Trial reportAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2018
Past-year Prescription Drug Monitoring Program Opioid Prescriptions and Self-reported Opioid Use in an Emergency Department Population With Opioid Use Disorder.
Trial report in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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.
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Who cites it
10 citing papers in PubMed, 31 citations in OpenAlex.
- Article
- Article
- Mapping prescription drug monitoring program data to self-report measures of non-medical prescription opioid use in community pharmacy settings.Research in social & administrative pharmacy : RSAP · 2023Article
- Medications at the Emergency Department After Recent Rape.Journal of interpersonal violence · 2022Article
- Prevalence and Predictors of Driving after Prescription Opioid Use in an Adult ED Sample.The western journal of emergency medicine · 2020Article
- Medical use, non-medical use and use disorders of benzodiazepines and prescription opioids in adults: Differences by insurance status.Drug and alcohol dependence · 2019Article
- Techniques to Shorten a Screening Tool for Emergency Department Patients.The western journal of emergency medicine · 2019Article
- Opioid Prescribing and Physician Autonomy: A Quality of Care Perspective.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2019Article
- Identification, Management, and Transition of Care for Patients With Opioid Use Disorder in the Emergency Department.Annals of emergency medicine · 2018Review
- Resident Access to the St. Louis County Prescription Drug Monitoring Program: Why PDMPs Matter and How to Gain Access.Missouri medicineArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDespite increasing reliance on prescription drug monitoring programs (PDMPs) as a response to the opioid epidemic, the relationship between aberrant drug-related behaviors captured by the PDMP and opioid use disorder is incompletely understood. How PDMP data should guide emergency department (ED) assessment has not been studied.
objectivesThe objective was to evaluate a relationship between PDMP opioid prescription records and self-reported nonmedical opioid use of prescription opioids in a cohort of opioid-dependent ED patients enrolled in a treatment trial.
methodsPDMP opioid prescription records during 1 year prior to study enrollment on 329 adults meeting Diagnostic and Statistical Manual IV criteria for opioid dependence entering a randomized clinical trial in a large, urban ED were cross-tabulated with data on 30-day nonmedical prescription opioid use self-report. The association among these two types of data was assessed by the Goodman and Kruskal's gamma; a logistic regression was used to explore characteristics of participants who had PDMP record of opioid prescriptions.
resultsDuring 1 year prior to study enrollment, 118 of 329 (36%) patients had at least one opioid prescription (range = 1-51) in our states' PDMP. Patients who reported ≥15 of 30 days of nonmedical prescription opioid use were more likely to have at least four PDMP opioid prescriptions (20/38; 53%) than patients reporting 1 to 14 days (14/38, 37%) or zero days of nonmedical prescription opioid use (4/38, 11%; p = 0.002). Female sex and having health insurance were significantly more represented in the PDMP (p < 0.05 for both).
conclusionPDMPs may be helpful in identifying patients with certain aberrant drug-related behavior, but are unable to detect many patients with opioid use disorder. The majority of ED patients with opioid use disorder were not captured by the PDMP, highlighting the importance of using additional methods such as screening and clinical history to identify opioid use disorders in ED patients and the limitations of PDMPs to detect opioid use disorders.
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Registered trials
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