Evidence map›Paper›PMID 26654430›Full record

ArticleHarm reduction journal2015

Mortality in the Melbourne injecting drug user cohort study (MIX).

Dhanya Nambiar, Paul A Agius, Mark Stoové, Matthew Hickman, Paul Dietze

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 23 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Dhanya NambiarCentre for Population Health, Burnet Institute, Melbourne, Australia. dhanya@burnet.edu.au.
Paul A AgiusCentre for Population Health, Burnet Institute, Melbourne, Australia. pagius@burnet.edu.au.
Mark StoovéCentre for Population Health, Burnet Institute, Melbourne, Australia. stove@burnet.edu.au.
Matthew HickmanSchool of Social & Community Medicine, University of Bristol, Canynge Hall, Bristol, UK. Matthew.Hickman@bristol.ac.uk.
Paul DietzeCentre for Population Health, Burnet Institute, Melbourne, Australia. pauld@burnet.edu.au.
Burnet Institute · AUMonash University · AUUniversity of Bristol · GB

Funding

Department of Health 12/136/105Medical Research Council G1000021Medical Research Council MR/K023233/1
6 · The paper itself

Abstract

backgroundThere are few studies of mortality amongst people who inject drugs (PWID) in Australia. In this study, we estimate mortality in a cohort of PWID in Melbourne and examine predictors of mortality including health service use, demographic characteristics, drug use and personal wellbeing.

findingsWe linked identifiers from the Melbourne injecting drug use cohort study (MIX; n = 655) to the National Death Index from 2008 to 2012 to estimate standardised mortality ratios (SMRs). Cox regression was used to examine the bivariate relationship between exposures determined at baseline and subsequent mortality. There were 24 (3.6%) deaths over the study period. The mortality rate in the cohort was 1.0 per 100 PY (95% CI 0.71-1.57), with an SMR of 17.3 (95 % CI 11.6-25.8). Baseline reports of four or more lifetime incarcerations (HR 3.65, 95 % CI 1.16-11.52), past month ambulance attendance (HR 4.43, 95 % CI 1.76-11.17), past month emergency department presentation (HR 3.44, 95 % CI 1.47-8.03) and past 6-month self-reported heroin overdose (HR 3.14, 95 % CI 1.24-7.96) were associated with increased mortality risk.

conclusionsContact with emergency services, particularly for drug overdose, remains a lost opportunity to provide referrals for harm reduction and naloxone training programmes to PWID at greater risk of mortality.

Indexed as

AdolescentAdultAge FactorsAustraliaCohort StudiesDrug OverdoseDrug UsersFemaleHarm ReductionHeroin DependenceHumansMaleRisk FactorsSubstance Abuse, IntravenousYoung Adult

Identifiers

PMID26654430
PMCPMC4674911
OpenAlexW2193705717

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.