Evidence map›Paper›PMID 25106418›Full record

ArticleThe American journal of hospice & palliative care2016

Quality Assessment of Acute Inpatient Pain Management in an Academic Health Center.

Richard J Lin, M Carrington Reid, Amy E Chused, Arthur T Evans

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Naloxone Administration in US Emergency Departments, 2000-2011.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2016
    Article
  4. Article
  5. 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 at 2 institutions in 1 country.

Richard J LinDepartment of Medicine, Weill Cornell Medical College, New York, NY, USA Department of Medicine, NYU Langone Medical Center, New York, NY, USA Richard.Lin2@nyumc.org.
M Carrington ReidDepartment of Medicine, Weill Cornell Medical College, New York, NY, USA.
Amy E ChusedDepartment of Medicine, Weill Cornell Medical College, New York, NY, USA.
Arthur T EvansDepartment of Medicine, Weill Cornell Medical College, New York, NY, USA.
Cornell University · USNew York University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024996 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2007 to 2011
$49.6M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1TR000457NCRR NIH HHS UL1 RR024996NCRR NIH HHS UL1RR024996NIA NIH HHS 5P30AG022845NIA NIH HHS P30 AG022845
6 · The paper itself

Abstract

The quality of acute inpatient pain management remains suboptimal and poorly understood. In this retrospective study, we analyze acute pain management practice in a large academic health center using several quality indicators. Not surprisingly, despite high rate of pain assessment, many patients still have frequent, prolonged, and unrelieved severe pain episodes. Upon examination of naloxone administration, we identify potential inappropriate opioid prescription practices such as the use of wrong opioids in hepatic and renal failure and simultaneous use of multiple short-acting opioids. Most importantly, we find that chronic opioid users appear to suffer the most in terms of undertreatment of pain as well as opioid overdose, highlighting the urgent need to target this underserved population of patients.

Indexed as

Quality of Health CareAcademic Medical CentersAcute PainAnalgesics, OpioidHumansInpatientsOpioid-Related DisordersPain ManagementPain MeasurementPractice Guidelines as TopicAnalgesics, Opioidchronic paininpatient pain managementnaloxoneopioid overdosequality improvementroot cause analysis

Identifiers

PMID25106418
PMCPMC4363080
OpenAlexW2108616912

What OpenQuestion holds

Textmetadata
LicenceTDM
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.