Evidence map›Paper›PMID 34409600›Full record

ArticleHealth services research2021

Association of prescription drug monitoring program laws with bedridden and missed work days.

Martha Wetzel, Courtney R Yarbrough, Silke A von Esenwein, Jason M Hockenberry

Abstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Martha WetzelDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-7533-3729
Courtney R YarbroughDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Silke A von EsenweinCenter for Public Partnerships and Research, Lawrence, Kansas, USA.
Jason M HockenberryDepartment of Health Policy and Management, Yale School of Public Health, Yale University, New Haven, Connecticut, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the relationship between optional and must-use prescription drug monitoring programs (PDMPs) and markers of disability. DATA SOURCES: Nationwide data from the National Health Interview Survey for 2006-2015. STUDY

designGeneralized difference-in-difference models with state-specific time trends were used to assess the relationship between PDMPs and two outcomes: missed days of work and bedridden days. DATA COLLECTION/EXTRACTION

methodsAll respondents above the age of 18 years with complete data on key measures were included. A subpopulation of respondents who had a recent surgery or injury was identified. PRINCIPAL

findingsWe found an increase of 3.3 and 5.9 bedridden days associated with optional and must-use PDMPs, respectively, for respondents reporting a recent injury or surgery (p-values <0.05; unadjusted population average 12.2 bedridden days). Increases in days of missed work were not statistically significant.

conclusionsImplementation of PDMPs was associated with negative unintended consequences in the injury/surgery subpopulation. The association between bedridden days and PDMPs suggests a gap between clinical trials showing equivalence of opioids and nonopioids for pain treatment and real-world results. As increasingly tighter opioid restrictions proliferate, evidence-based strategies to address pain without opioids in the acute pain population likely need to be more widely disseminated.

Indexed as

Prescription Drug Monitoring ProgramsAnalgesics, Non-NarcoticAnalgesics, OpioidCross-Sectional StudiesFemaleHealth SurveysHumansMaleMiddle AgedPainPractice Patterns, Physicians'Sick LeaveSurgical Procedures, OperativeUnited StatesAnalgesics, Non-NarcoticAnalgesics, Opioidacute painanalgesicsopioidpain managementprescription drug monitoring programsstate health policies

Identifiers

PMID34409600
PMCPMC8586471

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.