Evidence map›Paper›PMID 36752533›Full record

ArticleJNCI cancer spectrum2023

The effect of cancer exemption in mandatory-access prescription drug monitoring programs among oncologists.

Ilana Graetz, Xin Hu, Xu Ji, Martha Wetzel, Courtney R Yarbrough

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

5 authors.

Ilana GraetzDepartment of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, GA, USA.ORCID 0000-0003-3664-5815
Xin HuDepartment of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, GA, USA.ORCID 0000-0003-1097-3300
Xu JiDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-3025-3984
Martha WetzelDepartment of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Courtney R YarbroughDepartment of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To address the opioid epidemic, some states mandate that prescribers review a state-run prescription drug monitoring program (PDMP) database before prescribing opioids. We used Medicare Part D prescriber data from 2013 (baseline) to 2019 to examine the association between state mandatory-access PDMPs, with and without a cancer exemption, and changes in the percent of oncologists' patients with any opioid fill per year, stratified by oncologists' baseline prescribing volume. Among 9746 medical or hematologic oncologists, the proportion of patients prescribed opioids declined after states implemented mandatory-access PDMPs without a cancer exemption overall (-0.49 percentage point, 95% confidence interval = -0.78 to -0.20 percentage point) and among those with above-median baseline prescribing, but not in states with a cancer exemption (-0.16 percentage point, 95% confidence interval = -0.50 to 0.18 percentage point) or with below-median baseline prescribing. Carefully designed mandatory-access PDMPs with cancer exemptions minimize unnecessary reductions in prescription opioid treatments among oncology patients in need of pain management.

Indexed as

NeoplasmsOncologistsPrescription Drug Monitoring ProgramsAgedAnalgesics, OpioidHumansMedicarePractice Patterns, Physicians'United StatesAnalgesics, Opioid

Identifiers

PMID36752533
PMCPMC9978313

What OpenQuestion holds

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Registered trials

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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.