Cheatle et al reported a modified Opioid Risk Score of Webster and Webster for identifying a pain patient's risk of aberrant behavior with opioids. This is a simplification of the score which is easier to score. The authors are from the University of Pennsylvania, MJHS Institute of Innovation in Palliative Care, Albert Einstein College of Medicine and Consult-Stat.
Patient selection: patient at a pain clinic, presumably >= 16 years of age
Parameters:
(1) age in years
(2) family history (FH) of alcohol abuse
(3) family history (FH) of abusing illegal drugs
(4) family history (FH) of abusing prescription drugs
(5) personal history (PH) of alcohol abuse
(6) personal history (PH) of abusing illegal drugs
(7) personal history (PH) of abusing prescription drugs
(8) depression
(9) other psychological disorder (attention deficit disorder, obsessive compulsive disorder, bipolar disorder, schizophrenia)
|
Parameter
|
Finding
|
Points
|
|
age in years
|
16 to 45
|
1
|
|
|
> 45 years
|
0
|
|
FH alcohol abuse
|
no
|
0
|
|
|
yes
|
1
|
|
FH illegal drug abuse
|
no
|
0
|
|
|
yes
|
1
|
|
FH prescription drug abuse
|
no
|
0
|
|
|
yes
|
1
|
|
PH alcohol abuse
|
no
|
0
|
|
|
yes
|
1
|
|
PH illegal drug abuse
|
no
|
0
|
|
|
yes
|
1
|
|
PH prescription drug abuse
|
no
|
0
|
|
|
yes
|
1
|
|
depression
|
no
|
0
|
|
|
yes
|
1
|
|
other psychological disorder
|
no
|
0
|
|
|
yes
|
1
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the greater the risk of opioid risk disorder.
|
Score
|
Risk
|
|
0 to 2
|
low
|
|
3 to 9
|
high
|
Performance:
• The area under the ROC curve was 0.91.
