Opioid Risk Tool (ORT)
Opioid Risk Tool (ORT; Webster 2005): sex-specific screen for aberrant drug-related behavior before long-term opioids.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Sex
- Female
- Personal history of prescription drug abuse
- Yes
- Family history of illegal drug use
- Yes
- Age 16 to 45 years
- Yes
Result: ORT 8 — high risk of opioid aberrant behavior (0-3 low, 4-7 moderate, >= 8 high).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Points (F/M)
- family hx alcohol 1/3, illegal 2/3, rx 4/4; personal alcohol 3/3, illegal 4/4, rx 5/5; age 16-45 1/1; preadolescent sexual abuse 3/0; ADD/OCD/bipolar/schizophrenia 2/2; depression 1/1.
- Risk
- 0-3 low, 4-7 moderate, >= 8 high. A screening aid to guide monitoring, not a reason to withhold appropriate pain treatment.
What you enter
- Sex (points are sex-specific)
- Family history of alcohol abuse
- Family history of illegal drug use
- Family history of prescription drug abuse
- Personal history of alcohol abuse
- Personal history of illegal drug use
- Personal history of prescription drug abuse
- Age 16 to 45 years
The other 3 fields
- History of preadolescent sexual abuse
- ADD, OCD, bipolar, or schizophrenia
- Depression
How this is calculated
Webster LR, Webster RM. Predicting aberrant behaviors in opioid-treated patients: preliminary validation of the Opioid Risk Tool. Pain Med. 2005;6(6):432-442. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.