TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Canada/epidemiology
KW - chronic noncancer pain
KW - Chronic Pain/drug therapy
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Opioid Risk Tool
KW - Opioid-Related Disorders/diagnosis/epidemiology
KW - Opioids
KW - Pain Clinics/statistics & numerical data
KW - Prevalence
KW - Risk Factors
KW - Surveys and Questionnaires
KW - Tertiary Care Center
KW - Tertiary Healthcare/statistics & numerical data
KW - Young Adult
AU - S. F. Lakha
AU - A. F. Louffat
AU - K. Nicholson
AU - A. Deshpande
AU - A. Mailis-Gagnon
A1 - 
AB - BACKGROUND: The Opioid Risk Tool (ORT) is a screening instrument for assessing the risk of opioid-related aberrant behavior in chronic noncancer pain (CNCP) patients. OBJECTIVE: This study aims to compare patient characteristics documented in the original ORT study with those identified in CNCP patients assessed using a physician-administered ORT in a tertiary care pain clinic in Toronto, Canada. METHODOLOGY: This was a descriptive cross-sectional study of 322 consecutive new patients referred over 12 months. Data extraction included ORT scores, demographics, pain ratings, opioid, and other medication use at point of entry, diagnosis, and other variables. Characteristics were compared with those described in the original ORT study. RESULTS: The total mean ORT scores of patients in this study were related to several demographic (gender, age, marital status, and country of birth) and nondemographic variables (employment status, cigarette smoking, and contribution of biomedical and/or psychological factors to presentation). Prevalence of characteristics noted in this patient sample differed substantially from that found in Webster and Webster as the basis for ORT scores. CONCLUSION: Significant differences existed between this study population and the patient sample from which the ORT was derived. Limitations of this study are discussed. We concur with the authors of the original study that the ORT may not be applicable in different pain populations and settings. Based on our findings, we encourage caution in interpreting the ORT in general CNCP settings until further studies are performed.
BT - Pain medicine (Malden, Mass.)
C5 - Opioids & Substance Use; Measures
CP - 10
CY - England
DO - 10.1111/pme.12465
IS - 10
JF - Pain medicine (Malden, Mass.)
N2 - BACKGROUND: The Opioid Risk Tool (ORT) is a screening instrument for assessing the risk of opioid-related aberrant behavior in chronic noncancer pain (CNCP) patients. OBJECTIVE: This study aims to compare patient characteristics documented in the original ORT study with those identified in CNCP patients assessed using a physician-administered ORT in a tertiary care pain clinic in Toronto, Canada. METHODOLOGY: This was a descriptive cross-sectional study of 322 consecutive new patients referred over 12 months. Data extraction included ORT scores, demographics, pain ratings, opioid, and other medication use at point of entry, diagnosis, and other variables. Characteristics were compared with those described in the original ORT study. RESULTS: The total mean ORT scores of patients in this study were related to several demographic (gender, age, marital status, and country of birth) and nondemographic variables (employment status, cigarette smoking, and contribution of biomedical and/or psychological factors to presentation). Prevalence of characteristics noted in this patient sample differed substantially from that found in Webster and Webster as the basis for ORT scores. CONCLUSION: Significant differences existed between this study population and the patient sample from which the ORT was derived. Limitations of this study are discussed. We concur with the authors of the original study that the ORT may not be applicable in different pain populations and settings. Based on our findings, we encourage caution in interpreting the ORT in general CNCP settings until further studies are performed.
PP - England
PY - 2014
SN - 1526-4637; 1526-2375
SP - 1743
EP - 1749
EP - 
T1 - Characteristics of chronic noncancer pain patients assessed with the opioid risk tool in a Canadian tertiary care pain clinic
T2 - Pain medicine (Malden, Mass.)
TI - Characteristics of chronic noncancer pain patients assessed with the opioid risk tool in a Canadian tertiary care pain clinic
U1 - Opioids & Substance Use; Measures
U2 - 24832821
U3 - 10.1111/pme.12465
VL - 15
VO - 1526-4637; 1526-2375
Y1 - 2014
ER -