Matthew D Finkelman1, Robert N Jamison2, Ronald J Kulich3, Stephen F Butler4, William C Jackson5, Niels Smits6, Scott G Weiner7. 1. Department of Public Health and Community Service, Tufts University School of Dental Medicine, 1 Kneeland St., Boston, MA 02111, USA. Electronic address: matthew.finkelman@tufts.edu. 2. Departments of Anesthesiology and Psychiatry, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA 02115, USA. Electronic address: rjamison@bwh.harvard.edu. 3. Craniofacial Pain and Headache Center, Tufts University School of Dental Medicine, 1 Kneeland St., Boston, MA 02111, USA; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 15 Parkman St., Boston, MA 02114, USA. Electronic address: rkulich@mgh.harvard.edu. 4. Inflexxion, Inc., 890 Winter St., Ste. 235, Waltham, MA 02451, USA. Electronic address: sfbutler@inflexxion.com. 5. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit St. #148, Boston, MA 02114, USA. Electronic address: wcjackson@mgh.harvard.edu. 6. Department of Methods and Statistics, Research Institute of Child Development and Education, University of Amsterdam, Faculty of Social and Behavioural Sciences, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherland. Electronic address: n.smits@uva.nl. 7. Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, NH-226, Boston, MA 02115, USA. Electronic address: sweiner@bwh.harvard.edu.
Abstract
BACKGROUND: The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item assessment designed to assist in the prediction of aberrant drug-related behavior (ADB) among patients with chronic pain. Recent work has created shorter versions of the SOAPP-R, including a static 12-item short form and two computer-based methods (curtailment and stochastic curtailment) that monitor assessments in progress. The purpose of this study was to cross-validate these shorter versions in two new populations. METHODS: This retrospective study used data from patients recruited from a hospital-based pain center (n=84) and pain patients followed and treated at primary care centers (n=110). Subjects had been administered the SOAPP-R and assessed for ADB. In real-data simulation, the sensitivity, specificity, and area under the curve (AUC) of each form were calculated, as was the mean test length using curtailment and stochastic curtailment. RESULTS: Curtailment reduced the number of items administered by 30% to 34% while maintaining sensitivity and specificity identical to those of the full-length SOAPP-R. Stochastic curtailment reduced the number of items administered by 45% to 63% while maintaining sensitivity and specificity within 0.03 of those of the full-length SOAPP-R. The AUC of the 12-item form was equal to that of the 24-item form in both populations. CONCLUSIONS: Curtailment, stochastic curtailment, and the 12-item short form have potential to enhance the efficiency of the SOAPP-R.
BACKGROUND: The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) is a 24-item assessment designed to assist in the prediction of aberrant drug-related behavior (ADB) among patients with chronic pain. Recent work has created shorter versions of the SOAPP-R, including a static 12-item short form and two computer-based methods (curtailment and stochastic curtailment) that monitor assessments in progress. The purpose of this study was to cross-validate these shorter versions in two new populations. METHODS: This retrospective study used data from patients recruited from a hospital-based pain center (n=84) and painpatients followed and treated at primary care centers (n=110). Subjects had been administered the SOAPP-R and assessed for ADB. In real-data simulation, the sensitivity, specificity, and area under the curve (AUC) of each form were calculated, as was the mean test length using curtailment and stochastic curtailment. RESULTS: Curtailment reduced the number of items administered by 30% to 34% while maintaining sensitivity and specificity identical to those of the full-length SOAPP-R. Stochastic curtailment reduced the number of items administered by 45% to 63% while maintaining sensitivity and specificity within 0.03 of those of the full-length SOAPP-R. The AUC of the 12-item form was equal to that of the 24-item form in both populations. CONCLUSIONS: Curtailment, stochastic curtailment, and the 12-item short form have potential to enhance the efficiency of the SOAPP-R.
Authors: Flora M Hammond; Jessica Ketchum; Kristen Dams-O'Connor; John D Corrigan; Cate Miller; Juliet Haarbauer-Krupa; Mark Faul; Lance E Trexler; Cynthia Harrison-Felix Journal: J Neurotrauma Date: 2020-07-08 Impact factor: 5.269
Authors: Luther Elliott; Dev Crasta; Maria Khan; Alexis Roth; Traci Green; Andrew Kolodny; Alex S Bennett Journal: Drug Alcohol Depend Date: 2021-04-20 Impact factor: 4.852