Electronic Defaults to Reduce Opioid Prescribing in Dentistry Practices

Not Applicable

Completed

• Conditions: Acute Pain

• Registration Number: NCT03030469
• Lead Sponsor: Montefiore Medical Center

Brief Summary

The goal of this research is to investigate the impact of changing opioid analgesic prescribing defaults on the quantity of opioids prescribed for acute non-cancer pain in adult dentistry settings. We will change prescribing defaults for select short-acting opioid analgesics including immediate release oxycodone and hydrocodone as well as codeine and tramadol, including their co-formulations with acetaminophen. In a cluster-randomized trial of three Montefiore Medical Center dentistry sites, we will evaluate the impact of this intervention on patient-level outcomes using 18 months of data (6 months pre-intervention and 12 months post-intervention).

Detailed Description

Not available

Study Timeline

• Study Start: 2016-12
• Study First Submitted: 2016-12-19
• Study First Submitted QC: 2017-01-22
• Study First Posted: 2017-01-25
• Primary Completion: 2018-07-13
• Study Completion: 2018-07-13
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-13
• Last Update Posted: 2018-08-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 10000

Inclusion Criteria

• Dentistry clinic within Montefiore Medical Center

Patient Inclusion Criteria:

• Received a new opioid analgesic prescription, defined as no opioid analgesic prescription in the preceding 6 months

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Initial prescription number of pills to dispense	Through study completion (18 months)	From the electronic health record

Secondary Outcome Measures

Name	Time	Method
Initial prescription morphine milligram equivalents to dispense	Through study completion (18 months)	From the electronic health record
Hospitalizations	Within 30 days after the initial prescription	From the electronic health record
Opioid analgesic reorder (y/n)	Within 30 days after the initial prescription	From the electronic health record
Total opioid analgesic pills to dispense, including re-orders	Within 30 days after the initial prescription	From the electronic health record
Outpatient visits	Within 30 days after the index prescription	From the electronic health record
Total morphine milligram equivalents to dispense, including re-orders	Within 30 days after the initial prescription	From the electronic health record
Emergency department visits	Within 30 days after the initial prescription	From the electronic health record