Evidence map›Paper›PMID 26522794›Full record

ArticleThe American journal of medicine2016

Trends in Opioid Prescriptions Among Part D Medicare Recipients From 2007 to 2012.

Yong-Fang Kuo, Mukaila A Raji, Nai-Wei Chen, Hunaid Hasan, James S Goodwin

Erratum issuedAbstract read
In one paragraph

Article in The American journal of medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
13.9field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Pooled it
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  11. Race Differences in Patient-Reported Symptoms during Chemotherapy among Women with Early-Stage Hormone Receptor-Positive Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Observational
  12. Opioid prescription and diabetes among Medicare beneficiaries.Diabetes research and clinical practice · 2023
    Article
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Yong-Fang KuoDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston; Sealy Center on Aging, The University of Texas Medical Branch, Galveston; Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston; Institute for Translational Science, The University of Texas Medical Branch, Galveston. Electronic address: yokuo@utmb.edu.
Mukaila A RajiDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston; Sealy Center on Aging, The University of Texas Medical Branch, Galveston.
Nai-Wei ChenDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston.
Hunaid HasanDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston.
James S GoodwinDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston; Sealy Center on Aging, The University of Texas Medical Branch, Galveston; Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston; Institute for Translational Science, The University of Texas Medical Branch, Galveston.
The University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Patient Centered Outcomes Research in the ElderlyR24HS022134 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2013 to 2017
$4.8M
Care of the elder hospitalized patient: the role of the hospitalistsR01AG033134 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2009 to 2018
$2.2M
AHRQ HHS R24 HS022134AHRQ HHS R24-HS022134NCATS NIH HHS UL1 TR001439NCATS NIH HHS UL1TR001439NIA NIH HHS P30 AG024832NIA NIH HHS P30-AG024832NIA NIH HHS R01 AG033134NIA NIH HHS R01-AG033134
6 · The paper itself

Abstract

backgroundThere is growing concern about potential overuse of, and toxicity from, opioid analgesics. No nationally representative study has examined inter-state variations in opioid use and impact of policy on opioid use among older adults.

methodsWe used national Medicare data from 2007-2012 to assess temporal and geographic trends in rates of opioid prescription and relationship to opioid toxicity and different state regulations in Part D Medicare recipients. We excluded those with a cancer diagnosis. Multilevel, multivariable regression analyses evaluated rates of prolonged prescriptions for schedule II, schedule III, and combination II/III opioid for each state, adjusting for patient characteristics.

resultsThe percent of Part D recipients receiving prescriptions for combined schedule II/III opioid more than 90 days in a year increased from 4.62% in 2007 to 7.35% in 2012. Large variations existed among states in rates of opioid prescriptions: from 2.84% in New York to 10.93% in Utah, in 2012 data. The state variation was larger for schedule III than schedule II. Individual characteristics independently associated with prolonged use included older age, female gender, white race, low income, living in a lower-education area, and comorbidity of drug abuse, rheumatoid arthritis, and depression. Only state law regulating pain clinic was associated with reduction of schedule II opioid prescriptions. Prolonged opioid prescription use increased the odds of opioid overdose-related emergency room visits or hospitalization by 60%.

conclusionsAnalyses of Medicare Part D data demonstrated a substantial growth in opioid prescriptions from 2007 to 2011 and large variation in opioid prescriptions across states.

Indexed as

Analgesics, OpioidMedicare Part DAgedChronic PainDrug OverdoseDrug PrescriptionsFemaleHumansMalePain ManagementPractice Patterns, Physicians'Risk FactorsUnited StatesAnalgesics, OpioidMedicareOpioidOverdoseRegulations

Identifiers

PMID26522794
PMCPMC4718856
OpenAlexW2145579475

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.