A randomized pilot program to reduce opioid use following dental surgery and increase safe medication return.
Addict Behav
; 102: 106190, 2020 03.
Article
in En
| MEDLINE
| ID: mdl-31704436
ABSTRACT
Research indicates that increased cumulative exposure (duration of administration and strength of dose) is associated with long-term opioid use. Because dentists represent some of the highest opioid prescribing medical professionals in the US, dental practices offer a critical site for intervention. The current study used a randomized clinical trial design to examine the efficacy of an opioid misuse prevention program (OMPP), presented as a brief intervention immediately prior to dental extraction surgery. The OMPP provided educational counseling about risks and appropriate use of opioid medication, as well as 28 tablets of ibuprofen (200â¯mg) and 28 tablets of acetaminophen (500â¯mg) for weaning off opioid medication. This was compared with a Treatment as Usual (TAU) control condition. Participants were individuals presenting for surgery who were eligible for opioid medication (Nâ¯=â¯76). Follow up assessment was conducted at 1â¯week following surgery, with 4 individuals refusing follow up or not prescribed opioid. Intent to treat analysis indicated a non-significant treatment group effect (Nâ¯=â¯72, Betaâ¯=â¯0.16, pâ¯=â¯.0835), such that the OMPP group self-reported less opioid use (in morphine milligram equivalents, MMEs) than the TAU group (37.94 vs. 47.79, effect size dâ¯=â¯0.42). Sensitivity analysis, excluding individuals with complications following surgery (nâ¯=â¯6) indicated a significant treatment group effect (Nâ¯=â¯66, Betaâ¯=â¯0.24, pâ¯=â¯.0259), such that the OMPP group self-reported significantly less MMEs than the TAU group (29.74 vs. 43.59, effect size dâ¯=â¯0.56). Results indicate that a 10-minute intervention and provision of non-narcotic pain medications may reduce the amount of self-administered opioid medication following dental surgery.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain, Postoperative
/
Tooth Extraction
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Patient Education as Topic
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Analgesics, Non-Narcotic
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Analgesics, Opioid
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Opioid-Related Disorders
Type of study:
Clinical_trials
Limits:
Adult
/
Female
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Humans
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Male
/
Middle aged
Language:
En
Journal:
Addict Behav
Year:
2020
Document type:
Article
Publication country:
ENGLAND
/
ESCOCIA
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GB
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GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
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UK
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UNITED KINGDOM