Evidence map›Paper›PMID 31387858›Full record

ArticleCMAJ open

Patterns of opioid prescribing by dentists in a pediatric population: a retrospective observational study.

Debora C Matthews, Martha G S Brillant, Kudirat O Jimoh, Winston Singleton, Pamela McLean-Veysey, Ingrid Sketris

Erratum issuedOpen access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Debora C MatthewsFaculty of Dentistry (Matthews, Brilliant), Dalhousie University, Halifax, NS; private practice (Jimoh), Truro, NS; MetroHealth System (Singleton), Cleveland, Ohio; Nova Scotia Health Authority (McLean-Veysey); College of Pharmacy (Sketris), Dalhousie University, Halifax, NS debora.matthews@dal.ca.
Martha G S BrillantFaculty of Dentistry (Matthews, Brilliant), Dalhousie University, Halifax, NS; private practice (Jimoh), Truro, NS; MetroHealth System (Singleton), Cleveland, Ohio; Nova Scotia Health Authority (McLean-Veysey); College of Pharmacy (Sketris), Dalhousie University, Halifax, NS.
Kudirat O JimohFaculty of Dentistry (Matthews, Brilliant), Dalhousie University, Halifax, NS; private practice (Jimoh), Truro, NS; MetroHealth System (Singleton), Cleveland, Ohio; Nova Scotia Health Authority (McLean-Veysey); College of Pharmacy (Sketris), Dalhousie University, Halifax, NS.
Winston SingletonFaculty of Dentistry (Matthews, Brilliant), Dalhousie University, Halifax, NS; private practice (Jimoh), Truro, NS; MetroHealth System (Singleton), Cleveland, Ohio; Nova Scotia Health Authority (McLean-Veysey); College of Pharmacy (Sketris), Dalhousie University, Halifax, NS.
Pamela McLean-VeyseyFaculty of Dentistry (Matthews, Brilliant), Dalhousie University, Halifax, NS; private practice (Jimoh), Truro, NS; MetroHealth System (Singleton), Cleveland, Ohio; Nova Scotia Health Authority (McLean-Veysey); College of Pharmacy (Sketris), Dalhousie University, Halifax, NS.
Ingrid SketrisFaculty of Dentistry (Matthews, Brilliant), Dalhousie University, Halifax, NS; private practice (Jimoh), Truro, NS; MetroHealth System (Singleton), Cleveland, Ohio; Nova Scotia Health Authority (McLean-Veysey); College of Pharmacy (Sketris), Dalhousie University, Halifax, NS.
Dalhousie University · CAMetroHealth · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDentists are regular prescribers of opioid analgesic medications; however, there are few published data on their prescribing practices for children. The aim of this study was to assess opioid prescribing practices of dentists for pediatric patients.

methodsWe conducted a retrospective study (2011/12 to 2017/18) using administrative health data of opioid prescribing practices of dentists in Nova Scotia for children and adolescents (age < 18 yr). The main variables of interest were opioid "type" and "load" dentists prescribed (number of dispensed prescriptions/yr, days supplied/prescription and dosage/d per prescription in milligrams of morphine equivalents [MME]).

resultsDentists accounted for a mean of 18.3% (standard deviation 1.5%) of all opioid prescribers for the pediatric population annually but were responsible for 59.9% of all opioid prescriptions and 48.6% of total MME dispensed during the 7-year study period. Oral and maxillofacial surgeons were responsible for 80.7% of all dental-related opioids dispensed. Codeine was most frequently prescribed (78.6% of total MME), followed by oxycodone (11.1%). There were significant downward trends over the study period in the total amount of opioid analgesics dispensed (

interpretationDentists in Nova Scotia reduced prescriptions of opioids in the pediatric population between 2011/12 and 2017/18, which may indicate that current opioid prescribing principles are influencing dentists' prescribing habits. Nonetheless, patients and parents should receive appropriate counselling as to the proper use, risks, storage and potential for misuse of opioids when prescribed.

Identifiers

PMID31387858
PMCPMC6685778
OpenAlexW2964519826

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.