Helpful, Unnecessary, or Harmful: A Systematic Review of the Effects of Prescription Drug Monitoring Program Use on Opioid Prescriptions

Prescription drug misuse is a global problem, especially in the United States (US). Clinician involvement is necessary in this crisis, and prescription drug monitoring programs (PDMPs) are a recommended tool for the prevention, recognition, and management of prescription opioid misuse. However, beca...

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Main Authors: Nina Z. Y. Smith (Author), J. Douglas Thornton (Author), Susan H. Fenton (Author), Debora Simmons (Author), Tiffany Champagne-Langabeer (Author)
Format: Book
Published: MDPI AG, 2023-12-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Nina Z. Y. Smith  |e author 
700 1 0 |a J. Douglas Thornton  |e author 
700 1 0 |a Susan H. Fenton  |e author 
700 1 0 |a Debora Simmons  |e author 
700 1 0 |a Tiffany Champagne-Langabeer  |e author 
245 0 0 |a Helpful, Unnecessary, or Harmful: A Systematic Review of the Effects of Prescription Drug Monitoring Program Use on Opioid Prescriptions 
260 |b MDPI AG,   |c 2023-12-01T00:00:00Z. 
500 |a 10.3390/pharma2040030 
500 |a 2813-0618 
520 |a Prescription drug misuse is a global problem, especially in the United States (US). Clinician involvement is necessary in this crisis, and prescription drug monitoring programs (PDMPs) are a recommended tool for the prevention, recognition, and management of prescription opioid misuse. However, because of the plethora of differences between different PDMPs, research on their effects is mixed. Yet, despite varied evidence, policy on PDMP use is trending stricter and more comprehensive. We aimed to identify patterns in the research to inform clinicians and policy. Through a systematic review of four literature databases (CINAHL, Cochrane Database, Embase, and Medline/OVID), we found 56 experimental and quasi-experimental studies published between 2016 and 2023 evaluating PDMP effects on clinician behavior. To address study heterogeneity, we categorized studies by type of intervention and study outcome. The review suggests that more comprehensive PDMP legislation is associated with decreases in the number of opioid prescriptions overall and the number of risky prescriptions prescribed or dispensed. However, this review shows that much is still unknown, encourages improvements to PDMPs and policies, and suggests further research. 
546 |a EN 
690 |a prescription drug monitoring programs 
690 |a prescription monitoring 
690 |a controlled substance diversion 
690 |a prescription drug misuse 
690 |a inappropriate prescriptions 
690 |a opioid crisis 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
690 |a Other systems of medicine 
690 |a RZ201-999 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Pharmacoepidemiology, Vol 2, Iss 4, Pp 350-365 (2023) 
787 0 |n https://www.mdpi.com/2813-0618/2/4/30 
787 0 |n https://doaj.org/toc/2813-0618 
856 4 1 |u https://doaj.org/article/87c9c84a664a4469b9be44d49a8e96a9  |z Connect to this object online.