clinician-Investigator at Boston Medical Center and Boston University School of Medicine
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Associate Professor at Ambroise Pare HospitalNadine Attal, MD, PhD
Associate Professor at Ambroise Pare Hospital
Associate Professor at Ambroise Pare Hospital
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Lead Moderators
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Resident Physician at Baystate Medical CenterWill Jaffee, DO
Resident Physician at Baystate Medical Center
Resident Physician at Baystate Medical Center
