{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:18:30Z","timestamp":1777915110945,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prescription drug monitoring programs (PDMPs) help maintain electronic records of controlled substances and are a resource to help direct patient care. As the use of these electronic programs expands, limitations of their use are becoming more apparent. We present two cases that illustrate the effects and the need to interpret the PDMPs with caution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Cases Description:<\/jats:title>\n                    <jats:p>Case 1: A male in his 60s presented with metastatic lung cancer who was being managed by our team for pain management along with oncology for cancer directed care. The PDMP erroneously reported that he had filled methadone, thereby impacting the provider\u2013patient relationship. The second case was a female patient in her 40s who had metastatic lung cancer currently receiving cancer directed therapy and also followed with the Supportive Care Clinic for the management of cancer associated pain. The patient had demonstrated nonmedical opioid use behaviors in past visits so a careful monitoring approach had been implemented by the clinic to help safely prescribe opioids. The patient was wearing a fentanyl patch that was found only on physical examination during a clinic visit, because it was not noted in the PDMP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The PDMP has been found to assist physicians in decision making but there are limitations with its use. Enhanced real-time reporting of opioid prescribing information, increased integration into electronic health systems, and universal interstate sharing of prescribing data are some of the ways to improve their effectiveness. More research is needed to further examine the deficiencies and improve on its utility in routine chronic opioid therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jpm.2020.0537","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T15:40:24Z","timestamp":1608651624000},"page":"751-754","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Deficiencies with the Use of Prescription Drug Monitoring Program in Cancer Pain Management: A Report of Two Cases"],"prefix":"10.1177","volume":"24","author":[{"given":"Michael","family":"Tang","sequence":"first","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Arthur","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhila","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm655051e1"},{"key":"e_1_3_3_3_2","unstructured":"Control CFD and Prevention. Annual Surveillance Report of Drug-Related Risks and Outcomes\u2014United States. Surveillance Special Report. Centers for Disease Control and Prevention U.S. Department of Health and Human Services 2019."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1464"},{"key":"e_1_3_3_5_2","first-page":"507","article-title":"The influence of prescription monitoring programs on chronic pain management","volume":"12","author":"Wang J","year":"2009","unstructured":"Wang J, , Christo PJ: The influence of prescription monitoring programs on chronic pain management. Pain Physician, 2009; 12:507\u2013515.","journal-title":"Pain Physician"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2012.01412.x"},{"key":"e_1_3_3_7_2","unstructured":"NAMSDL: Reporting Requirements and Exemptions to Reporting. 2016. https:\/\/namsdl.org\/wp-content\/uploads\/Reporting-Requirements-and-Exemptions-to-Reporting.pdf (Last accessed December 16 2020)."},{"key":"e_1_3_3_8_2","unstructured":"Sacco L Duff J Sarata A : Prescription drug monitoring programs. Congressional Research Services . Report No. R42593. 2018."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0248"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41571-018-0143-7"},{"key":"e_1_3_3_11_2","unstructured":"Prescription Drug Monitoring Program Training and Technical Assistance Center. www.pdmpassist.org\/content\/state-pdmp-websites (Last accessed October 5 2020)."},{"key":"e_1_3_3_12_2","first-page":"3","article-title":"A health system-wide initiative to decrease opioid-related morbidity and mortality","volume":"45","author":"Weiner SG","year":"2019","unstructured":"Weiner SG, , Price CN, , Atalay AJ, et al.: A health system-wide initiative to decrease opioid-related morbidity and mortality. Jt Comm J Qual Patient Saf, 2019; 45:3\u201313.","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.13741"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1496"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.1321"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1257\/pol.20160094"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1673"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0883"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1904714"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0577"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200004063421406"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jpm.2020.0537","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jpm.2020.0537","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jpm.2020.0537","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:09:57Z","timestamp":1777655397000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jpm.2020.0537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1089\/jpm.2020.0537"],"URL":"https:\/\/doi.org\/10.1089\/jpm.2020.0537","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]}}}