Rheumatology Book

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Opioid Risk Tool

Aka: Opioid Risk Tool
  1. Definition
    1. Office-based 5 question assessment tool predicts patients at risk for Opioid misuse
  2. Criteria: Male
    1. Family History of Substance Abuse
      1. Score 3: Alcohol
      2. Score 3: Illicit Drug use
      3. Score 4: Prescription Drugs
    2. Personal history of Substance Abuse
      1. Score 3: Alcohol
      2. Score 4: Illicit Drug use
      3. Score 5: Prescription Drugs
    3. Psychological Conditions
      1. Score 2: ADHD, OCD, Bipolar Disorder or Schizophrenia
      2. Score 1: Major Depression
    4. Other factors
      1. Score 1: Age 16 to 45 years old
      2. Score 0: History of preadolescent sexual abuse
  3. Criteria: Female
    1. Family History of Substance Abuse
      1. Score 1: Alcohol
      2. Score 2: Illicit Drug use
      3. Score 4: Prescription Drugs
    2. Personal history of Substance Abuse
      1. Score 3: Alcohol
      2. Score 4: Illicit Drug use
      3. Score 5: Prescription Drugs
    3. Psychological Conditions
      1. Score 2: ADHD, OCD, Bipolar Disorder or Schizophrenia
      2. Score 1: Major Depression
    4. Other factors
      1. Score 1: Age 16 to 45 years old
      2. Score 3: History of preadolescent sexual abuse
  4. Interpretation
    1. Score 0-3: Low Opioid misuse risk
    2. Score 4-7: Moderate Opioid misuse risk
    3. Score >7: High Opioid misuse risk
  5. References
    1. Webster (2005) Pain Med 6(6): 432-42 [PubMed]

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