Evidence map›Paper›PMID 25316764›Full record

ArticleCanadian family physician Medecin de famille canadien2014

Incidence of narcotic abuse during pregnancy in northwestern Ontario: three-year prospective cohort study.

Len Kelly, John Guilfoyle, Joe Dooley, Irwin Antone, Lianne Gerber-Finn, Roisin Dooley, Nicole Brunton, Kara Kakegamuck, Jill Muileboom, Wilma Hopman and 3 more

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.1field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Community strengths in addressing opioid use in Northeastern Ontario.Canadian journal of public health = Revue canadienne de sante publique · 2018
    Article
  7. Opioid use in pregnancy and parenting: An Indigenous-based, collaborative framework for Northwestern Ontario.Canadian journal of public health = Revue canadienne de sante publique · 2018
    Article
  8. Article
  9. Community-associated methicillin-resistantCanadian family physician Medecin de famille canadien · 2017
    Review
  10. Article
  11. Article
  12. Observational
  13. Rural, Pregnant, and Opioid Dependent: A Systematic Review.Substance abuse : research and treatment · 2016
    Review
  14. 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

13 authors at 10 institutions in 3 countries.

Len KellyProfessor in the Division of Clinical Sciences at the Northern Ontario School of Medicine and a rural physician and clinical researcher in Sioux Lookout, Ont. lkelly@mcmaster.ca.
John GuilfoyleAssistant professor at Northern Ontario School of Medicine and rural family physician in Sioux Lookout.
Joe DooleyAssistant professor at Northern Ontario School of Medicine and rural family physician in Sioux Lookout.
Irwin AntoneAssistant professor at Northern Ontario School of Medicine and rural family physician in Sioux Lookout.
Lianne Gerber-FinnAssistant professor at Northern Ontario School of Medicine and rural family physician in Sioux Lookout.
Roisin DooleyMedical student at the University of British Columbia in Prince George.
Nicole BruntonResearch intern at the Sioux Lookout Meno Ya Win Health Centre (SLMHC).
Kara KakegamuckMedical student at the University of Ottawa in Ontario.
Jill MuileboomResearch intern at the SLMHC.
Wilma HopmanEpidemiologist at Kingston General Hospital and in the Department of Community Heath and Epidemiology at Queen's University in Kingston, Ont.
Helen CromartySpecial Advisor in First Nations Health at the SLMHC at the time of the study.
Barb LinkewichVice President of Patient Services and Clinical Research at the SLMHC at the time of the study.
Jennifer MakiVice President of Quality and Clinical Support Services at the SLMHC.
Rural Resources · USKingston General Hospital · CAMcMaster University · CAOffice of Patient Care Services · USQuality Systems (United States) · USSmithsonian Latino Center · USUnited Nations · USUniversity of Northern British Columbia · CAUniversity of Ottawa · CAYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo document the incidence and outcomes of narcotic use during pregnancy in northwestern Ontario.

designThree-year prospective cohort study.

settingSioux Lookout and surrounding communities in northwestern Ontario.

participantsA total of 1206 consecutive births in a catchment area of 28 000 First Nations patients.

main outcome measuresIncidence of narcotic use, and maternal and neonatal outcomes.

resultsIncidence of narcotic use in pregnancy has risen to 28.6% (P < .001) and incidence of neonatal abstinence syndrome has fallen to 18.0% of narcotic-exposed births (P = .003). Daily intravenous drug use is now a common pattern of abuse.

conclusionNarcotic abuse in pregnancy has dramatically increased in northwestern Ontario. Neonatal outcomes have improved as a result of a family medicine-based prenatal and obstetric program that includes a narcotic replacement and tapering program.

Indexed as

AdultFemaleHumansIncidenceIndians, North AmericanNarcoticsNeonatal Abstinence SyndromeOntarioOpioid-Related DisordersPregnancyPregnancy ComplicationsProspective StudiesSubstance-Related DisordersNarcotics

Identifiers

PMID25316764
PMCPMC4196835
OpenAlexW2137451878

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.