American-style Secret "skulduggery" Fatal Flaws of "narxcare®" -- What Mark Twain Would Say About Predictive Medicine
Year: 2025
Type: article
Abstract: Background: In this paper, the authors set forth in prose readable by clinical non-professionals, several fundamental reasons for deep caution in applying NarxCare ® or any other algorithm based on artificial intelligence to the practice of pain medicine. Objectives: To assess the dangers and fallacies in use of the NarxCare instrument as a pre-filter for patient access to safe and effective pain care employing prescription opioid analgesics. Methods: Critical review of the clinical literature on pain and addiction. Findings: AI-based algorithms like NarxCare simply do not apply to individuals and are incapable of incorporating individual nuances. No competent clinician would ever plan a course of pain management without extensive patient workup and individualized treatment. NarxCare as presently applied actively suppresses individualized care by potentially criminalizing clinician decisions.
Author: Neil Anand MD1, Mark Ibsen MD2, Richard A. Lawhern PhD3*
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7084760829
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