opioid_risk_tool: Opioid Risk Tool (ORT) for Narcotic Abuse

In cliot: Clinical Indices and Outcomes Tools

Opioid Risk Tool (ORT) for Narcotic Abuse

Description

Calculates the Opioid Risk Tool (ORT) score to predict the probability of a patient displaying aberrant behaviors when prescribed opioids for chronic pain. The scoring algorithm assigns different point values to risk factors depending on the patient's sex.

Usage

opioid_risk_tool(sex, age, family_hx_alcohol, family_hx_illegal, family_hx_rx,
                 personal_hx_alcohol, personal_hx_illegal, personal_hx_rx,
                 history_sexual_abuse, psych_disease_adhd_ocd_bipolar_schizo,
                 psych_disease_depression)

Arguments

sex	String. Patient sex ("Male" or "Female").
age	Numeric. Patient age in years. (Age 16-45 adds 1 point for both sexes).
family_hx_alcohol	Numeric (0 or 1). Family history of alcohol abuse. (Female: +1, Male: +3).
family_hx_illegal	Numeric (0 or 1). Family history of illegal drug abuse. (Female: +2, Male: +3).
family_hx_rx	Numeric (0 or 1). Family history of prescription drug abuse. (Female: +4, Male: +4).
personal_hx_alcohol	Numeric (0 or 1). Personal history of alcohol abuse. (Female: +3, Male: +3).
personal_hx_illegal	Numeric (0 or 1). Personal history of illegal drug abuse. (Female: +4, Male: +4).
personal_hx_rx	Numeric (0 or 1). Personal history of prescription drug abuse. (Female: +5, Male: +5).
history_sexual_abuse	Numeric (0 or 1). History of preadolescent sexual abuse. (Female: +3, Male: 0).
psych_disease_adhd_ocd_bipolar_schizo	Numeric (0 or 1). Psychological disease (ADD, OCD, Bipolar, Schizophrenia). (Female: +2, Male: +2).
psych_disease_depression	Numeric (0 or 1). Psychological disease (Depression). (Female: +1, Male: +1).

Value

A list containing:

ORT_Score	The calculated total score (Range 0-26).
Risk_Category	Classification (Low <= 3, Moderate 4-7, High >= 8).

References

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. doi:10.1111/j.1526-4637.2005.00072.x

Examples

# Example 1: High Risk Male
# Fam Hx Alcohol (+3), Pers Hx Illegal (+4), Age 30 (+1)
# Score = 8
opioid_risk_tool("male", 30, 1, 0, 0, 0, 1, 0, 0, 0, 0)

# Example 2: Moderate Risk Female
# Fam Hx Alcohol (+1), Hx Sexual Abuse (+3)
# Score = 4
opioid_risk_tool("female", 50, 1, 0, 0, 0, 0, 0, 1, 0, 0)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.