RT Journal Article T1 Diagnostic and Predictive Capacity of the Spanish Versions of the Opioid Risk Tool and the Screener and Opioid Assessment for Patients with Pain-Revised: A Preliminary Investigation in a Sample of People with Noncancer Chronic Pain. A1 Esteve, Rosa A1 Reyes-Pérez, Ángela A1 Ramírez-Maestre, Carmen A1 Gutiérrez-Extremera, Andrea A1 Fuentes-Bravo, Rocío A1 de la Vega, Rocío A1 Ruíz-Párraga, Gema T A1 Serrano-Ibáñez, Elena R A1 López-Martínez, Alicia E K1 Opioid Risk Tool K1 Opioid abuse K1 Opioid misuse K1 Screener and Opioid Assessment for Patients with Pain—Revised K1 Screening tools AB Accurate assessment of the risk of opioid abuse and misuse in people with noncancer chronic pain is crucial for their prevention. This study aimed to provide preliminary evidence of the diagnostic and predictive capacity of the Spanish versions of the Opioid Risk Tool (ORT) and the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R). We used the Current Opioid Misuse Measure (COMM) as criterion measure to assess the capacity of each tool to identify patients misusing opioids at the time of the assessment. Eighteen months later, we used the COMM and the Drug Abuse Screening Test-10 (DAST-10) to assess their predictive capacity. In total, 147 people with noncancer chronic pain participated in the diagnostic study, and 42 in the predictive study. Receiver operating curve analysis showed that the SOAPP-R had an excellent capacity to identify participants who were misusing opioids at the time of assessment (area under the curve [AUC] = 0.827). The diagnostic capacity of the ORT was close to acceptable (AUC = 0.649-0.669), whereas its predictive capacity was poor (AUC = 0.522-0.554). The predictive capacity of the SOAPP-R was close to acceptable regarding misuse (AUC = 0.672) and poor regarding abuse (AUC = 0.423). In the setting of Spanish-speaking communities, clinicians should be cautious when using these instruments to make decisions on opioid administration. Further research is needed on the diagnostic and predictive capacity of the Spanish versions of both instruments. SN 2193-8237 YR 2022 FD 2022-02-07 LK http://hdl.handle.net/10668/21585 UL http://hdl.handle.net/10668/21585 LA en DS RISalud RD Apr 8, 2025