Identifying prescription XXXX in primary care: diagnostic characteristics of the Current Opioid Misuse Measure (COMM).

@entity1 @entity4784 @entity74 @entity158 @entity1118 @entity734
The Current Opioid Misuse Measure (COMM), a self-report assessment of past-month aberrant medication-related behaviors, has been validated in specialty @entity158 management @entity1 . The performance characteristics of the COMM were evaluated in primary care (PC) @entity1 with @entity1118 . It was hypothesized that the COMM could identify @entity1 with @entity734 ( @entity734 ). English-speaking adults awaiting PC visits at an urban, safety-net hospital, who had @entity1118 and had received any opioid analgesic prescription in the past year, were administered the COMM. The Composite International Diagnostic Interview served as the "gold standard," using DSM-IV criteria for @entity734 and other @entity734 ( @entity734 ). A receiver operating characteristic (ROC) curve demonstrated the COMM's diagnostic test characteristics. Of the 238 @entity1 , 27 (11%) met DSM-IV @entity734 criteria, whereas 17 (7%) had other @entity734 , and 194 (82%) had no disorder. The mean COMM score was higher in those with @entity734 than among all others (ie, those with other @entity74 , mean 20.4 [SD 10.8] vs 8.4 [SD 7.5], P<.0001). A COMM score of   13 had a sensitivity of 77% and a specificity of 77% for identifying @entity1 with @entity734 . The area under the ROC curve was 0.84. For @entity1118 @entity1 prescribed opioids, the development of @entity734 is an undesirable complication. Among PC @entity1 with @entity1118 -prescribed prescription opioids, the COMM is a promising tool for identifying those with @entity734 . Among primary care @entity1 with @entity1118 -prescribed opioids, the validated Current Opioid Misuse Measure (COMM) is a promising tool for identifying @entity1 with prescription @entity4784 .
