Additionally, in 2003, Jick told The New York Times that the study did not follow patients after they left the hospital. Methodological limitations from which the letter suffered included that the patients it reported on were all given opioids in small doses in a hospital. It became so well known that it is sometimes referred to simply as Porter and Jick. The article has been cited extensively as evidence that addiction was very rare among patients who were prescribed narcotics (more specifically, opioids). We conclude that despite widespread use of narcotic drugs in hospitals, the development of addiction is rare in medical patients with no history of addiction. The drugs implicated were meperidine in two patients, Percodan in one, and hydromorphone in one. The addiction was considered major in only one instance. Although there were 11,882 patients who received at least one narcotic preparation, there were only four cases of reasonably well documented addiction in patients who had no history of addiction. Recently, we examined our current files to determine the incidence of narcotic addiction in 39,946 hospitalized medical patients who were monitored consecutively. The authors concluded that of the 11,882 patients who received at least one narcotic drug, only four of them had developed a "reasonably well documented" addiction among patients who had no history of addiction. The letter reported on an examination of medical files of patients who had been hospitalized and treated with small doses of opioids. It has since been frequently misrepresented to claim that opioids are not addictive when prescribed for use at home, which has been blamed for contributing to the opioid epidemic in the United States. The letter analyzed data on patients who had been treated with opioids in a hospital setting, and concluded that addiction was uncommon among such patients. " Addiction Rare in Patients Treated with Narcotics" is the title of a letter to the editor written by Jane Porter and Hershel Jick and published in the January 10, 1980, issue of The New England Journal of Medicine. 1980 letter published in The New England Journal of Medicine
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