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DIRE Score: Patient Selection for Chronic Opioid Analgesia For each factor, rate the patients score from 13 based on the explanations in the righthand column SC ORE FA CTOR EXPLANATION DIA GNOSIS.

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causing or involving great fear or suffering; dreadful; terrible: a dire calamity.

This tool should be administered to patients upon an initial visit prior to beginning opioid therapy for pain management. A score of 3 or lower indicates low risk for future opioid abuse, a score of 4 to 7 indicates moderate risk for opioid abuse, and a score of 8 or higher indicates a high risk for opioid abuse.

The DIRE is a clinician-rated instrument designed for use by primary care physicians to predict the efficacy of analgesia and adherence with long-term opioid therapy. The DIRE score can range from 7 to 21, with a score of 13 or below suggesting that a patient is not a suitable candidate for long-term opioid therapy.

Current Opioid Misuse Measure (COMM®) Total score can range from 0–68. A score of ≥9 is suggestive of current ADRB with 77% sensitivity and 66% specificity. The COMM is one of the most commonly used tools for patients on long-term opioid therapy and has been validated by high quality studies.

The FDA defines a patient as opioid tolerant if for at least 1 week he or she has been receiving oral 60 mg/day; transdermal 25 mcg/hour; oral 30 mg/day; oral 8 mg/day; oral 25 mg/day; or an equianalgesic dose of any other opioid.

The Current Opioid Misuse Measure (COMM)â„¢ is a brief patient self-assessment to monitor chronic pain patients on opioid therapy. The COMMâ„¢ was developed with guidance from a group of pain and addiction experts and input from pain management clinicians in the field.

Clinically, a score of 4 or higher will identify 86% of those who actually turn out to be at high risk (compared to 91% for the 14-item version). The Negative Predictive Values for a cutoff score of 4 is . 85, which means that most people who have a negative SOAPP are likely at low-risk.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232