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Table 4 Same-day opioid prescribing by CDS use, stratified by complex extraction status (N = 2055 patients linked to 29 non-oral surgeon dentists)

From: De-Implementing Opioids for Dental Extractions (DIODE): a multi-clinic, cluster-randomized trial of clinical decision support strategies in dentistry

 

Model-derived estimates of same-day opioid prescription, % (95% CI)

ORCDS opened vs. not opened

Complex extractions

(n = 598)

CDS opened

(n = 179)

CDS not opened

(n = 419)

OR

(95% CI)

p

16.6%

(9.4, 27.6)

10.2%

(6.2, 16.4)

1.74

(0.91, 3.31)

.09

Non-complex extractions

(n = 1457)

CDS opened

(n = 321)

CDS not opened

(n = 1136)

OR

(95% CI)

p

1.8% (0.8, 4.1)

0.9%

(0.5, 1.8)

1.99

(0.78, 5.05)

.14

  1. CDS, clinical decision support; OR, odds ratio; CI, confidence interval. Analysis is restricted to N = 2055 patients linked to 29 non-oral surgeon dentists in CDS and CDS-E arms during the intervention period. Oral surgeons are excluded due to their very low level of CDS utilization (accessed CDS for 10 extractions). Generalized linear mixed model with fixed effects of baseline prescribing strata, patient sex, patient age, CDS opened, complex extraction indicator, interaction of CDS opened and complex extraction indicator, and random intercept for provider
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Implementation Science

ISSN: 1748-5908