Evidence map›Paper›PMID 31611048›Full record

ArticleInternational journal of oral and maxillofacial surgery2020

Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus.

O A Farooqi, W E Bruhn, M K Lecholop, D Velasquez-Plata, J G Maloney, S Rizwi, R B Templeton, A Goerig, C Hezkial, C M Novince and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of oral and maxillofacial surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

13 authors.

O A FarooqiDepartment of Veteran Affairs, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
W E BruhnDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
M K LecholopDepartment of Oral and Maxillofacial Surgery, Medical University of South Carolina, Charleston, SC, USA.
D Velasquez-PlataUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA.
J G MaloneyPrivate Practice, Burlington, MA.
S RizwiDow International Medical College, Dow University of Health Sciences.
R B TempletonPrivate Practice, Olympia, Washington.
A GoerigDepartment of Orofacial Pain, College of Dentistry, University of Kentucky, Lexington, KY, USA.
C HezkialDepartment of Orofacial Pain, College of Dentistry, University of Kentucky, Lexington, KY, USA.
C M NovinceDepartment of Oral and Maxillofacial Surgery, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
M T ZiemanDepartment of Oral and Maxillofacial Surgery, Medical University of South Carolina, Charleston, SC, USA.
A M N LotestoDepartment of Oral and Maxillofacial Surgery, Medical University of South Carolina, Charleston, SC, USA.
M A MakaryDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: mmakary1@jhmi.edu.

Funding

Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
Impact of the Microbiome on Osteoimmunology and Skeletal DevelopmentK08DE025337 · NIDCR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI NOVINCE, CHAD MICHAEL · 2016 to 2020
$679k
NIDCR NIH HHS K08 DE025337NIDDK NIH HHS P30 DK123704
6 · The paper itself

Abstract

One in 16 patients prescribed opioids after a surgical procedure will become a long-term user. The lack of procedure-specific guidelines after common dental procedures contributes to the opioid overprescribing problem. We convened a multidisciplinary panel to develop consensus recommendations for opioid prescribing after common dental procedures. We used a three-step modified Delphi method to develop a consensus recommendation for outpatient opioid prescribing for 14 common dental procedures. The multi-institution, multidisciplinary panel represented seven relevant stakeholder groups (oral surgeons, periodontists, endodontists, general dentists, general surgeons, oral surgery residents, and oral surgery patients). The panel determined the minimum and maximum number of opioid tablets a clinician should consider prescribing. For all 14 surgical procedures, ibuprofen was recommended as initial therapy. The maximum number of opioid tablets recommended varied by procedure (overall median = 5 tablets, range = 0-15 tablets). Zero opioid tablets were recommended as the maximum number for six of 14 (43%) procedures, one to 10 opioid tablets was the maximum for four of 14 (27%) procedures, and 11-15 tablets was the maximum for four of 14 (27%) procedures. Procedure-specific prescribing recommendations may help provide guidance to clinicians and help address the opioid overprescribing problem.

Indexed as

Analgesics, OpioidSurgeonsConsensusHumansPostoperative PainPractice Patterns, Physicians'Analgesics, Opioidguideline developmentopioidsoverprescribingpain management

Identifiers

PMID31611048
PMCPMC8771805

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.