Evidence map›Paper›PMID 26675303›Full record

ArticleSubstance abuse2016

Dental opioid prescribing practices and risk mitigation strategy implementation: Identification of potential targets for provider-level intervention.

Jenna L McCauley, Renata S Leite, Cathy L Melvin, Roger B Fillingim, Kathleen T Brady

Abstract read
In one paragraph

Article in Substance abuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  6. Article
  7. Answering a Call to Action on American Workplace and Community Opioid Concerns.New solutions : a journal of environmental and occupational health policy : NS · 2021
    Article
  8. Article
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  10. Prescription Drug Abuse Among Patients in Rural Dental Practices Reported by Members of the National Dental PBRN.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020
    Article
  11. Is it time US dentistry ended its opioid dependence?Journal of the American Dental Association (1939) · 2019
    Review
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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 2 institutions in 1 country.

Jenna L McCauleya Department of Psychiatry and Behavioral Sciences , Medical University of South Carolina , Charleston , South Carolina , USA.
Renata S Leiteb College of Dental Medicine , Medical University of South Carolina , Charleston , South Carolina , USA.
Cathy L Melvinc Department of Public Health Sciences , Medical University of South Carolina , Charleston , South Carolina , USA.
Roger B Fillingimd College of Dentistry , University of Florida , Gainesville , Florida , USA.
Kathleen T Bradya Department of Psychiatry and Behavioral Sciences , Medical University of South Carolina , Charleston , South Carolina , USA.
Medical University of South Carolina · USUniversity of Florida · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Clinical Scientists Training Program in Addictions at MUSCK12DA031794 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Kevin M. Gray, AIMEE L MCRAE-CLARK · 2013 to 2026
$7.2M
Reducing Prescription Opioid Misuse: Dental Provider Intervention DevelopmentK23DA036566 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCCAULEY, JENNA L. · 2015 to 2019
$980k
NCATS NIH HHS UL1 TR000062NCATS NIH HHS UL1-TR000062NIDA NIH HHS K12 DA031794NIDA NIH HHS K12-DA031794NIDA NIH HHS K23 DA036566NIDA NIH HHS K23-DA036566
6 · The paper itself

Abstract

backgroundGiven the regular use of immediate-release opioids for dental pain management, as well as documented opioid misuse among dental patients, the dental visit may provide a viable point of intervention to screen, identify, and educate patients regarding the risks associated with prescription opioid misuse and diversion. The aims of this statewide survey of dental practitioners were to assess (a) awareness of the scope of prescription opioid misuse and diversion; (b) current opioid prescribing practices; (c) use of and opinions regarding risk mitigation strategies; and (d) use and perceived utility of drug monitoring programs.

methodsThis cross-sectional study surveyed dentists (N = 87) participating in statewide professional and alumni organizations. Dentists were invited via e-mail and listserv announcement to participate in a one-time, online, 59-item, self-administered survey.

resultsA majority of respondents reported prescribing opioids (n = 66; 75.8%). A minority of respondents (n = 38; 44%) reported regularly screening for current prescription drug abuse. Dentists reported low rates of requesting prior medical records (n = 5; 5.8%). Only 38% (n = 33) of respondents had ever accessed a prescription drug monitoring program (PDMP), and only 4 (4.7%) consistently used a PDMP. Dentists reporting prior training in drug diversion were significantly more likely to have accessed their PDMP, P < .01. Interest in continuing education regarding assessment of prescription drug abuse/diversion and use of drug monitoring programs was high.

conclusionsAlthough most dentists received training related to prescribing opioids, findings identified a gap in existing dental training in the assessment/identification of prescription opioid misuse and diversion. Findings also identified gaps in the implementation of recommended risk mitigation strategies, including screening for prescription drug abuse, consistent provision of patient education, and use of a PDMP prior to prescribing opioids.

Indexed as

DentistsHealth Knowledge, Attitudes, PracticePractice Patterns, Physicians'Analgesics, OpioidCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrescription Drug DiversionRisk Reduction BehaviorSubstance-Related DisordersAnalgesics, OpioidDentistsprescription drug monitoring programprescription opioids

Identifiers

PMID26675303
PMCPMC4816206
OpenAlexW2218706075

What OpenQuestion holds

Textmetadata
LicenceTDM
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.