Evidence map›Paper›PMID 25138608›Full record

ArticlePain medicine (Malden, Mass.)2014

Aberrant drug-related behaviors: a qualitative analysis of medical record documentation in patients referred to an HIV/chronic pain clinic.

Jessica S Merlin, Janet M Turan, Ivan Herbey, Andrew O Westfall, Joanna L Starrels, Stefan G Kertesz, Michael S Saag, Christine S Ritchie

Open access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  6. Article
  7. Detecting Opioid-Related Aberrant Behavior using Natural Language Processing.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017
    Article
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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

8 authors at 3 institutions in 1 country.

Jessica S MerlinDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Janet M Turan
Ivan Herbey
Andrew O Westfall
Joanna L Starrels
Stefan G Kertesz
Michael S Saag
Christine S Ritchie
University of Alabama at Birmingham · USAlbert Einstein College of Medicine · USSan Francisco VA Medical Center · US

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OLAF KUTSCH · 1988 to 2026
$84.1M
Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Intervention to Promote Opioid Treatment Agreements in Primary CareK23DA027719 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STARRELS, JOANNA L. · 2010 to 2014
$909k
NCATS NIH HHS UL1 TR001073NIAID NIH HHS P30 AI027767NIAID NIH HHS P30 AI045008NIDA NIH HHS K23 DA027719
6 · The paper itself

Abstract

backgroundDue to rising rates of opioid addiction and overdose among individuals on chronic opioid therapy, aberrant drug-related behaviors (ADRBs) are an important and challenging issue. Our objective was to qualitatively investigate the documentation of ADRBs in the medical record.

methodsManually abstracted provider notes from an HIV primary care clinic were analyzed using content analysis methods.

resultsCategories of ADRBs identified included patients requesting opioids, obtaining nonprescribed opioids, and becoming emotional about opioids. We also identified several types of provider language used when documenting ADRBs, including purely descriptive language and emotional language such as labeling, frustration, and concern, and responses such as setting conditions for opioid prescription and action-oriented language.

conclusionsThe impact of including emotional language in the medical record is unknown. Development of instruments that can be used to facilitate ADRB documentation, as well as evidence-based approaches to addressing ADRBs, is needed.

Indexed as

AdultChronic PainDocumentationFemaleHIV InfectionsHumansLanguageMaleMedical RecordsMiddle AgedOpioid-Related DisordersSubstance Abuse DetectionAberrant BehaviorHIVMisuseOpioid

Identifiers

PMID25138608
PMCPMC4208944
OpenAlexW1930961784

What OpenQuestion holds

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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.