Clinical inquiries: is there a well-tested tool to detect drug-seeking behaviors in chronic pain patients?
No there is no well-tested, easily administered screening tool to detect drug-seeking behaviors in primary care patients taking long-term opioids or being considered for such therapy (strength of recommendation [SOR]: studies of intermediate outcomes). Several tools have undergone preliminary testing in pain centers and are being tested in different settings with larger numbers of patients. For primary care providers, a useful screening tool for predicting drug-seeking behaviors is the Screener and Opioid Assessment for Patients with Pain (SOAPP-R; SOR: studies of intermediate outcomes). Drug-seeking behavior in patients on long-term opioid therapy can be monitored with the Current Opioid Misuse Measure (COMM; SOR: studies of intermediate outcomes).
Gianutsos
L Paul
LP
Swedish Family Medicine Residency at Cherry Hill, Seattle, WA, USA.
Safranek
Sarah
S
Huber
Tim
T
D000701:Analgesics, Opioid / Q000627:therapeutic use*; D001519:Behavior; D002908:Chronic Disease; D006801:Humans; D010146:Pain / Q000188:drug therapy* / Q000523:psychology*; D012680:Sensitivity and Specificity; D015813:Substance Abuse Detection; D011795:Surveys and Questionnaires
D000701:Analgesics, Opioid