The term urine drug "screening" is a misnomer a. All UDTs are not equal b. There is no "standard" UDT which is suitable for all purposes and settings c. Indicate whether any substance(s) is(are) suspected or expected d. For certainty communicate with the testing laboratory e. In case of positive screen, this has to be validated by GC/MS = gas chromatog-raphy/mass spectrometry.
In conclusion, all health care practitioners could improve the detection of addiction disorders:
1. Good pain care requires attention to the assessment of emerging addiction
2. There are reasons for aberrant drug-related behaviors other than addiction
3. Documentation of initial and ongoing findings accompanying continued patient assessment and decision-making process is critical.
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