Category: Fellows Posters
Purpose: The University of Iowa Hospitals & Clinics (UIHC) Supportive and Palliative Care Clinic developed and implemented an opioid management patient care guideline that included the Screener and Opioid Assessment for Patients with Pain - short form (SOAPP-SF) to ensure equity in pain management and to maximize safety for patients living with serious illnesses who need opioids to palliate symptoms. The purpose of this study is to describe risk factors for opioid use disorder (OUD) among this palliative care population and to explore the utility of the SOAPP-SF as a risk stratification tool in palliative care clinics.
Methods: A retrospective chart review will be conducted to identify patients who were prescribed opioids from the UIHC Supportive and Palliative Care Clinic between March 1, 2018 and February 28, 2019. The following data will be extracted from Epic and into a database (Research Electric Data Capture, REDCap): visit at which the opioid risk assessment was performed (visit number after opioid prescribing began), assigned risk level (green, yellow, or purple; based on SOAPP-SF score and/or presence of aberrant behavior/substance use disorder), supporting data for assigned risk level, urine screen frequency and results, actions taken if urine screen results were abnormal or unexpected, number of follow up visits scheduled/attended after medication agreement was completed, number of clinic phone calls and call reason, number of refills too soon and reason, opioid medication(s) prescribed, social history, diagnosis (cancer/non-cancer and malignancy type if applicable) and prognosis (if available), palliative performance scale, age, and vital status (alive/deceased). Continuous variables will be described using mean and standard deviation. Intergroup differences between stratified risk levels will be compared using a t-test analysis. Median with interquartile range and chi-square tests will be used to describe and compare categorical variables.