ORT v.1
The Opioid Risk Tool (ORT) helps to ascertain the risk of aberrant behaviour of patients who have issues of opioid use or misuse.
The ORT (Opioid Risk Tool) is used on initial visit and prior to opioid therapy for chronic pain in order to provide the clinician some idea of potential risk of drug abuse including alcohol, illegal and prescription drug abuse.
Variables include information of personal and family history of sexual abuse in the past (females), illegal or prescription drugs or alcohol in patients between the ages of 16 and 45 years and with or without psychological disturbances. The score ranges from 0 to 26 in both men and women but certain variables are scored differently for men and for women. Such as previous sexual abuse (only scored in women) and higher weights in the scores for men who had previous family histories of illegal drug abuse or alcohol abuse. The score interpretations are: ≤ 3: low risk 4-7: moderate risk ≥ 8: high risk
Patients in all cases should be watched when administrating opioids for chronic pain management and so the score should only be used as a supporting piece of evidence only.
Ref. 1: Webster LR, Webster RM. Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk Tool. Pain Med. 2005 Nov-Dec;6(6):432-42. PubMed PMID: 16336480.
OBSERVATION.basic_demographic.v1, OBSERVATION.opioid_risk_tool.v1, EVALUATION.opioid_risk_tool_assessment.v1
