Evidence map›Paper›PMID 18342577›Full record

ReviewThe journal of pain2008

Nonmedical use of prescription opioids: motive and ubiquity issues.

James P Zacny, Stephanie A Lichtor

Abstract readReview
In one paragraph

Review in The journal of pain, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Non-pharmacological factors that determine drug use and addiction.Neuroscience and biobehavioral reviews · 2020
    Review
  3. Review
  4. Barriers to accurately assessing prescription opioid misuse on surveys.The American journal of drug and alcohol abuse · 2019
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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  15. Motivational subtypes of nonmedical use of prescription medications: results from a national study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2012
    Article
  16. Article
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  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

James P ZacnyDepartment of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois 60637, USA. jzacny@dacc.uchicago.edu
Stephanie A Lichtor
University of Chicago · US

Funding

CHARACTER PSYCHOACTIVE EFFECTS OF OPIATES IN HUMANSR01DA008573 · NIDA · UNIVERSITY OF CHICAGO · PI ZACNY, JAMES P. · 1995 to 2009
$1.6M
Abuse-Related Effects of Opioids and Adjuvant Drug Used by Chronic Pain PatientsR01DA023969 · NIDA · UNIVERSITY OF CHICAGO · PI ZACNY, JAMES P. · 2007 to 2010
$1.3M
BEHAVIORAL EFFECTS OF OPIOIDS IN VOLUNTEERSR37DA008573 · NIDA · UNIVERSITY OF CHICAGO · PI ZACNY, JAMES P. · 1999 to 2003
$980k
NIDA NIH HHS DA023969NIDA NIH HHS DA08573NIDA NIH HHS R01 DA008573NIDA NIH HHS R01 DA023969NIDA NIH HHS R37 DA008573
6 · The paper itself

Abstract

unlabelledTwo issues relating to prescription opioid nonmedical use that to our knowledge have not been comprehensively addressed in the peer-reviewed literature are discussed: Motives for nonmedical use and the extent of nonmedical use of prescription opioids in other countries. The United States' national annual survey on illicit drug use in the general population (National Survey on Drug Use and Health) asks respondents whether they have used prescription opioids for nonmedical purposes but does not assess motives for such use. By not assessing motives, nonmedical users who use only for pain relief and nonmedical users who have other motives for use are grouped together, but 2 recent epidemiological studies suggest that these 2 groups may differ in a propensity to have substance use-related problems. We suggest that the survey add a question that assesses motives for nonmedical use. Regarding whether countries besides the United States have problems associated with nonmedical use of prescription opioids, after searching for epidemiological surveys and other materials potentially relevant to this issue, we were unable to determine the extent of nonmedical use of prescription opioids in other countries or draw cross-national comparisons. We suggest that more countries include specific questions about nonmedical use of prescription opioids in their national epidemiological surveys. PERSPECTIVE: We believe that critical information surrounding the nonmedical use of prescription opioids is not being gathered. Such information would allow for a better understanding of the problem. We invite discussion and commentaries regarding the issues we raise to more effectively address this public health issue.

Indexed as

MotivationAnalgesics, OpioidDrug PrescriptionsHealth SurveysHumansNarcoticsOpioid-Related DisordersPainAnalgesics, OpioidNarcotics

Identifiers

PMID18342577
PMCPMC2409193
OpenAlexW1994494057

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.