Evidence map›Paper›PMID 23662288›Full record

ArticlePain research & management

Use and nonmedical use of prescription opioid analgesics in the general population of Canada and correlations with dispensing levels in 2009.

Kevin D Shield, Wayne Jones, Jürgen Rehm, Benedikt Fischer

Abstract read
In one paragraph

Article in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Prescription drug abuse: from epidemiology to public policy.Journal of substance abuse treatment · 2015
    Review
  10. Article
  11. "Nonmedical" prescription opioid use in North America: a call for priority action.Substance abuse treatment, prevention, and policy · 2013
    Article
  12. Article
  13. Article
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kevin D ShieldCentre for Addition and Mental Halth, University of Toronto, Ontario, Canada. kevin.shield@utoronto.ca
Wayne Jones
Jürgen Rehm
Benedikt Fischer

Funding

Canadian Institutes of Health Research GIR 109852Canadian Institutes of Health Research SAF 94814
6 · The paper itself

Abstract

backgroundIn Canada, harm from nonmedical prescription opioid analgesic (POA) use (NMPOU) has increased in recent years; however, there are limitations to the current estimates of NMPOU. The 2009 Canadian Alcohol and Drug Use Monitoring Survey presents an opportunity to produce more accurate estimates of NMPOU.

objectivesTo determine the prevalence of POA use, NMPOU and use of pain relievers to 'get high', and to assess correlations of these indicators with age, sex and provincial levels of dispensed POAs in Canada in 2009.

methodsData regarding POA use were obtained from the 2009 Canadian Alcohol and Drug Use Monitoring Survey (n=13,032). The amount of POAs dispensed in standardized daily doses was obtained from a representative sample of 2700 retail pharmacies across Canada. Associations among POA use, age, sex and the amount of POAs dispensed were evaluated using regression models. Differences in POA use across provinces were assessed using the Wald test.

resultsIn Canada in 2009, the prevalence of POA use was 19.2% (95% CI 18.0% to 20.5%), NMPOU was 4.8% (95% CI 4.1% to 5.5%) and the use of pain relievers to get high was 0.4% (95% CI 0.1% to 0.8%). NMPOU was significantly associated with age. The use of pain relievers to get high varied significantly across provinces, while POA use and NMPOU did not show significant variations. The amount of POAs dispensed per province was not significantly correlated with any type of POA use.

conclusionsThese findings confirm high POA use and NMPOU across Canada. Research is required to identify determinants of NMPOU.

Indexed as

AdolescentAdultAgedAge FactorsAnalgesics, OpioidCanadaDrug MonitoringFemaleHumansMaleMiddle AgedOpioid-Related DisordersPainPrescription DrugsRetrospective StudiesSex FactorsAnalgesics, OpioidPrescription Drugs

Identifiers

PMID23662288
PMCPMC3718055

What OpenQuestion holds

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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.