Evidence map›Paper›PMID 29054493›Full record

ArticleThe journal of pain2018

Association of Prescription Drug Monitoring Program Use With Opioid Prescribing and Health Outcomes: A Comparison of Program Users and Nonusers.

Richard A Deyo, Sara E Hallvik, Christi Hildebran, Miguel Marino, Rachel Springer, Jessica M Irvine, Nicole O'Kane, Joshua Van Otterloo, Dagan A Wright, Gillian Leichtling and 4 more

Open access · greenAbstract read
In one paragraph

Article in The journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
8.4field-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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  3. Systematic Literature Review of Prescription Drug Monitoring Programs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
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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

14 authors at 3 institutions in 1 country.

Richard A DeyoDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon; Department of Medicine and The Oregon Institute for Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon. Electronic address: deyor@ohsu.edu.
Sara E HallvikHealthInsight Oregon, Portland, Oregon.
Christi HildebranHealthInsight Oregon, Portland, Oregon.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon; Oregon Health & Science University - Portland State University School of Public Health, Oregon Health & Science University, Portland, Oregon.
Rachel SpringerDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Jessica M IrvinePropeller Consulting, Portland, Oregon.
Nicole O'KaneHealthInsight Oregon, Portland, Oregon.
Joshua Van OtterlooInjury and Violence Prevention Program for the State of Oregon, Portland, Oregon.
Dagan A WrightInjury and Violence Prevention Program for the State of Oregon, Portland, Oregon.
Gillian LeichtlingHealthInsight Oregon, Portland, Oregon.
Lisa M MilletInjury and Violence Prevention Program for the State of Oregon, Portland, Oregon.
Jody CarsonHealthInsight Oregon, Portland, Oregon.
Wayne WakelandDepartment of Systems Science, Portland State University, Portland, Oregon.
Dennis McCartyOregon Health & Science University - Portland State University School of Public Health, Oregon Health & Science University, Portland, Oregon.
HealthInsight · USPortland State University · USOregon Health & Science University · 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

Prescription drug monitoring programs (PDMPs) are a response to the prescription opioid epidemic, but their effects on prescribing and health outcomes remain unclear, with conflicting reports. We sought to determine if prescriber use of Oregon's PDMP led to fewer high-risk opioid prescriptions or overdose events. We conducted a retrospective cohort study from October 2011 through October 2014, using statewide PDMP data, hospitalization registry, and vital records. Early PDMP registrants (n = 927) were matched with clinicians who never registered during the study period, using baseline prescribing metrics in a propensity score. Generalized estimating equations were used to examine prescribing trends after PDMP registration, using 2-month intervals. We found a statewide decline in measures of per capita opioid prescribing. However, compared with nonregistrants, PDMP registrants did not subsequently have significantly fewer patients receiving high-dose prescriptions, overlapping opioid and benzodiazepine prescriptions, inappropriate prescriptions, prescriptions from multiple prescribers, or overdose events. At baseline, frequent PDMP users wrote fewer high-risk opioid prescriptions than infrequent users; this persisted during follow-up with few significant group differences in trend. Thus, although opioid prescribing declined statewide after implementing the PDMP, registrants did not show greater declines than nonregistrants. PERSPECTIVE: Factors other than PDMP use may have had greater influence on prescribing trends. Refinements in the PDMP program and related policies may be necessary to increase PDMP effects.

Indexed as

Prescription Drug Monitoring ProgramsAnalgesics, OpioidBenzodiazepinesCohort StudiesDrug PrescriptionsFemaleHumansMaleOregonOutcome Assessment, Health CarePrescription Drug MisuseRegistriesSubstance-Related DisordersAnalgesics, OpioidBenzodiazepinescohort studyhealth policyopioidsPrescription drug monitoring programrisky prescribing

Identifiers

PMID29054493
PMCPMC5803414
OpenAlexW2766709891

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.