Pain · Psychiatry

Revised Opioid Risk Tool (ORT-OUD) calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Age in years

years

Allowed range: 0–120 years

Ages 16 through 45 inclusive score 1. Younger and older ages score 0.

Family history of alcoholFamily history of illegal drugsFamily history of prescription drugsPersonal history of alcoholPersonal history of illegal drugsPersonal history of prescription drugsAttention deficit, obsessive compulsive disorder, bipolar disorder, or schizophreniaDepression

Result

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Primary source

Cheatle MD et al. Development of the Revised Opioid Risk Tool to Predict Opioid Use Disorder in Patients with Chronic Nonmalignant Pain. J Pain. DOI: 10.1016/j.jpain.2019.01.011. PMID: 30690168. The revised tool keeps nine items and scores each yes as 1, after dropping preadolescent sexual abuse. The items are family history of alcohol, illegal drugs, and prescription drugs; personal history of alcohol, illegal drugs, and prescription drugs; age 16–45 years; attention deficit disorder, obsessive compulsive disorder, bipolar disorder, or schizophrenia; and depression. Table 7 contrasts scores of 0–2 with scores of 3 or more. (2019)

Scope: Adults with chronic nonmalignant pain in whom opioid use disorder risk is being assessed. This is the unweighted nine-item revision, not the 2005 weighted Opioid Risk Tool.

Last reviewed 2026-10-17

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Professional use only

For qualified clinicians. Independently verify inputs, calculations, source guidance, and applicability before any clinical action. This calculator does not replace clinical judgment.

Source: Cheatle MD et al. Development of the Revised Opioid Risk Tool to Predict Opioid Use Disorder in Patients with Chronic Nonmalignant Pain. J Pain. DOI: 10.1016/j.jpain.2019.01.011. PMID: 30690168. The revised tool keeps nine items and scores each yes as 1, after dropping preadolescent sexual abuse. The items are family history of alcohol, illegal drugs, and prescription drugs; personal history of alcohol, illegal drugs, and prescription drugs; age 16–45 years; attention deficit disorder, obsessive compulsive disorder, bipolar disorder, or schizophrenia; and depression. Table 7 contrasts scores of 0–2 with scores of 3 or more. (2019)

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Clinical inputs

Age in yearsAccepted range: 0 to 120
Family history of alcohol
Family history of illegal drugs
Family history of prescription drugs
Personal history of alcohol
Personal history of illegal drugs
Personal history of prescription drugs
Attention deficit, obsessive compulsive disorder, bipolar disorder, or schizophrenia
Depression

Primary source

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