cliot (version 1.0.0)

revised_opioid_risk_tool: Revised Opioid Risk Tool (ORT-OUD)

Description

Calculates the Revised Opioid Risk Tool (ORT-OUD) score. This tool uses the standard ORT scoring algorithm to predict the risk of Opioid Use Disorder (OUD) in patients prescribed opioids for chronic pain. It stratifies risk based on personal and family history of substance abuse, age, history of preadolescent sexual abuse, and psychological disease, with gender-specific weighting.

Usage

revised_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)

Value

A list containing:

ORT_OUD_Score

The calculated total score (Range 0-26).

Risk_Category

Classification (Low 0-3, Moderate 4-7, High >= 8).

Arguments

sex

String. Patient sex ("Male" or "Female").

age

Numeric. Patient age in years. (Age 16-45 adds 1 point).

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).

References

Cheatle MD, Compton PA, Dhingra L, et al. Development of the Revised Opioid Risk Tool to Predict Opioid Use Disorder in Patients with Chronic Nonmalignant Pain. J Pain. 2019;20(7):842-851. doi:10.1016/j.jpain.2019.01.011

Examples

# Example 1: High Risk Male
# Fam Hx Alcohol (+3), Pers Hx Illegal (+4), Age 30 (+1)
# Score = 8
revised_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
revised_opioid_risk_tool("female", 50, 1, 0, 0, 0, 0, 0, 1, 0, 0)