Association of the Use of a Mandatory Prescription Drug Monitoring Program With Prescribing Practices for Patients Undergoing Elective Surgery

JAMA Surgery
Ryland S StuckeRichard J Barth

Abstract

Most states have adopted the routine use of a prescription drug monitoring program (PDMP) to curb overprescribing of opioids. The American College of Surgeons promotes the use of these programs as a "guiding principle to curb the opioid epidemic." However, there is a paucity of data on the effects of the use of these programs for surgical patient populations. To determine the association of the mandatory use of a PDMP with the opioid prescribing practices for patients undergoing general surgery. A prospective observational cohort study was conducted at an academic hospital in New Hampshire among 1057 patients undergoing representative elective general surgical procedures from July 1, 2016, to June 30, 2017. New state legislation mandated the use of a PDMP and opioid risk-assessment tool for all patients receiving an outpatient opioid prescription in New Hampshire beginning January 1, 2017. The electronic medical prescribing system was modified to facilitate and support compliance with the new requirements. Change in opioid prescribing practices after January 1, 2017, and time to complete PDMP requirements. Among the 1057 patients (569 women [53.8%] and 488 men [46.2%]; mean [SD] age, 56.8 [15.4] years), the percentage of patien...Continue Reading

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Citations

Feb 26, 2020·Plastic and Reconstructive Surgery·Dustin T CrystalSamuel J Lin
Feb 11, 2020·International Anesthesiology Clinics·April N Smith
Jan 13, 2021·Pediatric Surgery International·Christina M TheodorouErin G Brown
Nov 23, 2020·World Journal of Surgery·Nick C LevinskyRobert M Van Haren
Mar 21, 2021·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Tim T WangNeeraj Panchal
Mar 31, 2021·American Journal of Surgery·Jackly M JuprasertHeather L Yeo
Jul 12, 2021·Journal of the American Pharmacists Association : JAPhA·Tham Thi LeLinda Simoni-Wastila
Aug 25, 2021·The Journal of Behavioral Health Services & Research·Rachel ChernickAlex Harocopos
Feb 3, 2022·Drug and Alcohol Review·Dimi HoppeHanan Khalil

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