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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
10,000
Initial prescription number of pills to dispense
From the electronic health record
Time frame: Through study completion (18 months)
Initial prescription morphine milligram equivalents to dispense
From the electronic health record
Time frame: Through study completion (18 months)
Opioid analgesic reorder (y/n)
From the electronic health record
Time frame: Within 30 days after the initial prescription
Total opioid analgesic pills to dispense, including re-orders
From the electronic health record
Time frame: Within 30 days after the initial prescription
Total morphine milligram equivalents to dispense, including re-orders
From the electronic health record
Time frame: Within 30 days after the initial prescription
Outpatient visits
From the electronic health record
Time frame: Within 30 days after the index prescription
Emergency department visits
From the electronic health record
Time frame: Within 30 days after the initial prescription
Hospitalizations
From the electronic health record
Time frame: Within 30 days after the initial prescription
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