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The Effect of a Statewide Mandatory Prescription Drug Monitoring Program on Opioid Prescribing by Emergency Medicine Providers Across 15 Hospitals in a Single Health System.
J Pain. 2018 04; 19(4):430-438.JP

Abstract

Prescription drug monitoring programs (PDMPs) enable registered prescribers to obtain real-time information on patients' prescription history of controlled medications. We sought to describe the effect of a state-mandated PDMP on opioid prescribing by emergency medicine providers. We retrospectively analyzed electronic medical records of 122,732 adult patients discharged with an opioid prescription from 15 emergency departments in a single health system in Pennsylvania from July 2015 to March, 2017. We used an interrupted time series design to evaluate the percentage of patients discharged each month with an opioid prescription before and after state law-mandated PDMP use on August 25, 2016. From August (pre-PDMP) to September, 2016 (post-PDMP), the opioid prescribing rate decreased from 12.4% (95% confidence interval [CI], 10.8%-14.1%) to 10.2% (95% CI, 8.8%-11.8%). For each month between September 2016 to March 2017, there was a mean decline of .46% (95% CI, -.38% to -.53%) in the percentage of patients discharged with an opioid prescription. There was heterogeneity in opioid prescribing across hospitals as well as according to patient diagnosis.

PERSPECTIVE

This study examined the effect of a state-mandated PDMP on opioid prescribing among emergency medicine providers from 15 different hospitals in a single health system. Findings support current PDMP mandates in reducing opioid prescriptions, which could curb the prescription opioid epidemic and may ultimately reduce abuse, misuse, and overdose death.

Authors+Show Affiliations

Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. Electronic address: suffbp@upmc.edu.Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29241835

Citation

Suffoletto, Brian, et al. "The Effect of a Statewide Mandatory Prescription Drug Monitoring Program On Opioid Prescribing By Emergency Medicine Providers Across 15 Hospitals in a Single Health System." The Journal of Pain : Official Journal of the American Pain Society, vol. 19, no. 4, 2018, pp. 430-438.
Suffoletto B, Lynch M, Pacella CB, et al. The Effect of a Statewide Mandatory Prescription Drug Monitoring Program on Opioid Prescribing by Emergency Medicine Providers Across 15 Hospitals in a Single Health System. J Pain. 2018;19(4):430-438.
Suffoletto, B., Lynch, M., Pacella, C. B., Yealy, D. M., & Callaway, C. W. (2018). The Effect of a Statewide Mandatory Prescription Drug Monitoring Program on Opioid Prescribing by Emergency Medicine Providers Across 15 Hospitals in a Single Health System. The Journal of Pain : Official Journal of the American Pain Society, 19(4), 430-438. https://doi.org/10.1016/j.jpain.2017.11.010
Suffoletto B, et al. The Effect of a Statewide Mandatory Prescription Drug Monitoring Program On Opioid Prescribing By Emergency Medicine Providers Across 15 Hospitals in a Single Health System. J Pain. 2018;19(4):430-438. PubMed PMID: 29241835.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Effect of a Statewide Mandatory Prescription Drug Monitoring Program on Opioid Prescribing by Emergency Medicine Providers Across 15 Hospitals in a Single Health System. AU - Suffoletto,Brian, AU - Lynch,Michael, AU - Pacella,Charissa B, AU - Yealy,Donald M, AU - Callaway,Clifton W, Y1 - 2017/12/11/ PY - 2017/08/07/received PY - 2017/11/14/revised PY - 2017/11/28/accepted PY - 2017/12/16/pubmed PY - 2019/10/29/medline PY - 2017/12/16/entrez KW - Opioids KW - emergency KW - prescription SP - 430 EP - 438 JF - The journal of pain : official journal of the American Pain Society JO - J Pain VL - 19 IS - 4 N2 - : Prescription drug monitoring programs (PDMPs) enable registered prescribers to obtain real-time information on patients' prescription history of controlled medications. We sought to describe the effect of a state-mandated PDMP on opioid prescribing by emergency medicine providers. We retrospectively analyzed electronic medical records of 122,732 adult patients discharged with an opioid prescription from 15 emergency departments in a single health system in Pennsylvania from July 2015 to March, 2017. We used an interrupted time series design to evaluate the percentage of patients discharged each month with an opioid prescription before and after state law-mandated PDMP use on August 25, 2016. From August (pre-PDMP) to September, 2016 (post-PDMP), the opioid prescribing rate decreased from 12.4% (95% confidence interval [CI], 10.8%-14.1%) to 10.2% (95% CI, 8.8%-11.8%). For each month between September 2016 to March 2017, there was a mean decline of .46% (95% CI, -.38% to -.53%) in the percentage of patients discharged with an opioid prescription. There was heterogeneity in opioid prescribing across hospitals as well as according to patient diagnosis. PERSPECTIVE: This study examined the effect of a state-mandated PDMP on opioid prescribing among emergency medicine providers from 15 different hospitals in a single health system. Findings support current PDMP mandates in reducing opioid prescriptions, which could curb the prescription opioid epidemic and may ultimately reduce abuse, misuse, and overdose death. SN - 1528-8447 UR - https://www.unboundmedicine.com/medline/citation/29241835/The_Effect_of_a_Statewide_Mandatory_Prescription_Drug_Monitoring_Program_on_Opioid_Prescribing_by_Emergency_Medicine_Providers_Across_15_Hospitals_in_a_Single_Health_System_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1526-5900(17)30787-3 DB - PRIME DP - Unbound Medicine ER -