Evidence map›Paper›PMID 26274819›Full record

Trial reportPloS one2015

Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists.

Linda Rasubala, Lavanya Pernapati, Ximena Velasquez, James Burk, Yan-Fang Ren

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Systematic Literature Review of Prescription Drug Monitoring Programs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Opioids and older adults: Increasing trends in opioid usage in a dental population compared to a National Database (NHANES).Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Review
  20. Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus.International journal of oral and maxillofacial surgery · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Linda RasubalaDepartment of General Dentistry, University of Rochester Eastman Institute for Oral Health, 625 Elmwood Avenue, Rochester, New York, 14620, United States of America.
Lavanya PernapatiDepartment of General Dentistry, University of Rochester Eastman Institute for Oral Health, 625 Elmwood Avenue, Rochester, New York, 14620, United States of America.
Ximena VelasquezDepartment of General Dentistry, University of Rochester Eastman Institute for Oral Health, 625 Elmwood Avenue, Rochester, New York, 14620, United States of America.
James BurkDepartment of General Dentistry, University of Rochester Eastman Institute for Oral Health, 625 Elmwood Avenue, Rochester, New York, 14620, United States of America.
Yan-Fang RenDepartment of General Dentistry, University of Rochester Eastman Institute for Oral Health, 625 Elmwood Avenue, Rochester, New York, 14620, United States of America.
University of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p<0.05). Total numbers of prescribed opioid pills in a 3-month period decreased from 5096 to 1120, signifying a 78% reduction in absolute quantity. Prescriptions for non-opioid analgesics acetaminophen increased during the same periods (p<0.05). We conclude that the mandatory PDMP significantly affected the prescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.

Indexed as

DentistsPain ManagementAnalgesics, OpioidDrug and Narcotic ControlDrug PrescriptionsFemaleHumansMaleNew YorkAnalgesics, Opioid

Identifiers

PMID26274819
PMCPMC4537135
OpenAlexW1543040386

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.