A Predictive Algorithm to Detect Opioid Use Disorder: What Is the Utility in a Primary Care Setting?

Health Services Research & Managerial Epidemiology

CheeLee¹ 

关键词: primary care;    precision medicine;    personalized medicine;    opioid;    pain management;    opioid use disorder;   

DOI  :  10.1177/2333392817747467

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Purpose:The purpose of this study was to determine the clinical utility of an algorithm-based decision tool designed to assess risk associated with opioid use in the primary care setting.Methods:A prospective, longitudinal study was conducted to assess the utility of precision medicine testing in 1822 patients across 18 family medicine/primary care clinics in the United States. Using the profile, patients were categorized into low, moderate, and high risk for opioid use. Physicians who ordered testing were asked to complete patient evaluations and document their actions, decisions, and perceptions regarding the utility of the precision medicine tests.Results:Approximately 47% of primary care physicians surveyed used the profile to guide clinical decision-making. These physicians rated the benefit of the profile on patient care an average of 3.6 on a 5-point scale (1 indicating no benefit and 5 indicating significant benefit). Eighty-eight percent of all clinicians surveyed felt the test exhibited some ben...

【 授权许可】

CC BY