Evidence map›Paper›PMID 40502614›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Do Must-Access Prescription Drug Monitoring Programs (PDMPs) Affect Pain and Physical Impairment Outcomes in Older Adults?

Martha Wetzel, David H Howard, Nicholas A Giordano, Stephen W Patrick, Courtney R Yarbrough

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In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Martha WetzelDepartment of Health Policy and Management, Rollins School of Public Health, Emory University.ORCID 0000-0002-7533-3729
David H HowardDepartment of Health Policy and Management, Rollins School of Public Health, Emory University.
Nicholas A GiordanoNell Hodgson Woodruff School of Nursing, Emory University.
Stephen W PatrickDepartment of Health Policy and Management, Rollins School of Public Health, Emory University.
Courtney R YarbroughDepartment of Health Policy and Management, Rollins School of Public Health, Emory University.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Training in Advanced Data Analytics to End Drug-Related Harms (TADA)T32DA050552 · NIDA · EMORY UNIVERSITY · PI Howard H Chang, Hannah LF Cooper · 2020 to 2026
$1.6M
NIA NIH HHS U01 AG009740NIDA NIH HHS T32 DA050552
6 · The paper itself

Abstract

Background: State policies requiring clinicians to review prescription drug monitoring program (PDMP) databases have proliferated. Patient advocates warn that such policies may reduce quality of life for some patients. Objectives: To quantify the relationship between must-access PDMPs and pain and physical impairment outcomes. Research Design: Using Health and Retirement Survey (HRS) data on older adults in the US from 2002-2021, we conducted a heterogeneity-robust difference-in-differences analysis. Results: The population included 34,431 individuals with an average age of 67. Must-access PDMPs were initially associated with 1.65 (95% CI: 0.43 - 2.87) to 3.52 (95% CI: 0.88 - 6.16) percentage point increases in the reports of frequent pain. However, the effect dissipated over time. Effects on the impairment outcomes were positive but statistically insignificant. Conclusions: Must-access PDMP policies are associated with an initial increase in frequent pain reported by older adults. No significant effects on physical impairment outcomes were found. Continued research examining the role of PDMPs on patient health outcomes is warranted.

Indexed as

older adultsopioidspainprescription drug monitoring programs

Identifiers

PMID40502614
PMCPMC12155038

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