Opioid misuse in Canada and critical appraisal of aberrant behavior screening tools
Opioid misuse in Canada and critical appraisal of aberrant behavior screening tools作者机构：Faculty of Pharmacy University of ManitobaManitoba R3E 0T5Canada
出 版 物：《World Journal of Anesthesiology》 (世界麻醉学杂志)
年 卷 期：2014年第3卷第1期
页 面：61-70页
学科分类：10[医学]
主 题：Opioid analgesics Opioid-related disorders Prescription drug misuse Risk assessment Drug-seeking behavior Canada
摘 要：The incidence of prescription opioid misuse in Canada is increasing. Initiatives for safe prescribing practices for opioid medications include risk assessment for current and future opioid misuse. A clinical screening tool that can be universally applied to all patient populations is currently not available. Our objective was to provide a brief narrative review on opioid misuse from a Canadian perspective as well as a critical appraisal of the available clinical screening tools for detecting aberrant behaviors associated with opioid misuse. The Drug Abuse Screening Test, Addiction Behaviors Checklist, Diagnosis, Intractability, Risk and Efficacy Inventory, Pain Assessment and Documentation Tool, Prescription Drug Use Questionnaire, Prescription Opioid therapy Questionnaire, Screener and Opioid Assessment for Patients with Pain(SOAPP), Revised SOAPP, Pain Medication Questionnaire, Opioid Risk Tool and Current Opioid Misuse Measure were included in the following review. Overall, a wide variability in quality, sensitivity and specificity was observed between screening tools. There is an overall lack of applicability to diverse patient populations as the majority of screening tools have been validated in pain clinic populations only. To conclude, there is a great need for a validated and convenient aberrant behaviors risk assessment tool that can be applied to a diverse patient population in a clinical setting.
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