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Should opioids be used for chronic non-cancer pain?

Michael J Cousins
Med J Aust 2012; 196 (5): . || doi: 10.5694/mja12.10180
Published online: 19 March 2012

To the Editor: Kapur and colleagues correctly assert that the Declaration of Montréal states that “access to pain management is a fundamental human right”.1 The Declaration was proposed by International Association for the Study of Pain (IASP) delegates to the International Pain Summit and was approved by the IASP Council.


  • Pain Management Research Institute, University of Sydney and Royal North Shore Hospital, Sydney, NSW.



Competing interests:

No relevant disclosures.

  • 1. Kapur D, Cornish PB, Snellgrove CA, Cherry DA. Should opioids be used for chronic non-cancer pain [letter]? Med J Aust 2011; 195: 513-514. <MJA full text>
  • 2. Cousins MJ, Lynch ME. The Declaration Montreal: access to pain management is a fundamental human right. Pain 2011; 152: 2673-2674.
  • 3. World Medical Association. World Medical Association urges end to unneccessary [sic] pain for millions [media release]. 16 Oct 2011. http://www.wma.net/en/40news/20archives/2011/2011_25/ (accessed Feb 2012).
  • 4. Awerbuch MS. Should opioids be used for chronic non-cancer pain [letter]? Med J Aust 2011; 195: 264-265. <MJA full text>
  • 5. Siddall PJ, Cousins MJ. Persistent pain as a disease entity: implications for clinical management. Anesth Analg 2004; 99: 510-520.
  • 6. National Pain Summit Initiative. National Pain Strategy: pain management for all Australians. Sydney: Pain Australia, 2011. http://www.painaustralia.org.au/images/painaustralia/National_Pain_Strategy_2011.pdf (accessed Feb 2012).

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