Age 16-45

History of depression

History of ADD, OCD, bipolar disorder or schizophrenia

Personal history of alcohol abuse

Personal history of illegal drug use

Personal history of prescription drug use

Family history of alcohol abuse

Family history of illegal drug use

Family history of prescription drug abuse

Reference

Overview Evidence Contributors

Summary

Usage

The revised opioid risk tool (ORT) was developed to predict the risk of developing an opioid use disorder (OUD) in patients with chronic nonmalignant pain (CNMP) receiving opioid therapy. The revised version of the original ORT has clinical usefulness in providing clinicians a simple, validated method to rapidly screen for the risk of developing OUD. The original opioid Risk Tool (ORT), developed by Webster and Webster in 2005, was designed for use in primary care populations to assess the potential for opioid-related aberrant drug-related behaviors (ADRB) among adults who are candidates for commencing opioid therapy for CNMP. In the revised version, the history of gender-specific preadolescent sexual abuse and the sex-based scoring system has been removed. The revised ORT focuses on predicting the risk of developing OUD as opposed to aberrant drug-related behaviors that can reflect a number of other issues.

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Summary

The 9-item revised opioid risk tool (ORT) was developed to predict the risk of developing an opioid use disorder (OUD) in patients with chronic nonmalignant pain (CNMP) receiving opioid therapy.

Scoring

The revised ORT-OUD score is calculated by the sum of the selected points for each variable.

Variable	Points
Age 16-45	No 0 Yes 1
History of depression	No 0 Yes 1
History of ADD, OCD, bipolar disorder or schizophrenia	No 0 Yes 1
Personal history of alcohol abuse	No 0 Yes 1
Personal history of illegal drug abuse	No 0 Yes 1
Personal history of prescription drug abuse	No 0 Yes 1
Family history of illegal drug use	No 0 Yes 1
Family history of prescription drug use	No 0 Yes 1

Results

Score	Result
< 3 pts	Low risk of opioid use disorder
≥ 3 pts	High risk of opioid use disorder

Literature

Development of the Revised Opioid Risk Tool to Predict Opioid Use Disorder in Patients with Chronic Nonmalignant Pain. J Pain. 2019 Jul;20(7):842-851. — Cheatle MD, Compton PA, Dhingra L, Wasser TE, O'Brien CP.
Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk Tool. Pain Med. 2005 Nov-Dec;6(6):432-42. — Webster LR, Webster RM.

Jennifer Glen , DNP, FNP-BC — EVAL Health, Chief Medical Officer