Pilot study of a preliminary criterion standard for prescription opioid misuse.
Multidisciplinary experts created a behaviorally defined preliminary criterion standard definition of probable prescription opioid misuse (PPOM) that could be rated from material found in administrative, pharmacy, and electronic health record databases. They then derived a scoring system to identify PPOM patients requiring referral to a specialist. Experts next rated cases of misuse and nonmisuse. Rater no. 1 correctly differentiated 37 of 40 cases (92.5%); kappa coefficient was .79 (CI: .57, 1.00). Rater no. 2 correctly identified 39 of 40 cases (97.5%); kappa was .94 (CI: .81, 1.00). Kappa for comparing raters was .73 (CI: .49, .98). This preliminary study demonstrates that multidisciplinary raters can use behaviorally based criteria to identify patients with known PPOM from health plan databases.
Department of Medicine, Michigan State University, East Lansing, Michigan, USA. Robert.smith@ht.msu.edu
Robert C
RC
Smith
Cathy
C
Frank
Joseph C
JC
Gardiner
Lois
L
Lamerato
Kathryn M
KM
Rost
D016208:Databases, Factual; D006801:Humans; D015588:Observer Variation; D009293:Opioid-Related Disorders / Q000175:diagnosis*; D010865:Pilot Projects; D055553:Prescription Drugs / Q000009:adverse effects* / Q000592:standards*
D055553:Prescription Drugs