Evidence map›Paper›PMID 29550022›Full record

ArticleJournal of the American Dental Association (1939)2018

Opioid prescribing and risk mitigation implementation in the management of acute pain: Results from The National Dental Practice-Based Research Network.

Jenna L McCauley, Renata S Leite, Valeria V Gordan, Roger B Fillingim, Gregg H Gilbert, Cyril Meyerowitz, David Cochran, D Brad Rindal, Kathleen T Brady, National Dental Practice-Based Research Network Collaborative Group

Abstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Trends of Dispensed Opioids Prescribed by Australian Dentists: 2013-2022.Community dentistry and oral epidemiology · 2026
    Article
  6. Substance Use Screening Among Adolescents: National Dental Practice-Based Research Network Survey.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  7. Review
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  13. 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
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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

10 authors.

Jenna L McCauley
Renata S Leite
Valeria V Gordan
Roger B Fillingim
Gregg H Gilbert
Cyril Meyerowitz
David Cochran
D Brad Rindal
Kathleen T Brady
National Dental Practice-Based Research Network Collaborative Group

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
Reducing Prescription Opioid Misuse: Dental Provider Intervention DevelopmentK23DA036566 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCCAULEY, JENNA L. · 2015 to 2019
$980k
NIDA NIH HHS K23 DA036566NIDCR NIH HHS U19 DE022516
6 · The paper itself

Abstract

backgroundMinimal information exists regarding the consistency and correlates of dentists' implementation of risk mitigation strategies when prescribing opioids, including risk screening, prescription drug monitoring program (PDMP) use, and patient education.

methodsThe authors conducted a Web-based, cross-sectional survey among practicing dentist members of The National Dental Practice-Based Research Network. The authors used the survey to assess pain management prescribing practices and risk mitigation implementation. The authors linked survey data with network enrollment questionnaire data to include practitioner demographic and practice characteristics.

resultsA total of 822 dentists completed the survey. A minority of dentists reported prescribing opioids only (11%) or opioids in combination with a recommendation for nonsteroidal anti-inflammatory drugs or acetaminophen (18%) to one-half or more of their patients needing management of acute pain. Higher levels of opioid prescribing were associated significantly with less consistent implementation of PDMP use (r = -0.20) and patient education (r = -0.11).

conclusionsMost dentists reported infrequent PDMP use and counseling patients regarding risks, storage, and disposal of opioids. Higher frequency of opioid prescribing was associated with less consistent risk mitigation implementation. PRACTICAL IMPLICATIONS: When opioid prescribing is indicated, risk of misuse and diversion may be mitigated by consistent PDMP use and provision of patient education. Dental education in this arena is needed.

Indexed as

Acute PainPrescription Drug Monitoring ProgramsAnalgesics, OpioidCross-Sectional StudiesHumansPractice Patterns, Physicians'Analgesics, OpioiddrugPainpatient educationprescriptions

Identifiers

PMID29550022
PMCPMC5924603

What OpenQuestion holds

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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.