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OpenTrials
Completed

NCT Number: NCT03030469

Electronic Defaults to Reduce Opioid Prescribing in Dentistry Practices

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).

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Key information

Conditions

Acute Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Change in electronic health record default for new opioid analgesic prescriptions

Other

Primary outcomes

  1. Initial prescription number of pills to dispense

    Time frame: Through study completion (18 months)

    From the electronic health record

Secondary outcomes

  1. Initial prescription morphine milligram equivalents to dispense

    Time frame: Through study completion (18 months)

    From the electronic health record

  2. Opioid analgesic reorder (y/n)

    Time frame: Within 30 days after the initial prescription

    From the electronic health record

  3. Total opioid analgesic pills to dispense, including re-orders

    Time frame: Within 30 days after the initial prescription

    From the electronic health record

  4. Total morphine milligram equivalents to dispense, including re-orders

    Time frame: Within 30 days after the initial prescription

    From the electronic health record

  5. Outpatient visits

    Time frame: Within 30 days after the index prescription

    From the electronic health record

  6. Emergency department visits

    Time frame: Within 30 days after the initial prescription

    From the electronic health record

  7. Hospitalizations

    Time frame: Within 30 days after the initial prescription

    From the electronic health record

Sponsors and collaborators

Lead sponsor

Montefiore Medical Center

Other

Collaborators

  • Albert Einstein College of Medicine

Registry information

Official study title

A Cluster-randomized Trial of Modifying Electronic Health Record Defaults to Reduce the Prescribed Quantity of Opioid Analgesics in Dentistry Practices

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Jan 25, 2017
Registry last updated
Aug 14, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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