PCORnet Opioid Surveillance Study

NCT ID: NCT03743493

Last Updated: 2020-11-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

15438284 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-01

Study Completion Date

2019-11-15

Brief Summary

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The overarching objective of this project is to demonstrate and assess the feasibility of using the Patient Centered Outcomes Research Network (PCORnet) Common Data Model for opioid surveillance to complement existing and support future initiatives. This project will characterize risk factors, processes, and outcomes related to opioid use, misuse, and abuse. It will quantify the utility of data stored in the PCORnet Common Data Model format stewarded by healthcare organizations participating in PCORnet.

Detailed Description

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This is a two phase retrospective study. The goal of Phase I is to assess the utility of PCORnet Common Data Mode (CDM) data to study risk factors, processes, and outcomes related to opioid use, misuse, and abuse. Based on the results of the Phase I feasibility examination, Phase II will be conducted and will analyze the relationships between patient- and provider-level risk factors and policies, and opioid-related outcomes over time and within geographic regions.

The study will leverage the existing data PCORnet data infrastructure and resources to achieve its objectives and answer its research questions. Standardized analysis programs will be distributed to participating sites within the PCORnet Distributed Research Network. Sites will return aggregate, descriptive counts and summary statistics from regression analyses. When data are unavailable or analysis is determined infeasible, results will be reported as such.

The Aims of Phase I are:

1. Generate counts and proportion of patients with exposure (or potential exposure) to opioids though prescription or dispensing records within a health system.

a. Compare results to CDC.
2. Characterize data elements in PCORnet data and assess suitability for opioid surveillance.

1. Identify the relevant data elements
2. Examine data completeness and validity
3. Identify data limitations and gaps that limit surveillance

The Aims of Phase II are:

1. Examine whether and to what extent patient-level risk factors, provider processes, and policies are associated with declines in outcomes of interest.
2. Examine whether and to what extent prescribing guidelines, related policies, processes, and/or care procedures are associated opioid-related outcomes.

Conditions

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Opioid Use Opioid Abuse

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Prevalence numerator

An opioid prescribed or dispensed in the query period (1/1/2010-12/31/2017)

No interventions assigned to this group

Prevalence denominator

Any diagnosis on record in the query period (1/1/2010-12/31/2017)

No interventions assigned to this group

Guideline A numerator

An opioid prescribed or dispensed in the query period (1/1/2010-12/31/2017) AND NO cancer diagnosis in the year prior to the index event

No interventions assigned to this group

Guideline A denominator

Any diagnosis on record in the query period (1/1/2010-12/31/2017) AND NO cancer diagnosis in the year prior to the index event

No interventions assigned to this group

Guideline B numerator

An opioid prescribed or dispensed in the query period (1/1/2010-12/31/2017) AND NO inpatient cancer diagnosis OR cancer procedure in the year prior to the index event

No interventions assigned to this group

Guideline B denominator

Any diagnosis on record in the query period (1/1/2010-12/31/2017) AND NO in-patient cancer diagnosis OR cancer procedure in the year prior to the index event

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

• Patients with an opioid exposure (prescription or dispense) or diagnosis from an encounter on record between 1/1/10-12/31/17.

Exclusion Criteria

• Patients without an opioid exposure (prescription or dispense) or diagnosis from an encounter on record between 1/1/10-12/31/17.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

National Patient-Centered Clinical Research Network

OTHER

Sponsor Role collaborator

Research Action for Health Network (REACHnet)

OTHER

Sponsor Role collaborator

The Patient-Oriented Scalable National Network for Effectiveness Research

OTHER

Sponsor Role collaborator

ADVANCE Clinical Data Research Network

UNKNOWN

Sponsor Role collaborator

New York City Clinical Data Research Network

OTHER

Sponsor Role collaborator

PaTH: Towards a Learning Health System Clinical Data Research Network

UNKNOWN

Sponsor Role collaborator

Centers for Disease Control and Prevention

FED

Sponsor Role collaborator

Harvard Pilgrim Health Care

OTHER

Sponsor Role collaborator

Louisiana Public Health Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kristin A Lyman, JD, MHA

Role: PRINCIPAL_INVESTIGATOR

Louisiana Public Health Institute

Daniella Meeker, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Jason Doctor, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Southern California

Locations

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University of California - Irvine

Irvine, California, United States

Site Status

University of California - San Diego

La Jolla, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

University of California - Los Angeles

Los Angeles, California, United States

Site Status

Patient-Centered SCAlable National Network for Effectiveness Research

San Diego, California, United States

Site Status

University of California - San Francisco

San Francisco, California, United States

Site Status

San Mateo Medical Center

San Mateo, California, United States

Site Status

Health Choice Network

Miami, Florida, United States

Site Status

Research Action for Heath Network

New Orleans, Louisiana, United States

Site Status

University Medical Center

New Orleans, Louisiana, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Fenway Health

Boston, Massachusetts, United States

Site Status

New York City Clinical Data Research Network

New York, New York, United States

Site Status

Weill Cornell Medicine

New York, New York, United States

Site Status

ADVANCE Clinical Data Research Network

Portland, Oregon, United States

Site Status

OCHIN, Inc

Portland, Oregon, United States

Site Status

Penn State College of Medicine

Hershey, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

PaTH: Towards a Learning Health System Clinical Data Research Network

Pittsburgh, Pennsylvania, United States

Site Status

Veteran's Affairs Health System

Nashville, Tennessee, United States

Site Status

Baylor Scott & White Health

Dallas, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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OpioidRCR

Identifier Type: -

Identifier Source: org_study_id