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.
Smith
Robert C
RC
Department of Medicine, Michigan State University, East Lansing, Michigan, USA. Robert.smith@ht.msu.edu
Frank
Cathy
C
Gardiner
Joseph C
JC
Lamerato
Lois
L
Rost
Kathryn M
KM
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