Comparison of Mortality Risk Adjustment Using a Clinical Data Algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an Administrative Data Algorithm (Solucient) at
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- 作者：Bruce Lee Hall ; Mitzi Hirbe ; Brian Waterman ; Sarah Boslaugh ; Wm Claiborne Dunagan
- 关键词：Drug toxicology testing ; Opiates ; Heroin ; Cocaine
- 刊名：Journal of the American College of Surgeons
- 出版年：2007
- 出版时间：December 2007
- 年：2007
- 卷：205
- 期：6
- 页码：767-777
- 全文大小：401 K
文摘
We evaluated the utility of sweat testing for monitoring of drug use in outpatient clinical settings and compared sweat toxicology with urine toxicology and self-reported drug use during a randomized clinical trial of the efficacy of buprenorphine for treatment of opioid dependence in primary care settings. All study participants (N = 63) were opiate-dependent, treatment-seeking volunteers. The results based on toxicology tests obtained from 188 properly worn and unadulterated patches (out of 536 applied) show that the level of agreement between positive sweat test results and positive urine results was 33 % for opiates and 92 % for cocaine. The findings of this study, that there is a low acceptability of sweat patch testing by patients (only 54.3 % were brought back attached to the skin) and that weekly sweat testing is less sensitive than weekly urine testing in detecting opiate use, suggest limited utility of sweat patch testing in outpatient clinical settings.