Validation Study of a Predictive Algorithm to Evaluate Opioid Use Disorder in a Primary Care Setting:

Health Services Research & Managerial Epidemiology

ManeeshSharma¹ 

关键词: opioid use disorder;    addiction;    personalized medicine;    pharmacogenetics;    genetic testing;    predictive algorithm;    primary care;    precision medicine;   

DOI  :  10.1177/2333392817717411

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Opioid abuse in chronic pain patients is a major public health issue. Primary care providers are frequently the first to prescribe opioids to patients suffering from pain, yet do not always have the time or resources to adequately evaluate the risk of opioid use disorder (OUD).Purpose:This study seeks to determine the predictability of aberrant behavior to opioids using a comprehensive scoring algorithm (“profile”) incorporating phenotypic and, more uniquely, genotypic risk factors.Methods and Results:In a validation study with 452 participants diagnosed with OUD and 1237 controls, the algorithm successfully categorized patients at high and moderate risk of OUD with 91.8% sensitivity. Regardless of changes in the prevalence of OUD, sensitivity of the algorithm remained >90%.Conclusion:The algorithm correctly stratifies primary care patients into low-, moderate-, and high-risk categories to appropriately identify patients in need for additional guidance, monitoring, or treatment changes.

【 授权许可】

CC BY