ArticlePain medicine (Malden, Mass.)2018
Re-assessing the Validity of the Opioid Risk Tool in a Tertiary Academic Pain Management Center Population.
Article in Pain medicine (Malden, Mass.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 24 citations in OpenAlex.
- Opioid Risk Tool Scores are Not Associated With Opioid Misuse After Elective General Surgery: A Prospective Study.The Journal of surgical research · 2026Observational
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- The opioid industry's use of scientific evidence to advance claims about prescription opioid safety and effectiveness.Health affairs scholar · 2024Article
- Opioid Risk Tool, in-hospital opioid exposure, and opioid demand predict pain outcomes following traumatic injury.Journal of health psychology · 2024Article
- Identifying patterns of pain, depression, anxiety, interpersonal trauma exposure, and nonmedical prescription opioid use: Latent class analysis among patients with chronic pain.Pain medicine (Malden, Mass.) · 2024Article
- Application of risk assessment tools to predict opioid usage after shoulder surgery.JSES international · 2022Article
- Evaluation of a Program to Screen Patients in Community Pharmacies for Opioid Misuse and Accidental Overdose.Preventing chronic disease · 2022Article
- The Role of Informatics in Implementing Guidelines for Chronic Opioid Therapy Risk Assessment in Primary Care: A Narrative Review Informed by the Socio-Technical Model.Studies in health technology and informatics · 2022Review
- Assessment tools for problematic opioid use in palliative care: A scoping review.Palliative medicine · 2021Article
- Review
- Evaluation of the Preliminary Validity of Misuse of Prescription Pain Medication Items from the Patient-Reported Outcomes Measurement Information System (PROMIS)®.Pain medicine (Malden, Mass.) · 2019Article
- Direct Comparison of Patient-completed and Physician-completed Caprini Scores for Plastic Surgery Patients.Plastic and reconstructive surgery. Global open · 2019Article
- Development of the Revised Opioid Risk Tool to Predict Opioid Use Disorder in Patients with Chronic Nonmalignant Pain.The journal of pain · 2019Article
- The World Health Organization Disability Assessment Schedule-2.0 (WHODAS 2.0) in a chronic pain population being considered for chronic opioid therapy.Journal of pain research · 2019Article
- "1,000 conversations I'd rather have than that one:" A qualitative study of prescriber experiences with opioids and the impact of a prescription drug monitoring program.Journal of addictive diseasesArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo analyze the validity of the Opioid Risk Tool (ORT) in a large. diverse population.
designA cross-sectional descriptive study.
settingAcademic tertiary pain management center. SUBJECTS: A total of 225 consecutive new patients, aged 18 years or older.
methodsData collection included demographics, ORT scores, aberrant behaviors, pain intensity scores, opioid type and dose, smoking status, employment, and marital status.
resultsIn this population, we were not able to replicate the findings of the initial ORT study. Self-report was no better than chance in predicting those who would have an opioid aberrant behavior. The ORT risk variables did not predict aberrant behaviors in either gender group. There was significant disparity in the scores between self-reported ORT and the ORT supplemented with medical record data (enhanced ORT). Using the enhanced ORT, high-risk patients were 2.5 times more likely to have an aberrant behavior than the low-risk group. The only risk variable associated with aberrant behavior was personal history of prescription drug misuse.
conclusionsThe self-report ORT was not a valid test for the prediction of future aberrant behaviors in this academic pain management population. The original risk categories (low, medium, high) were not supported in the either the self-reported version or the enhanced version; however, the enhanced data were able to differentiate between high- and low-risk patients. Unfortunately, without technological automation, the enhanced ORT suffers from practical limitations. The self-report ORT may not be a valid tool in current pain populations; however, modification into a binary (high/low) score system needs further study.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.