Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    Opioid Risk Tool (ORT) for Narcotic Abuse

    Estimates risk of opioid-related aberrant behaviors.
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    INSTRUCTIONS

    This tool studied patients at a chronic pain clinic.
    When to Use
    Why Use

    The ORT may help identify patients at high risk for misuse, and who who might benefit more from other modalities of pain control besides narcotics (primarily applicable to patients with chronic pain).

    Substance use, particularly of prescribed drugs, has been an increasing problem in the United States. It is reasonable to consider risk of future abuse/diversion/misuse, especially if considering prescribing narcotics to high risk patients.

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    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    • Pain medications should not be withheld for painful conditions simply because a patient is deemed “high risk” by the ORT, but these patients should be considered for other modalities of pain control if appropriate.
    • These high risk patients may be appropriate candidates for referral to pain management.
    • Providers should exercise caution when starting any patient on chronic opiates.
    About the Creator
    Dr. Lynn Webster
    Are you Dr. Lynn Webster?