Evidence map›Paper›PMID 36534769›Full record

ArticleAnesthesia progress2022

Opioid-Prescribing Patterns in Connecticut and New Jersey Following Third Molar Extractions.

Steven Halepas, Cameron Christiansen, Alia Koch, Shahid R Aziz, David M Shafer, Elie M Ferneini

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Anesthesia progress, 2022. 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
0.4field-weighted citation impact, top 34% 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, 2 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

6 authors at 4 institutions in 1 country.

Steven HalepasResident, Division of Oral and Maxillofacial Surgery, New York-Presbyterian/Columbia University Irving Medical Center, New York, New York.
Cameron ChristiansenDental Student, School of Dental Medicine, University of Connecticut, Farmington, Connecticut.
Alia KochProgram Director, Division of Oral and Maxillofacial Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, New York.
Shahid R AzizProfessor, Department of Oral and Maxillofacial Surgery, Rutgers School of Dental Medicine, Newark, New Jersey.
David M ShaferChair, Division of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Connecticut, Farmington, Connecticut.
Elie M FerneiniDirector, Beau Visage Med Spa and Greater Waterbury OMS, Cheshire, Connecticut; Associate Clinical Professor, Department of Surgery, Frank H Netter MD School of Medicine, Quinnipiac University, Hamden, Connecticut; Associate Clinical Professor, Division of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Connecticut, Farmington, Connecticut.
Columbia University Irving Medical Center · USUniversity of Connecticut · USQuinnipiac University · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn recent years, opioid misuse has resulted in much scrutiny on providers' prescribing habits. The purpose of this study was to analyze prescribing habits in the context of third molar extractions as a model for promoting better postsurgical pain management.

methodsThis was a cross-sectional survey of oral maxillofacial surgeons in Connecticut and New Jersey. A total of 291 practitioners were contacted to complete an online survey using Qualtrics Research Services to determine prescribing habits following third molar extractions.

resultsThe most common approach for postoperative analgesia was nonsteroidal anti-inflammatory drugs (NSAIDs) and an opioid/acetaminophen (APAP) combination as 2 separate prescriptions, reported by 36% of participants. The combination of hydrocodone/APAP was the most common opioid formulation, and an average of 10.93 ± 4.51 opioid pills were prescribed with a maximum of 20 pills reported. Most providers (79%) consistently provided patients with opioid information. Only 22% reported always checking opioid-monitoring programs; however, providers were more likely to check if prescribing more than ∼11 opioid pills (P = .0228). Most reported using dexamethasone (82%) and bupivacaine (56%) intraoperatively, while ketorolac was less common (15%). No association was found between the quantity of opioids prescribed and the use of intraoperative ketorolac, steroids, or bupivacaine (P > .05).

conclusionThere remains to be a universal standard for using opioids for postoperative pain management in dentistry. Providers should be mindful when prescribing opioids and consider using NSAIDs and APAP for baseline pain plus a separate opioid prescription for breakthrough pain. Additional focus on minimizing the quantity of opioids prescribed and self-reflecting on prescribing and practice habits to further reduce opioid-related complications is warranted.

Indexed as

AcetaminophenAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalBupivacaineConnecticutCross-Sectional StudiesHumansKetorolacMolar, ThirdNew JerseyPostoperative PainPractice Patterns, Dentists'AcetaminophenAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalBupivacaineKetorolacNonsteroidal anti-inflammatory drugsOpioidOpioid pandemicPain controlPost-operative painPrescribing habits

Identifiers

PMID36534769
PMCPMC9773415
OpenAlexW4312079182

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.