Evidence-based Clinical Practice Guideline for the Management of Acute Dental Pain: Development, Implementation, and Evaluation Using Data Analytics to Target An Implementation Strategy

急性牙痛管理的循证临床实践指南:使用数据分析制定、实施和评估以制定实施策略

基本信息

项目摘要

Project Summary / Abstract For managing acute dental pain, there is an urgent need to formalize the evidence-based alternatives to opioids in a clinical practice guideline, disseminate the guideline, and facilitate its uptake by providers through an implementation strategy. The long-term goal of our program of research is to increase providers’ uptake of evidence-based approaches to clinical care. Our objectives are to develop a clinical practice guideline for the management of acute dental pain, develop and deploy dissemination and implementation strategies, and evaluate the effectiveness of those strategies in changing provider prescribing behavior. The rationale for the proposed project is that once it has been completed, the field will have a standard of care, patients will receive safe and effective relief from acute dental pain, and the risk of opioid diversion, opioid use disorder, and overdose will be reduced. To address these needs and attain our objectives, we will pursue these specific aims. Aim 1: Develop an evidence-based clinical practice guideline for the management of acute dental pain (surgical and non-surgical). Aim 2: Develop a dissemination and implementation plan to increase uptake of the clinical practice guideline. Aim 3: Evaluate the reach and impact of the dissemination and implementation strategies. With the achievement of these aims, we expect to attain the following outcomes. First, we will create an evidence-based clinical practice guideline for the management of acute dental pain and the tools to help dentists and other health care providers incorporate this guideline into routine practice as part of shared decision making. Second, we will establish a dissemination and implementation plan to facilitate the adoption and sustained use of the clinical practice guideline. Third, using the RE-AIM framework for evaluation, we will determine the effectiveness of the dissemination plan and evaluate the ability of the implementation plan to change provider prescribing patterns compared with baseline and control sites. Collectively, we will have an important overall impact by reducing the risk of opioid diversion, opioid use disorder, and overdose. This contribution will be significant because in the absence of restrictive formularies, collectively the outcomes define the remaining approach to reducing providers’ reliance on opioids to manage acute dental pain. With the reduction in providers’ use of opioids to manage acute dental pain, benefits to morbidity and mortality will accrue. The proposed project is innovative because we are using a public-private partnership including the state dental directors to develop the guidelines, and we are engaging citizen stakeholders in a deliberative process to inform the guideline development. In addition, we are using a prescription dataset capturing 92% of all outpatient prescriptions nationally for our patient-level analysis to measure change in prescribing in the highest prescribing areas.
项目总结/摘要 对于急性牙痛的管理,迫切需要正规化的循证替代方案 在临床实践指南中纳入阿片类药物,传播该指南,并促进其吸收, 通过实施战略。我们研究计划的长期目标是 增加提供者对循证临床护理方法的采用。我们的目标为 制定急性牙痛管理的临床实践指南,制定和部署 传播和实施战略,并评估这些战略在以下方面的有效性: 改变提供者的处方行为。拟议项目的理由是,一旦 建成后,该领域将有一个标准的护理,病人将得到安全和有效的救济 急性牙痛,阿片类药物转移,阿片类药物使用障碍和过量的风险将是 降低为了满足这些需求和实现我们的目标,我们将努力实现这些具体目标。目标1: 为急性牙痛的管理制定循证临床实践指南 (手术和非手术)。目标2:制定传播和执行计划, 采用临床实践指南。目标3:评估传播的范围和影响 和实施战略。在达到这些目标后,我们预期会取得以下成果 结果。首先,我们将制定基于证据的临床实践指南来管理 急性牙痛和工具,以帮助牙医和其他卫生保健提供者纳入这一点, 作为共同决策的一部分。第二,我们会建立一个 传播和实施计划,以促进采用和持续使用临床 实践指南。第三,使用RE-AIM框架进行评估,我们将确定 传播计划的有效性,并评估实施计划的改变能力 与基线和对照研究中心相比,提供者处方模式。总的来说,我们将有一个 通过降低阿片类药物转移、阿片类药物使用障碍和过量的风险,产生重要的整体影响。 这一贡献将是巨大的,因为在没有限制性处方集的情况下, 结果定义了减少供应商对阿片类药物依赖以管理急性 牙痛。随着供应商减少使用阿片类药物来管理急性牙痛, 发病率和死亡率将增加。建议的项目是创新的,因为我们正在使用一个 包括州牙科主任在内的公私合作伙伴关系制定指南,我们正在 让公民利益攸关方参与审议进程,为准则的制定提供信息。在 此外,我们正在使用一个处方数据集,该数据集涵盖了全国92%的门诊处方 用于我们的患者水平分析,以衡量最高处方区域的处方变化。

项目成果

期刊论文数量(7)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Acute Postoperative Pain Due to Dental Extraction in the Adult Population: A Systematic Review and Network Meta-analysis.
急性术后疼痛是由于成人人群的牙科提取而引起的:系统审查和网络荟萃分析。
  • DOI:
    10.1177/00220345221139230
  • 发表时间:
    2023-04
  • 期刊:
  • 影响因子:
    7.6
  • 作者:
  • 通讯作者:
Injectable and topical local anesthetics for acute dental pain: 2 systematic reviews.
用于治疗急性牙痛的注射局部麻醉剂和局部麻醉剂:2 项系统评价。
  • DOI:
    10.1016/j.adaj.2022.10.014
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Miroshnychenko,Anna;Ibrahim,Sara;Azab,Maria;Roldan,Yetiani;DiazMartinez,JuanPablo;Tamilselvan,Divyalakshmi;He,Leon;Urquhart,Olivia;Tampi,Malavika;Polk,DeborahE;Moore,PaulA;Hersh,ElliottV;Carrasco-Labra,Alonso;Brignardello-Pe
  • 通讯作者:
    Brignardello-Pe
Analgesics for the management of acute dental pain in the pediatric population: A systematic review and meta-analysis.
用于治疗儿科急性牙痛的镇痛药:系统评价和荟萃分析。
  • DOI:
    10.1016/j.adaj.2023.02.013
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Miroshnychenko,Anna;Azab,Maria;Ibrahim,Sara;Roldan,Yetiani;DiazMartinez,JuanPablo;Tamilselvan,Divyalakshmi;He,Leon;Urquhart,Olivia;Tampi,Malavika;Polk,DeborahE;Moore,PaulA;Hersh,ElliotV;Carrasco-Labra,Alonso;Brignardello-Pet
  • 通讯作者:
    Brignardello-Pet
Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh School of Dental Medicine, and the Cen
儿童急性牙痛药物治疗循证临床实践指南:来自美国牙科协会科学研究所、匹兹堡大学牙科医学院和 Cen 的报告
  • DOI:
    10.1016/j.adaj.2023.06.014
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Carrasco-Labra,Alonso;Polk,DeborahE;Urquhart,Olivia;Aghaloo,Tara;ClaytorJr,JWilliam;Dhar,Vineet;Dionne,RaymondA;Espinoza,Lorena;Gordon,SharonM;Hersh,ElliotV;Law,AlanS;Li,BrianS-K;Schwartz,PaulJ;Suda,KatieJ;Turturro,M
  • 通讯作者:
    Turturro,M
Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in adolescents, adults, and older adults: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh, and the
青少年、成人和老年人急性牙痛药物治疗的循证临床实践指南:来自美国牙科协会科学研究所、匹兹堡大学和美国牙科协会的报告
  • DOI:
    10.1016/j.adaj.2023.10.009
  • 发表时间:
    2024
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Carrasco-Labra,Alonso;Polk,DeborahE;Urquhart,Olivia;Aghaloo,Tara;ClaytorJr,JWilliam;Dhar,Vineet;Dionne,RaymondA;Espinoza,Lorena;Gordon,SharonM;Hersh,ElliotV;Law,AlanS;Li,BrianS-K;Schwartz,PaulJ;Suda,KatieJ;Turturro,M
  • 通讯作者:
    Turturro,M
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Alonso Carrasco-Labra其他文献

Alonso Carrasco-Labra的其他文献

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