Evidence map›Paper›PMID 26393233›Full record

ArticleCMAJ open

Retrospective analysis of trends in dispensing long-acting non-tamper-resistant oxycodone near the Canada-United States border.

Tara Gomes, J Michael Paterson, Mariam Mukati, David Henry, Canadian Network for Observational Drug Effect Studies investigators

Abstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Tamper-resistant drugs cannot solve the opioid crisis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015
    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

5 authors.

Tara GomesInstitute for Clinical and Evaluative Sciences, Toronto, Ont. ; Institute of Health Policy Management and Evaluation, University of Toronto, Ont. ; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ont. ; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ont.
J Michael PatersonInstitute for Clinical and Evaluative Sciences, Toronto, Ont. ; Institute of Health Policy Management and Evaluation, University of Toronto, Ont. ; Department of Family Medicine, McMaster University, Hamilton, Ont.
Mariam MukatiInstitute for Clinical and Evaluative Sciences, Toronto, Ont.
David HenryInstitute for Clinical and Evaluative Sciences, Toronto, Ont. ; Institute of Health Policy Management and Evaluation, University of Toronto, Ont. ; Dalla Lana School of Public Health, University of Toronto, Toronto, Ont.
Canadian Network for Observational Drug Effect Studies investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince 2010, tamper-resistant long-acting oxycodone has been available in both the United States and Canada; however, generic non-tamper-resistant brands of the drug have only been introduced in Canada. We aimed to determine whether the introduction of generic non-tamper-resistant oxycodone in Canada led to increased sales from Canadian pharmacies near the Canada-US border.

methodsWe conducted a retrospective analysis of trends in dispensing of long-acting oxycodone from Canadian community pharmacies in geographic areas contiguous with the Canada-US border between Feb. 1, 2012, and Jan. 31, 2014. We reported the monthly dispensing rates of long-acting oxycodone by province and within each region near the Canada-US border.

resultsDuring the study period, 8 507 882 long-acting oxycodone tablets were dispensed by Canadian pharmacies in regions near Canada-US border crossings. After the introduction of generic non-tamper-resistant formulations in December 2012, the dispensing rate declined in the border regions of Ontario, British Columbia and Quebec, and rose slightly in Manitoba (4.4%) and New Brunswick (3.6%). Dispensing rates rose by 45.5% in Alberta and 92.3% in Saskatchewan; however, only 3341 of the tablets dispensed were a generic non-tamper-resistant formulation. An examination of the dispensing patterns in 50 border areas after the marketing of non-tamper-resistant brands in Canada showed no patterns suggestive of trafficking.

interpretationWe found no large increases in the dispensing rates of generic non-tamper-resistant long-acting oxycodone in Canadian pharmacies near Canada-US border crossings such as were seen after the withdrawal of OxyContin in the United States in 2010. Despite our findings, Canadian clinicians and pharmacists should remain cautious in their prescribing and dispensing of non-tamper-resistant formulations of oxycodone because of their high potential for misuse and abuse.

Identifiers

PMID26393233
PMCPMC4574641

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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.