Evidence map›Paper›PMID 27009292›Full record

ArticlePain medicine (Malden, Mass.)2016

Clinical Styles and Practice Policies: Influence on Communication with Patients Regarding Worrisome Prescription Drug Monitoring Program Data.

Christi Hildebran, Gillian Leichtling, Jessica M Irvine, Deborah J Cohen, Sara E Hallvik, Richard A Deyo

Open access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Role of the prescriber in supporting patients to discontinue benzodiazepines: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  5. Review
  6. Article
  7. Article
  8. 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

6 authors at 3 institutions in 2 countries.

Christi Hildebran*Acumentra Health, Portland, Oregon Childebran@acumentra.org.
Gillian Leichtling*Acumentra Health, Portland, Oregon.
Jessica M IrvineOCHIN, Inc., Portland, Oregon.
Deborah J CohenDepartment of Family Medicine.
Sara E Hallvik*Acumentra Health, Portland, Oregon.
Richard A DeyoDepartment of Family Medicine.
Acumen (United States) · USGeneral Department of Preventive Medicine · VNOchin · US

Funding

OREGON CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024140 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$61.1M
Use of Prescription Monitoring Programs to Improve Patient Care and OutcomesR01DA031208 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEYO, RICHARD A · 2012 to 2016
$2.9M
NCRR NIH HHS UL1 RR024140NIDA NIH HHS R01 DA031208
6 · The paper itself

Abstract

objectivesClinician communication with patients regarding worrisome findings in Prescription Drug Monitoring Programs (PDMPs) may influence patient responses and subsequent care. The authors studied the range of approaches clinicians report when communicating with patients in this situation and how practice policies and procedures may influence this communication.

designQualitative interviews of clinician PDMP users.

settingOregon registrants in the state's PDMP. SUBJECTS: Thirty-three clinicians practicing in pain management, emergency medicine, primary care, psychiatry, dentistry, and surgery.

methodsThe authors conducted semi-structured interviews via telephone with clinicians who routinely used the PDMP. A multidisciplinary team used a grounded theory approach to identify ways clinicians reported using information from the PDMP when communicating with patients, and policies that influenced that communication.

resultsClinicians reported using a range of approaches for communicating about PDMP results, from openly sharing, to questioning patients without disclosing access to the PDMP, to avoiding the conversation. Clinicians also reported practice policies and procedures that influenced communication with their patients about prescribing and ongoing care, including policies that normalized use of the PDMP with all patients and those that facilitated difficult conversations by providing a rationale not to prescribe in certain circumstances.

conclusionClinicians' self-reported approaches to sharing PDMP findings and communicating prescribing decisions with patients vary and may be facilitated by appropriate practice policies. Such communication may have implications for patient engagement and alliance building. More research is needed to identify best practices and potential guidelines for effectively communicating about PDMP findings, as this may enhance health outcomes.

Indexed as

CommunicationPhysician-Patient RelationsDrug MonitoringFemaleHumansMalePrescription Drug MisusePrescription DrugsStatistics as TopicPrescription DrugsDoctor-Patient CommunicationPDMPPolicyPrescription Drug Abuse

Identifiers

PMID27009292
PMCPMC5035181
OpenAlexW2307727535

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.