Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists
Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioi...
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| Veröffentlicht in: | PloS one 2015-08, Vol.10 (8), p.e0135957-e0135957 |
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| creator | Rasubala, Linda Pernapati, Lavanya Velasquez, Ximena Burk, James Ren, Yan-Fang |
| description | Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p |
| doi_str_mv | 10.1371/journal.pone.0135957 |
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New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p<0.05). Total numbers of prescribed opioid pills in a 3-month period decreased from 5096 to 1120, signifying a 78% reduction in absolute quantity. Prescriptions for non-opioid analgesics acetaminophen increased during the same periods (p<0.05). We conclude that the mandatory PDMP significantly affected the prescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0135957</identifier><identifier>PMID: 26274819</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acetaminophen ; Analgesics ; Analgesics, Opioid - antagonists & inhibitors ; Controlled substances ; Data processing ; Dental care ; Dental materials ; Dentistry ; Dentists ; Drug and Narcotic Control - legislation & jurisprudence ; Drug dosages ; Drug overdose ; Drug Prescriptions - standards ; Female ; Humans ; Male ; Monitoring ; Narcotics ; New York ; Nonsteroidal anti-inflammatory drugs ; Opioids ; Oral hygiene ; Pain ; Pain Management ; Patients ; Prescription drugs ; Prescriptions (Drugs) ; Reduction ; Statistical analysis ; Statistical tests ; Therapeutic drug monitoring</subject><ispartof>PloS one, 2015-08, Vol.10 (8), p.e0135957-e0135957</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Rasubala et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Rasubala et al 2015 Rasubala et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-86c7b6359d86f30b1ee90cdbf2f99497610d46eb353dc90f1f870eb778b618f33</citedby><cites>FETCH-LOGICAL-c692t-86c7b6359d86f30b1ee90cdbf2f99497610d46eb353dc90f1f870eb778b618f33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537135/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537135/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26274819$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rasubala, Linda</creatorcontrib><creatorcontrib>Pernapati, Lavanya</creatorcontrib><creatorcontrib>Velasquez, Ximena</creatorcontrib><creatorcontrib>Burk, James</creatorcontrib><creatorcontrib>Ren, Yan-Fang</creatorcontrib><title>Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p<0.05). Total numbers of prescribed opioid pills in a 3-month period decreased from 5096 to 1120, signifying a 78% reduction in absolute quantity. Prescriptions for non-opioid analgesics acetaminophen increased during the same periods (p<0.05). We conclude that the mandatory PDMP significantly affected the prescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.</description><subject>Acetaminophen</subject><subject>Analgesics</subject><subject>Analgesics, Opioid - antagonists & inhibitors</subject><subject>Controlled substances</subject><subject>Data processing</subject><subject>Dental care</subject><subject>Dental materials</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Drug and Narcotic Control - legislation & jurisprudence</subject><subject>Drug dosages</subject><subject>Drug overdose</subject><subject>Drug Prescriptions - standards</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Monitoring</subject><subject>Narcotics</subject><subject>New York</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Opioids</subject><subject>Oral hygiene</subject><subject>Pain</subject><subject>Pain Management</subject><subject>Patients</subject><subject>Prescription drugs</subject><subject>Prescriptions (Drugs)</subject><subject>Reduction</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Therapeutic drug monitoring</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1uL1DAUx4so7jr6DUQLgujDjEnT5vIiDLteBnYZ8fYa0lw6GdumJq04397U6S5T2QfpQ0rO7_xP_ic5SfIUghVEBL7Zu8G3ol51rtUrAFHBCnIvOYcMZUucAXT_5P8seRTCHoACUYwfJmcZzkhOITtPfmyaTsg-dSYV6bVoleidP6SfvA7S2663rk0v_VCl1661MWTbKgZd5UWTxtCMixrbzjqr0nU8WKWDlSEtD-mlbnsb-vA4eWBEHfSTaV0k396_-3rxcXm1_bC5WF8tJWZZv6RYkhJHP4pig0AJtWZAqtJkhrGcEQyByrEuUYGUZMBAQwnQJSG0xJAahBbJ86NuV7vApz4FDgkoAKaE5JHYHAnlxJ533jbCH7gTlv_dcL7iwvdW1pprkFFVMoxwlucFYYwCCpHOFaVa6ZJGrbdTtaFstJLRrBf1THQeae2OV-4Xz4t4jdHEInk1CXj3c9Ch540NUte1aLUbpnNDgPFY68U_6N3uJqoS0YBtjYt15SjK13lWYIhzxCK1uoOKn9KNlfFRGRv3ZwmvZwmR6fXvvhJDCHzz5fP_s9vvc_blCbvTou53wdXD-KbCHMyPoPQuBK_NbZMh4ONM3HSDjzPBp5mIac9OL-g26WYI0B-2tgZ_</recordid><startdate>20150814</startdate><enddate>20150814</enddate><creator>Rasubala, Linda</creator><creator>Pernapati, Lavanya</creator><creator>Velasquez, Ximena</creator><creator>Burk, James</creator><creator>Ren, Yan-Fang</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150814</creationdate><title>Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists</title><author>Rasubala, Linda ; Pernapati, Lavanya ; Velasquez, Ximena ; Burk, James ; Ren, Yan-Fang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-86c7b6359d86f30b1ee90cdbf2f99497610d46eb353dc90f1f870eb778b618f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acetaminophen</topic><topic>Analgesics</topic><topic>Analgesics, Opioid - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rasubala, Linda</au><au>Pernapati, Lavanya</au><au>Velasquez, Ximena</au><au>Burk, James</au><au>Ren, Yan-Fang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-08-14</date><risdate>2015</risdate><volume>10</volume><issue>8</issue><spage>e0135957</spage><epage>e0135957</epage><pages>e0135957-e0135957</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p<0.05). Total numbers of prescribed opioid pills in a 3-month period decreased from 5096 to 1120, signifying a 78% reduction in absolute quantity. Prescriptions for non-opioid analgesics acetaminophen increased during the same periods (p<0.05). We conclude that the mandatory PDMP significantly affected the prescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26274819</pmid><doi>10.1371/journal.pone.0135957</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Acetaminophen Analgesics Analgesics, Opioid - antagonists & inhibitors Controlled substances Data processing Dental care Dental materials Dentistry Dentists Drug and Narcotic Control - legislation & jurisprudence Drug dosages Drug overdose Drug Prescriptions - standards Female Humans Male Monitoring Narcotics New York Nonsteroidal anti-inflammatory drugs Opioids Oral hygiene Pain Pain Management Patients Prescription drugs Prescriptions (Drugs) Reduction Statistical analysis Statistical tests Therapeutic drug monitoring |
| title | Impact of a Mandatory Prescription Drug Monitoring Program on Prescription of Opioid Analgesics by Dentists |
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