Table 3.
Effects of the 2013 FDA codeine warning on the percentage of dental procedures with an alternate opioid prescription fill.
| Intercept: % Rx fill in Aug 2011 | Immediate change in % Rx fill between Jul 2012 and Mar 2013 | Slope of monthly change Aug 2011-Jul 2012 | Slope of monthly change Mar 2013-Aug 2016 | ||
|---|---|---|---|---|---|
| Procedure group | Restorative only | 0.4 | −0.1 | 0.0 | 0.0 |
| Extraction† | 11.3 | −0.1 | −0.1 | 0.1 | |
| Difference | 10.3 *** | 0.0 | −0.1 | 0.1 | |
| Extractions† by sex | Male | 8.8 | −0.4 | 0.0 | 0.0 |
| Female | 13.9 | 0.3 | −0.2 * | 0.2 * | |
| Difference | 5.1 *** | 0.7 | −0.2 | 0.2 | |
| Extractions† by age in years | 0–11 | 0.2 | 0.0 | 0.0 | 0.0 |
| 12–17 | 36.2 | −0.8 | −0.3 | 0.2 | |
| Difference | 36.0 *** | −0.9 | −0.3 | 0.2 | |
| Extractions† by race | Black | 12.5 | 0.3 | −0.3 * | 0.2 * |
| White | 10.0 | −0.2 | 0.0 | 0.0 | |
| Difference | −2.6 * | −0.5 | 0.3 | −0.3 | |
| Extractions† by rural/urban location of residence | Large central metro | 11.4 | 0.4 | −0.3 * | 0.2 |
| Large fringe metro | 11.4 | −0.2 | −0.1 | 0.0 | |
| Difference | 0.0 | −0.6 | 0.2 | −0.2 | |
| Medium metro | 12.1 | −0.9 | −0.1 | 0.1 | |
| Difference | 0.7 | −1.3 | 0.2 | −0.2 | |
| Small metro | 8.8 | −0.6 | 0.0 | 0.0 | |
| Difference | −2.6 * | −1.0 | 0.3 | −0.2 | |
| Micropolitan or Noncore | 11.2 | 0.8 | −0.1 | 0.0 | |
| Difference | −0.2 | 0.4 | 0.2 | −0.2 | |
=p<.05
=p<.01
=p<.001
with or without concurrent restorations.
All estimates were derived from segmented linear regression with autoregressive errors. The period between the FDA review and warning (August 2012-Februarv 2013) was excluded from the analysis. A separate model was run for each of the study factors shown (procedure group, sex, age, race, location of residence).