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Tim 07:37 I was going to say the terminology really came from the legal literature that we kind of adopted, I think in that 2017 statement. But I remember very clearly, not too long after the 2017 statement was published, our office administrative assistant said, hey Tim, you got a phone call from someone I didn’t recognized.
By 2007, the Washington State Agency MedicalDirectors Group (AMDG), which included several eventual PROP members (23), published an “Interagency Guideline on Opioid Dosing for Chronic Non-Cancer Pain (26) that introduced the concept of hard dosing thresholds for opioid analgesics, which was later incorporated into the 2016 Guideline (2, 3).
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