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).
Brief Title
Electronic Defaults to Reduce Opioid Prescribing in Dentistry Practices
Categories
Completion Date
Completion Date Type
Actual
Conditions
Acute Pain
Eligibility Criteria
Clinical Site 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
* 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
Inclusion Criteria
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
* 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
Gender
All
Gender Based
false
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Minimum Age
18 Years
NCT Id
NCT03030469
Org Class
Other
Org Full Name
Montefiore Medical Center
Org Study Id
2016-7373
Overall Status
Completed
Phases
Not Applicable
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
A Cluster-randomized Trial of Modifying Electronic Health Record Defaults to Reduce the Prescribed Quantity of Opioid Analgesics in Dentistry Practices
Primary Outcomes
Outcome Description
From the electronic health record
Outcome Measure
Initial prescription number of pills to dispense
Outcome Time Frame
Through study completion (18 months)
Secondary Outcomes
Outcome Description
From the electronic health record
Outcome Time Frame
Through study completion (18 months)
Outcome Measure
Initial prescription morphine milligram equivalents to dispense
Outcome Description
From the electronic health record
Outcome Time Frame
Within 30 days after the initial prescription
Outcome Measure
Opioid analgesic reorder (y/n)
Outcome Description
From the electronic health record
Outcome Time Frame
Within 30 days after the initial prescription
Outcome Measure
Total opioid analgesic pills to dispense, including re-orders
Outcome Description
From the electronic health record
Outcome Time Frame
Within 30 days after the initial prescription
Outcome Measure
Total morphine milligram equivalents to dispense, including re-orders
Outcome Description
From the electronic health record
Outcome Time Frame
Within 30 days after the index prescription
Outcome Measure
Outpatient visits
Outcome Description
From the electronic health record
Outcome Time Frame
Within 30 days after the initial prescription
Outcome Measure
Emergency department visits
Outcome Description
From the electronic health record
Outcome Time Frame
Within 30 days after the initial prescription
Outcome Measure
Hospitalizations
Start Date
Status Verified Date
First Post Date
First Post Date Type
Estimated
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
William Southern
Investigator Email
wsouther@montefiore.org
Investigator Phone
wsouther