Pain medicine

Accuracy of patient-reported opioid use to verified prescription fills before and after surgery

Reg Anesth Pain MedPublished Diagnostic accuracy study

Authors' conclusion

For perioperative opioid fills and use, the patient report appears to align with PDMP data.

Study context

Population
Adults undergoing surgery, 70 Michigan Surgical Quality Collaborative hospitals, 1 January 2018–31 October 2019
Participants
12,225 adults
Comparison
Patient-reported opioid use vs prescription drug monitoring program (PDMP)-verified prescription fills
Outcome
Patient-reported opioid fill vs PDMP-verified prescription fill
Follow-up
30 days after surgery
Methodological detailsmulticentre, 70 hospitals
  • Multicentre
  • 70 hospitals

Performance

As reported in the abstract

Postoperative opioid fill
Test or modelAccuracySensitivitySpecificity
Patient report83.2% (95% CI 82.5% to 83.9%)91.2% (95% CI 90.6% to 91.8%)43.1% (95% CI 40.9% to 45.3%)

Patient report

Accuracy83.2% (95% CI 82.5% to 83.9%)
Sensitivity91.2% (95% CI 90.6% to 91.8%)
Specificity43.1% (95% CI 40.9% to 45.3%)

Secondary outcomes

OutcomePatient report
Preoperative opioid use · 30 days before surgery
Accuracy86.8% (95% CI 86.1% to 87.4%)
Specificity90.0% (95% CI 89.4% to 90.5%)
Sensitivity58.9% (95% CI 56.2% to 61.7%)
Preoperative opioid use · 1 year before surgery
Accuracy77.9% (95% CI 77.2% to 78.7%)
Specificity90.8% (95% CI 90.2% to 91.4%)
Sensitivity47.3% (95% CI 45.7% to 49.0%)

Original publication

Accuracy of patient-reported opioid use to verified prescription fills before and after surgery. Reg Anesth Pain Med. Published 17 March 2025. doi:10.1136/rapm-2024-106090

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