Opioid Risk Tool (ORT)
Risk of aberrant opioid behavior before starting long-term opioids.
Inputs
0 of 1SexUsed by the equation
Family history: alcohol
Family history: illegal drugs
Family history: prescription drug misuse
Personal history: alcohol
Personal history: illegal drugs
Personal history: prescription drug misuse
Age 16–45
History of preadolescent sexual abuse
ADD, OCD, bipolar disorder, or schizophrenia
Depression
Patient values are shared with every calculator.
When to use
- Before long-term opioid therapy for chronic pain.
Pearls and pitfalls
- Risk informs monitoring intensity (PDMP checks, urine testing, naloxone), not whether to treat pain.
- Offer naloxone whenever opioids are prescribed at higher risk.
Why use
Quick and widely used.
Sum of sex-specific item weights; low 0–3, moderate 4–7, high 8 or more