Screening Tools for Opioid Risk Assessment

Screening Tools for Opioid Risk Assessment
Name Purpose Description and Results Completed By
Prescription Drug Use Questionnaire (PDUQ) To identify any aberrant drug-related behaviours for patients treated with opioids

42 items (pain condition, opioid use, social, and family history and psychiatric issues)

15 indicates substance use disorder

 Physician
Current Opioid Misuse Measure (COMM) To identify any aberrant drug-related behaviours for patients using prescribed opioids

40 items

Cut off score ≥ 10

 Patient
Pain Medication Questionnaire (PMQ) To identify any aberrant drug-related behaviours for patients using prescribed opioids

26 items, 5-point Likert scale

High Risk = upper 1/3

Low risk = lower 1/3

 Patient
Addiction Behaviours Checklist (ABC) To identify any aberrant drug-related behaviours for patients using prescribed opioids

20 items

Cut off score ≥ 3 of 20

 Physician
Screener and Opioid Assessment for Patients with Pain (SOAPP) To predict the risk of any aberrant drug-related behaviours

24 items and a 5-and 14-item questionnaire, as well

Classifies into high or low risk

Cut off score of ≥ 8

 Patient
Revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R) To predict the risk of any aberrant drug-related behaviours 24 items Patient
Opioid Risk Tool (ORT) To predict risk of any aberrant drug-related behaviours

5 item tools;

0-3 = low risk

4-7 = moderate risk

≥ 8 = high risk

 Patient
Prescription Abuse Checklist To evaluate prescription opioid abuse or misuse

5 criteria (focus on drugs, early refills, lost or stolen drugs, multiple providers, etc.)

Opiate abuse ≥3

 Physician
Screening Tool for Addiction Risk (STAR) To identify chronic pain patients that are at risk of problems with opioid treatment 14 true-false questions Physician
Screening Tool for Abuse To identify any aberrant drug-related behaviours in patients treated with opioids

6 items;

High risk ≥ 4

Low risk < 4

 Physician
Pain Assessment and Documentation Tool (PADT) To identify any aberrant drug-related behaviours in patients treated with opioids

4 domains (analgesia, adverse effects, activities of daily living, and aberrant behaviours); Original = 59 items; Revised = 41 items

41 items

 Physician
Scoring System to Predict Outcome (D.I.R.E) To predict outcomes and compliance in patients receiving long-term opioid therapy

4 domains (diagnosis, intractability, risk, and efficacy); 7 items

≤ 13 = unsuitable candidate

≥ 14 = good candidate

(higher scores = greater success)

 Physician
Prescription Opioid Misuse Index (POMI) To identify any aberrant drug-related behaviours in patients treated with opioids

6 items

≥ 2 items = risk for misuse

 Physician
Prescribed Opioid Difficulties Scale (PODS) To identify common difficulties of opioid therapy by patients 15-item scale Patient

Sehgal, N., Manchikanti, L., & Smith, H. S. (2012). Prescription opioid abuse in chronic pain: a review of opioid abuse predictors and strategies to curb opioid abuse, Pain Physician, 15(3): ES67-ES92