Evidence map›Paper›PMID 30931705›Full record

ArticleJDR clinical and translational research2019

Prescription Drug Monitoring Program Use: National Dental PBRN Results.

J L McCauley, G H Gilbert, D L Cochran, V V Gordan, R S Leite, R B Fillingim, K T Brady, National Dental PBRN Collaborative Group

Open access · greenAbstract read
In one paragraph

Article in JDR clinical and translational research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Is it time US dentistry ended its opioid dependence?Journal of the American Dental Association (1939) · 2019
    Review
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.

J L McCauley1 Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
G H Gilbert2 Department of Clinical and Community Sciences, University of Alabama at Birmingham, Birmingham, USA.
D L Cochran3 Department of Periodontics, UT Health San Antonio, San Antonio, USA.
V V Gordan4 Department of Restorative Dental Sciences, University of Florida, Gainesville, FL, USA.
R S Leite5 Department of Stomatology, Medical University of South Carolina, Charleston, SC, USA.
R B Fillingim6 Department of Restorative Dental Sciences, University of Florida, USA.
K T Brady1 Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
National Dental PBRN Collaborative Group8 National Dental PBRN Collaborative Group, which includes practitioner, faculty, and staff investigators who contributed to this activity ( http://nationaldentalpbrn.org/collaborative-group.php ).
Medical University of South Carolina · USUniversity of Florida · USThe University of Texas Health Science Center at Houston · USUniversity of Alabama at Birmingham · US

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

introductionThe American Dental Association recommends that dentists use a prescription drug monitoring program (PDMP) prior to prescribing an opioid for acute pain management.

objectiveThe objective of this study was to examine dentists' experiences using their state PDMP, as well as the impact that state-mandated registration policies, mandated use policies, and practice characteristics had on the frequency with which dentists used their PDMP.

methodsWe conducted a web-based cross-sectional survey among practicing dentist members of the National Dental Practice-Based Research Network ( n = 805). The survey assessed prescribing practices for pain management and implementation of risk mitigation strategies, including PDMP use. Survey data were linked with network Enrollment Questionnaire data to include practitioner demographics and practice characteristics.

resultsNearly half of respondents ( n = 375, 46.6%) reported having never accessed a PDMP, with the most common reasons for nonaccess being lack of awareness ( n = 214, 57.1%) and lack of knowledge regarding registration and use ( n = 94, 25.1%). The majority of PDMP users reported the program to be very helpful (58.1%) or somewhat helpful (31.6%). Dentists reported that PDMP use most often did not change their intended prescribing behavior (40.2%), led them not to prescribe an opioid (33.5%), or led them to prescribe fewer opioid doses (25.5%). Presence of a mandated use policy was significantly associated with increased frequency of PDMP use across a variety of situations, including prior to 1) prescribing any opioid for pain management, 2) issuing refills, 3) prescribing to new patients, and 4) prescribing to patients deemed high risk.

conclusionFindings suggest that the majority of dentists find PDMPs helpful in informing their opioid-prescribing practices. Whereas the existence of a state-mandated use policy is a consistent predictor of dentists' PDMP use, outreach and education efforts may overcome key barriers to use identified in this study. KNOWLEDGE TRANSFER STATEMENT: Findings from this national survey suggest that the majority of practicing dentists find PDMPs helpful in informing their opioid-prescribing practices; however, consistent PDMP use was not common. Whereas the existence of a state-mandated use policy is a consistent predictor of dentists' PDMP use, outreach and education efforts may overcome key barriers to use identified in this study.

Indexed as

Prescription Drug Monitoring ProgramsAnalgesics, OpioidCross-Sectional StudiesDentistsHumansPractice Patterns, Physicians'United StatesAnalgesics, Opioidbehavior and behavior mechanismsdentistryeducationprescription drug abusesubstance abusesubstance-related disorders

Identifiers

PMID30931705
PMCPMC6900502
OpenAlexW2899227244

What OpenQuestion holds

Textmetadata
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.