Evidence map›Paper›PMID 26733696›Full record

ArticleHealth affairs (Project Hope)2016

Understanding Patterns Of High-Cost Health Care Use Across Different Substance User Groups.

Jan Gryczynski, Robert P Schwartz, Kevin E O'Grady, Lauren Restivo, Shannon G Mitchell, Jerome H Jaffe

Abstract readComparative Study
In one paragraph

Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
–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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Health-related quality of life measures as predictors for recurrent hospitalization and mortality among patients in heroin-assisted treatment.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  15. Impact of substance use and trauma on postpartum readmission rates and hospitalization costs: An observational study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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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

6 authors.

Jan GryczynskiJan Gryczynski (jgryczynski@friendsresearch.org) is a senior research scientist at the Friends Research Institute, in Baltimore, Maryland.
Robert P SchwartzRobert P. Schwartz is medical director of and a senior research scientist at the Friends Research Institute.
Kevin E O'GradyKevin E. O'Grady is an associate professor of psychology at the University of Maryland, College Park.
Lauren RestivoLauren Restivo is a research assistant at the Friends Research Institute.
Shannon G MitchellShannon G. Mitchell is a senior research scientist at the Friends Research Institute.
Jerome H JaffeJerome H. Jaffe is a senior research scientist at the Friends Research Institute.

Funding

SBIRT in New MexicoR01DA026003 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2009 to 2013
$2.5M
A randomized clinical trial of SBIRT services in school-based health centersR01DA036604 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI GRYCZYNSKI, JAN · 2014 to 2017
$2.4M
Navigation Services to Avoid Rehospitalization (NavSTAR) among substance abusersR01DA037942 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI GRYCZYNSKI, JAN · 2015 to 2018
$2.4M
NIDA NIH HHS R01 DA026003NIDA NIH HHS R01DA026003NIDA NIH HHS R01 DA036604NIDA NIH HHS R01DA036604NIDA NIH HHS R01 DA037942NIDA NIH HHS R01DA037942-01A1
6 · The paper itself

Abstract

Substance use contributes to significant societal burdens, including high-cost health care use. However, these burdens may vary by type of substance and level of involvement. Using the 2009-13 National Surveys on Drug Use and Health, we examined all-cause hospitalizations and estimated costs across substance use profiles for alcohol, marijuana, and other illicit drugs. For each substance, we characterized differences between abstainers, nondiagnostic users (people who used the substance but did not meet diagnostic criteria for substance use disorder), and people with substance use disorders. In a multivariate analysis, we found that the odds of hospitalization were 16 percent lower for nondiagnostic marijuana users and 11 percent lower for nondiagnostic alcohol users, compared to abstainers. Neither alcohol- nor marijuana-specific substance use disorders were associated with hospitalization. In contrast, substance use disorders for other illicit drugs were strongly associated with hospitalization: People with those disorders had 2.2 times higher odds of hospitalization relative to abstainers. A more detailed understanding of health care use in different substance user groups could inform the ongoing expansion of substance use services in the United States.

Indexed as

ComprehensionDatabases, FactualFemaleHealth Care CostsHospital CostsHospitalizationHumansLength of StayLogistic ModelsMaleMultivariate AnalysisRetrospective StudiesRisk AssessmentSubstance-Related DisordersUnited StatesHealth ReformHospitalsMental Health/Substance Abuse

Identifiers

PMID26733696
PMCPMC4936480

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.