ArticleJournal of general internal medicine2011
Primary care providers’ judgments of opioid analgesic misuse in a community-based cohort of HIV-infected indigent adults.
Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- 2017 HIVMA of IDSA Clinical Practice Guideline for the Management of Chronic Pain in Patients Living With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Guideline
- Trial
- Article
- Article
- The Association Between Receipt of Guideline-Concordant Long-Term Opioid Therapy and All-Cause Mortality.Journal of general internal medicine · 2016Article
- Primary care providers' experiences with urine toxicology tests to manage prescription opioid misuse and substance use among chronic noncancer pain patients in safety net health care settings.Substance abuse · 2016Article
- Exploring the experience of chronic pain among female Survival Sex Workers: a qualitative study.BMC family practice · 2015Article
- Using health information technology to improve adherence to opioid prescribing guidelines in primary care.The Clinical journal of pain · 2015Article
- Pain self-management in HIV-infected individuals with chronic pain: a qualitative study.Pain medicine (Malden, Mass.) · 2015Article
- Aberrant drug-related behaviors: a qualitative analysis of medical record documentation in patients referred to an HIV/chronic pain clinic.Pain medicine (Malden, Mass.) · 2014Article
- How clinicians use prescription drug monitoring programs: a qualitative inquiry.Pain medicine (Malden, Mass.) · 2014Article
- Opioid analgesic misuse is associated with incomplete antiretroviral adherence in a cohort of HIV-infected indigent adults in San Francisco.AIDS and behavior · 2014Article
- Opioid analgesic misuse in a community-based cohort of HIV-infected indigent adults.JAMA internal medicine · 2013Article
- Management of pain with comorbid substance abuse.Current psychiatry reports · 2012Review
- Primary care providers' views on chronic pain management among high-risk patients in safety net settings.Pain medicine (Malden, Mass.) · 2012Article
- Do patients know they are on pain medication agreements? Results from a sample of high-risk patients on chronic opioid therapy.Pain medicine (Malden, Mass.) · 2012Article
- A review of opioid prescribing practices and associations with repeat opioid prescriptions in a contemporary outpatient HIV clinic.Pain practice : the official journal of World Institute of Pain · 2012Article
- The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma.American journal of public health · 2012Article
- A qualitative exploration of chronic pain and opioid treatment among HIV patients with drug use disorders.Journal of opioid managementArticle
- It made my life a little easier: primary care providers' beliefs and attitudes about using opioid treatment agreements.Journal of opioid managementArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPrimary care providers (PCPs) must balance treatment of chronic non-cancer pain with opioid analgesics with concerns about opioid misuse.
objectiveWe co-enrolled community-based indigent adults and their PCPs to determine PCPs’ accuracy of estimating opioid analgesic misuse and illicit substance use.
designPatient-provider dyad study.
participantsHIV-infected, community-based indigent adults (‘patients’) and their PCPs. MAIN MEASURES: Using structured interviews, we queried patients on use and misuse of opioid analgesics and illicit substances. PCPs completed patient- and provider-specific questionnaires. We calculated the sensitivity, specificity, and measures of agreement between PCPs’ judgments and patients’ reports of opioid misuse and illicit substance use. We examined factors associated with PCPs’ thinking that their patients had misused opioid analgesics and determined factors associated with patients’ misuse. KEY
resultsWe had 105 patient-provider dyads. Of the patients, 21 had misused opioids and 45 had used illicit substances in the past year. The sensitivity of PCPs’ judgments of opioid analgesic misuse was 61.9% and specificity, 53.6% (Kappa score 0.09, p = 0.10). The sensitivity of PCPs’ judgments of illicit substance use was 71.1% and specificity, 66.7% (Kappa score 0.37, p <0.001). PCPs were more likely to think that younger patients (Adjusted odds ratio (AOR) 0.89, 95% CI 0.84-0.97), African American patients (AOR 2.53, 95% CI 1.05-6.07) and those who had used illicit substances in the past year (AOR 3.33, 95% CI 1.35-8.20) had misused opioids. Younger (AOR 0.94, 95% CI 0.86-1.02) and African American (AOR 0.71, 95% CI 0.25-1.97) patients were not more likely to report misuse, whereas persons who had used illicit substances were (AOR 3.01, 95% CI 1.04-8.76).
conclusionPCPs’ impressions of misuse were discordant with patients’ self-reports of opioid analgesic misuse. PCPs incorrectly used age and race as predictors of misuse in this high-risk cohort.
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What OpenQuestion holds
Registered trials
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.