ToolsCalculators
Opioid Risk Tool (ORT)
Stratifies risk of aberrant behaviour on long-term opioid therapy.
Opioid Risk Tool (ORT)
Sex
Family history of alcohol abuse
Family history of illegal-drug abuse
Family history of prescription-drug abuse
Personal history of alcohol abuse
Personal history of illegal-drug abuse
Personal history of prescription-drug abuse
Age 16–45 years
History of preadolescent sexual abuse
ADD, OCD, bipolar disorder or schizophrenia
Depression
Result0 points
Predicted low risk of future aberrant drug-related behaviour.
- Risk category
- Low
When to use
- Screening adults before starting long-term opioid therapy for chronic pain.
Formula
Sex-specific points for family/personal substance-abuse history, age 16–45, preadolescent sexual abuse (women), and psychiatric disease. 0–3 low, 4–7 moderate, ≥8 high risk.
Pearls and pitfalls
- Self-report can under-estimate risk; corroborate where possible.