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Opioid Risk Tool
Dec 16, 2011
•
Mark Morgan
categories:
Musculoskeletal & Rheumatology
Opioid Risk Tool
The Opioid Risk Tool (ORT) is an office-based assessment designed to predict which patients may develop aberrant, drug-related behaviors based on known risk factors associated with abuse or addiction. The ORT can either be self-administered by the patient at the initial clinic visit or completed by the physician as part of the patient interview.
The ORT displayed excellent discrimination in predicting opioid abuse-related behaviors in a single-site study of 185 chronic-pain patients. Of the low-risk patients studied, 94% did not demonstrate any aberrant behavior, while in the high-risk patients, 91% did display an aberrant behavior. Of the medium risk patients, only 28% showed any opioid-related aberrant behavior.
1. Gender
Male
Female
2. Age
no
YES
<-- 16-45 Years old (1 point)
3. Family history of substance abuse
no
YES
<-- Alcohol (3 points)
no
YES
<-- Illegal drugs (3 points)
no
YES
<-- Prescription drugs (4 points)
4. Personal history of substance abuse
no
YES
<-- Alcohol (3 points)
no
YES
<-- Illegal drugs (4 points)
no
YES
<-- Prescription drugs (5 points)
5. Psychological disease
no
YES
<-- ADHD/OCD/Schizophrenia/Bipolar (2 points)
no
YES
<-- Depression (1 point)
Score -->
Score
score1=(Q2m1)+(Q2m2)+(Q2m3)+(Q3m1)+(Q3m2)+(Q3m3)+(Q4m)+(Q5m1)+(Q5m2)
Interpretation -->
Interpretation
score2=(Q2m1)+(Q2m2)+(Q2m3)+(Q3m1)+(Q3m2)+(Q3m3)+(Q4m)+(Q5m1)+(Q5m2);score2>7?'High risk':score2>3?'Moderate risk':'Low risk'
2. Age
no
YES
<-- 16-45 Years old (1 point)
3. Family history of substance abuse
no
YES
<-- Alcohol (1 points)
no
YES
<-- Illegal drugs (2 points)
no
YES
<-- Prescription drugs (4 points)
4. Personal history of substance abuse
no
YES
<-- Alcohol (3 points)
no
YES
<-- Illegal drugs (4 points)
no
YES
<-- Prescription drugs (5 points)
no
YES
<-- Preadolescent sexual abuse (3 points)
5. Psychological disease
no
YES
<-- ADHD/OCD/Schizophrenia/Bipolar (2 points)
no
YES
<-- Depression (1 point)
Score -->
Score
score3=(Q2f1)+(Q2f2)+(Q2f3)+(Q3f1)+(Q3f2)+(Q3f3)+(Q3f4)+(Q4f)+(Q5f1)+(Q5f2)
Interpretation -->
Interpretation
score4=(Q2f1)+(Q2f2)+(Q2f3)+(Q3f1)+(Q3f2)+(Q3f3)+(Q3f4)+(Q4f)+(Q5f1)+(Q5f2);score4>7?'High risk':score4>3?'Moderate risk':'Low risk'
display/hide references
reference:
posted by: Jonathan Poon
#1
Webster (2005) Pain Med 6(6): 432-42
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