Do you prescribe long-acting or extended release opioids (e.g., transdermal fentanyl, oral methadone, oxycodone sustained release)? (175 respondents) |
Yes, based on my clinical judgment |
8.0 % |
Yes, but only for verified refills (e.g., computer verification, appropriately timed empty container) |
12.0 % |
Yes, but if new prescription only in consultation with a patient's primary care or pain management provider |
6.3 % |
Yes, to treat severe pain more continuously |
0.6 % |
No |
73.1 % |
Under what circumstances would you support the requirement for mandatory review of a PDMP prior to writing a controlled substance prescription? (95 respondents; may answer more than once) |
Prescriptions for more than 3 days of medication |
12.6 % |
Prescriptions for more than 5 days of medication |
24.2 % |
Prescribing of a schedule II medication |
27.4 % |
Prescribing to any patient unknown to the prescriber |
23.2 % |
Prescribing to patients screening positive for risk factors for misuse |
54.7 % |
Under no circumstances should it ever be mandatory |
34.7 % |
How often have you altered your prescribing to a patient after accessing the PDMP database? (90 respondents) |
Given more of a controlled substance |
68 % |
Given less of a controlled substance |
87 % |
Occasionally changed practice (1–33 % of time accessed) |
81 % |
Often changed practice (67–100 %) |
20 % |