Evidence map›Paper›PMID 27055600›Full record

ArticleJournal of the American Dental Association (1939)2016

Dental opioid prescribing and multiple opioid prescriptions among dental patients: Administrative data from the South Carolina prescription drug monitoring program.

Jenna L McCauley, J Madison Hyer, V Ramesh Ramakrishnan, Renata Leite, Cathy L Melvin, Roger B Fillingim, Christie Frick, Kathleen T Brady

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.2field-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

20 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Trends of Dispensed Opioids Prescribed by Australian Dentists: 2013-2022.Community dentistry and oral epidemiology · 2026
    Article
  3. Article
  4. ODD: A Benchmark Dataset for the Natural Language Processing Based Opioid Related Aberrant Behavior Detection.Proceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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  11. 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
  12. Article
  13. Article
  14. Article
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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

8 authors at 4 institutions in 1 country.

Jenna L McCauley
J Madison Hyer
V Ramesh Ramakrishnan
Renata Leite
Cathy L Melvin
Roger B Fillingim
Christie Frick
Kathleen T Brady
Medical University of South Carolina · USRalph H. Johnson VA Medical Center · USSouth Carolina Department of Health and Environmental Control · USUniversity of Florida · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Karyn A Esser, Todd Manini · 2007 to 2026
$22.8M
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 TR001450NIA NIH HHS P30 AG028740NIDA NIH HHS K12 DA031794NIDA NIH HHS K23 DA036566
6 · The paper itself

Abstract

backgroundDespite increased attention to dentists' roles in curbing opioid misuse, abuse, and diversion, information regarding prescribing practices and the frequency of multiple concurrent opioid prescriptions among dental patients is limited.

methodsThe authors reviewed South Carolina prescription drug monitoring program data representing dispensed medication for patients prescribed at least 1 opioid by a dentist during the most recently available 2-year time frame (2012-2013). The authors used descriptive analyses to examine the types and frequency of dental opioid prescriptions and the frequency of existing multiple concurrent opioid prescriptions among dental patients.

resultsNearly all dispensed dental opioid prescriptions (99.9%; n = 653,650) were for immediate-release opioids and were initial prescription fills (96.2%). Hydrocodone (76.1%) and oxycodone (12.2%) combination products were the most frequently dispensed opioids prescribed by dentists. People younger than 21 years received 11.2% of dentist-prescribed opioids dispensed. Patients with multiple concurrent opioid prescriptions were identified within 30-day (n = 113,818), 90-day (n = 166,124), and 180-day (n = 205,576) time frames.

conclusionsDentists prescribed a high volume of the immediate-release opioids dispensed in South Carolina. A notable minority of dental patients had incidents of multiple preexisting opioid prescriptions, a factor implicated in patient misuse, abuse, overdose, and diversion. PRACTICAL IMPLICATIONS: Use of a prescription drug monitoring program before prescribing provides a record of controlled substances dispensed to a patient and may inform prescribing, coordination of care, and addiction screening or referral. Patients should receive information regarding misuse behaviors and their risks, as well as the importance of secure storage and disposal of leftover opioid medications.

Indexed as

Prescription Drug Monitoring ProgramsAdolescentAdultAgedAnalgesics, OpioidDrug OverdoseFemaleHumansHydrocodoneMaleMiddle AgedPractice Patterns, Dentists'South CarolinaYoung AdultAnalgesics, OpioidHydrocodonedrugOxycodonepatient educationprescriptions

Identifiers

PMID27055600
PMCPMC4925262
OpenAlexW2338887547

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.