Evidence map›Paper›PMID 41238199›Full record

Trial reportApplied clinical informatics2025

Learning from Misses: Evaluating a Clinical Decision Support for Chronic Pain Management in Primary Care.

Olena Mazurenko, Nate C Apathy, Lindsey M Sanner, Emma McCord, Meredith C B Adams, Robert W Hurley, Randall W Grout, Burke Mamlin, Saura Fortin, Justin Blackburn and 4 more

Abstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Applied clinical informatics, 2025. 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
–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

1 citing paper in PubMed.

  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

14 authors.

Olena MazurenkoDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Nate C ApathyRegenstrief Institute, Indianapolis, Indiana, United States.
Lindsey M SannerDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Emma McCordDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Meredith C B AdamsDepartment of Anesthesiology, Wake Forest University, Winston-Salem, North Carolina, United States.
Robert W HurleyDepartment of Anesthesiology, Wake Forest University, Winston-Salem, North Carolina, United States.
Randall W GroutDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Burke MamlinRegenstrief Institute, Indianapolis, Indiana, United States.
Saura FortinPrimary Care, Eskenazi Health, Indianapolis, Indiana, United States.
Justin BlackburnDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Nir MenachemiDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Joshua R VestDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.
Matthew GurkaDepartment of Public Health Sciences, University of Virginia, Charlottesville, Virginia, United States.
Christopher A HarleDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health-Indiana University, Indianapolis, Indiana, United States.

Funding

The Indiana Training Program in Public & Population Health InformaticsT15LM012502 · NLM · INDIANA UNIVERSITY INDIANAPOLIS · PI Brian E. Dixon, William F Fadel · 2017 to 2026
$4.7M
Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information DesignR33DA046085 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT, MAZURENKO, OLENA · 2019 to 2021
$1.7M
Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information DesignR21DA046085 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT · 2017 to 2018
$402k
National Institute on Drug Abuse (NIDA) of the National Institutes of Health (NIH) R33D1046085National Library of Medicine of the NIH T15LM012502NIDA NIH HHS R21 DA046085NIDA NIH HHS R33 DA046085NLM NIH HHS T15 LM012502
6 · The paper itself

Abstract

This study aimed to assess the effect of a passive, opt-in electronic health record (EHR)-based clinical decision support (CDS), the Chronic Pain OneSheet, on guideline-recommended chronic pain management in primary care.A pragmatic randomized controlled trial with a parallel group design was conducted between October 2020 and May 2022. Participants were 137 primary care clinicians (PCCs) treating qualifying patients with chronic pain at 25 primary care clinics within two academic health systems in the United States. PCCs were randomized in the EHR to have access to OneSheet or usual care. OneSheet aggregates guideline-relevant information in a single view and provides shortcuts to guideline-recommended actions (e.g., ordering urine drug screening [UDS] for patients prescribed opioids). We constructed five visit-level binary outcomes: (1) documenting pain-related goals; (2) documenting pain and function via Pain, Enjoyment of Life and General Activity (PEG) scale; (3) reviewing prescription drug monitoring programs (PDMPs); (4) ordering UDS; and (5) ordering naloxone. Analysis used generalized linear mixed models for each outcome.OneSheet access minimally increased rates of pain-related goal documentation (0.2 percentage point increase,

Indexed as

Chronic PainDecision Support Systems, ClinicalPain ManagementPrimary Health CareAdultElectronic Health RecordsFemaleHumansMaleMiddle Aged

Identifiers

PMID41238199
PMCPMC12618150

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.