ORT: Opioid Risk Tool. To be administered by a clinician during initial consult. Select any factors that apply to the patient.
Family History (SUD)
Personal History (SUD)
Demographics & Psych
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Risk stratification for patients being considered for chronic opioid therapy
Screening for personal and family history of substance abuse
Clinician-patient discussions regarding safety and monitoring intensity
Part of a comprehensive opioid management/compliance strategy
Section 2
Formula & Logic
Scoring Logic
The ORT assesses 5 domains: (1) Family History, (2) Personal History, (3) Age, (4) Preadolescent Sexual Abuse, and (5) Psychological Disease. Note that point weights differ by gender for some items.
Risk Stratification
0–3 points
Low Risk — 6% risk of aberrant behavior
4–7 points
Moderate Risk — 28% risk
≥ 8 points
High Risk — 91% risk
Section 3
Evidence Appraisal
Validation
Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk Tool.
Webster LR et al. • Pain Med.. 2005;6(6):432-42. Established the strong predictive validity of the ORT for identifies patients at high risk.
