comm_opioid_misuse_measure: Current Opioid Misuse Measure (COMM)

Description

Calculates the COMM score, a 17-item patient self-report questionnaire designed to identify current aberrant drug-related behavior in chronic pain patients prescribed opioids. Each item assesses the frequency of a specific behavior or symptom over the past 30 days.

Usage

comm_opioid_misuse_measure(q1, q2, q3, q4, q5, q6, q7, q8, q9, q10, q11, q12,
                           q13, q14, q15, q16, q17)

Value

A list containing:

COMM_Score: The total calculated score (Range 0-68).
Result: "Positive Screen" if Score >= 9, otherwise "Negative Screen".
Interpretation: Clinical guidance regarding the likelihood of misuse.

Arguments

q1: Numeric (0-4). Trouble thinking clearly or had memory problems?
q2: Numeric (0-4). People complain that your speech is slurred or that you look sedated?
q3: Numeric (0-4). Felt that your pain medication is not working or complained about it?
q4: Numeric (0-4). Spent time thinking about your medication or when you will take the next dose?
q5: Numeric (0-4). Taken your medication more often than prescribed?
q6: Numeric (0-4). Needed to take pain medication at a higher dose than prescribed?
q7: Numeric (0-4). Borrowed pain medication from someone else?
q8: Numeric (0-4). Used pain medication for symptoms other than pain (e.g., sleep, mood)?
q9: Numeric (0-4). Medications interfered with ability to do your job or schoolwork?
q10: Numeric (0-4). Family/friends worried about your medication use?
q11: Numeric (0-4). Felt angry or irritable?
q12: Numeric (0-4). Had mood swings?
q13: Numeric (0-4). Doctor worried about your medication use or wanted to monitor you closely?
q14: Numeric (0-4). Seen other doctors to get more medication?
q15: Numeric (0-4). Lied or exaggerated pain to get a prescription?
q16: Numeric (0-4). Had medications lost or stolen?
q17: Numeric (0-4). Had trouble with the law or driving offenses?

Details

Scoring Key (Last 30 Days): 0 = Never 1 = Seldom 2 = Sometimes 3 = Often 4 = Very Often

References

Butler SF, Budman SH, Fernandez KC, et al. Development and validation of the Current Opioid Misuse Measure. Pain. 2007;130(1-2):144-156. doi:10.1016/j.pain.2007.01.014

Examples

Run this code


# Example 1: Positive Screen
# Frequent anger (3), Mood swings (3), Thinking about meds (3)
# Score = 9
comm_opioid_misuse_measure(0, 0, 0, 3, 0, 0, 0, 0, 0, 0, 3, 3, 0, 0, 0, 0, 0)

# Example 2: Negative Screen
# All Never (0)
comm_opioid_misuse_measure(0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0)

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