Evidence map›Paper›PMID 31385367›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2020

Prescription Drug Abuse Among Patients in Rural Dental Practices Reported by Members of the National Dental PBRN.

Jenna L McCauley, Joni D Nelson, Gregg H Gilbert, Valeria Gordan, Scott H Durand, Rahma Mungia, Cyril Meyerowitz, Renata S Leite, Roger B Fillingim, Kathleen T Brady and 1 more

Abstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
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

11 authors at 7 institutions in 2 countries.

Jenna L McCauleyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.ORCID 0000-0001-8406-2329
Joni D NelsonDepartment of Stomatology, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina.
Gregg H GilbertDepartment of Clinical & Community Sciences, University of Alabama at Birmingham, Birmingham, Alabama.
Valeria GordanDepartment of Restorative Dental Sciences, University of Florida, Gainesville, Florida.
Scott H DurandWabasha Dentistry, Wabasha, Minnesota.
Rahma MungiaDepartment of Periodontics, University of Texas Health Science Center, San Antonio, Texas.
Cyril MeyerowitzUniversity of Rochester, Eastman Institute for Oral Health, Rochester, New York.
Renata S LeiteDepartment of Stomatology, College of Dental Medicine, Medical University of South Carolina, Charleston, South Carolina.
Roger B FillingimDepartment of Community Dentistry and Behavioral Sciences, University of Florida, Gainesville, Florida.
Kathleen T BradyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
National Dental PBRN Collaborative GroupThe National Dental PBRN Collaborative Group includes practitioner, faculty, and staff investigators who contributed to this activity. A list is available at:, http://nationaldentalpbrn.org/collaborative-group.php.
Medical University of South Carolina · USUniversity of Florida · USCollaborative Group (United States) · USEastman Chemical Company (United States) · USThe University of Texas Health Science Center at San Antonio · USUniversity of Alabama at Birmingham · USWabash College · 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 DA036566NIDA NIH HHS K23-DA036566NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19-DE-22516
6 · The paper itself

Abstract

purposeThis study compared rural to nonrural dentists with respect to opioid prescribing practices, perceptions about prescription drug abuse among patients, and training relevant to pain management and addictions.

methodsA web-based, cross-sectional questionnaire was administered to practicing dentist members of the National Dental Practice-Based Research Network (PBRN; N = 822) and linked with network enrollment questionnaire data regarding practitioner demographics and practice characteristics. Pain management prescribing practices and perceptions regarding relevance and scope of addiction and drug diversion among patients were assessed. Rural practice was defined as a practice whose ZIP Code has more than 50% of its population in either a nonmetropolitan county and/or a rural Census tract.

findingsRural dentists were significantly more likely than their nonrural counterparts to recommend nonsteroidal anti-inflammatory agents/acetaminophen in combination with prescribing an opioid [F (1,820) = 4.59, P = .03]. Compared to nonrural dentists, rural dentists were more likely to report that opioid abuse/diversion was a problem in their practices [χ

conclusionRural dentists may be disproportionately impacted by patients' opioid abuse and represent a viable target for educational outreach that encourages screening, identification, and referral of patients in need of drug abuse treatment.

Indexed as

Analgesics, OpioidOpioid-Related DisordersCross-Sectional StudiesHumansPain ManagementPractice Patterns, Physicians'Analgesics, Opioiddentistsopioid educationopioid prescribingopioid userural

Identifiers

PMID31385367
PMCPMC7002236
OpenAlexW2965360266

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.