Title: 0784 - Impact of PDMP on Opioid Drug Prescriptions by Dentists: An Update
Linda Rasubala (Presenter)
University of Rochester Medical Center
Armando Uribe Rivera, University of Rochester Medical Center
Parveen Virdee, University of Rochester Medical Center
Alfonso Lara Brain, University of Rochester Medical Center
Hans Malmström, University of Rochester Medical Center
Yan-Fang Ren, University of Rochester Medical Center
Objectives: We reported that a mandatory Prescription Drug Monitoring Program (PDMP) reduced opioid drug prescriptions in comparable 3-month periods from 24% before (Dec. 2012 to Feb. 2013) to 15% (Dec. 2013 to Feb. 2014) and 10% (Mar. to May 2014) after PDMP implementation in a dental urgent care center (DUCC). This study was to assess if such impact was sustained 3 years after PDMP implementation and if evidence-based prescriber education could further reduce opioid prescriptions for dental patients.
Methods: Patient records of two consecutive 3-month periods (Dec. 2016 to Feb. 2017 and Mar. to May 2017) were reviewed to collect data on number of visits, treatments types and analgesic drug prescriptions 3 years after implementation of mandatory PDMP and after initiation of an evidence-based prescription training curriculum for dental providers in the DUCC. Descriptive statistics were used to compare the type and quantities of opioid drugs prescribed in these periods and with historic data.
Results: In the two 3-month periods 3 years after PDMP implementation, 2,599 and 2,742 patient visits were recorded in the DUCC, and 55 (2.1%) and 30 (1.1%) patients received opioid drugs, respectively, for acute dental pain. The total numbers of prescribed opioid pills, predominantly acetaminophen and hydrocodone combinations, were 354 and 185 during the respective periods, as compared to 5,096 before PDMP implementation and 1,639 and 1,120 during the first year after PDMP implementation. In contrast, number of prescriptions for nonsteroidal anti-inflammatory drugs increased significantly at 3 years after PDMP implementation in the DUCC.
Conclusions: Prescription rates for opioid drugs continued to decline in patients receiving treatments for acute pain in the DUCC 3 years after implementation of mandatory PDMP. Evidence-based prescription training for dental providers may have contributed to sustained reduction of opioid drug prescriptions in dental patients.
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE