Gaither JR, et al. - Researchers investigated clinician responses to signs of illicit drug use in patients prescribed long-term opioid therapy (LTOT) for chronic pain, and if patient race sways the decision to discontinue opioids. Electronic medical records were reviewed to investigate if opioids were discontinued within 60 days of a positive urine drug test among 15,366 patients of black (48.1%) or white (51.9%) race who began LTOT between 2000–2010. Findings revealed that blacks were more frequently tested for drug use but were at less risk of overdose. Clinicians more frequently discontinued LTOT among blacks following illicit drug use. This highlights the urgent necessity for a more universal approach to administering and responding to urine drug testing.