DIAGNOSTIC STUDY ORT-SOAPP
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Diagnostic and predictive capacity of the Spanish Versions of the Opioid Risk Tool and the Screener and Opioid Assessment for Patients with Pain-Revised: A preliminary investigation in a sample of people with chronic pain
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The accurate assessment of the risk of opioid abuse and misuse in people with noncancer chronic pain is crucial for prevention. This study provides preliminary evidence of the diagnostic and predictive capacity of the Spanish version of the Opioid Risk Tool (ORT) and the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). We used the Current Opioid Misuse Measure and the Drug Abuse Screening Test-10 as criteria. In total, 147 people with chronic pain participated in the diagnostic study and 42 in the predictive study. The Receiver Operating Curve analysis showed that the SOAPP-R had excellent capacity to identify participants who were misusing opioids at the time of assessment; its predictive capacity was close to acceptable regarding misuse and poor regarding abuse. The discriminant capacity of the ORT was close to acceptable, whereas its predictive capacity was poor. These results suggest that in the setting of Spanish-speaking communities, clinicians should be cautious when using these instruments to make decisions on opioid administration.