Evidence map›Paper›PMID 26814267›Full record

ArticlePain medicine (Malden, Mass.)2016

Diversion and Illicit Sale of Extended Release Tapentadol in the United States.

Richard C Dart, Hilary L Surratt, Marie-Claire Le Lait, Yami Stivers, Vikhyat S Bebarta, Clark C Freifeld, John S Brownstein, John J Burke, Steven P Kurtz, Nabarun Dasgupta

Open access · hybridAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Mapping of Crowdsourcing in Health: Systematic Review.Journal of medical Internet research · 2018
    Pooled it
  2. Trial
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  8. Interpol review of controlled substances 2016-2019.Forensic science international. Synergy · 2020
    Review
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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

10 authors at 5 institutions in 1 country.

Richard C Dart*Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, Colorado Department of Emergency Medicine, University of Colorado School of Medicine, Denver, Colorado Richard.dart@rmpdc.org.
Hilary L SurrattCenter for Applied Research on Substance Use and Health Disparities, Nova Southeastern University, Fort Lauderdale, Florida.
Marie-Claire Le Lait*Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, Colorado.
Yami StiversCenter for Applied Research on Substance Use and Health Disparities, Nova Southeastern University, Fort Lauderdale, Florida.
Vikhyat S BebartaDepartment of Emergency Medicine, Antonio Military Medical Center, San Antonio, Texas.
Clark C FreifeldEpidemico, Inc., Boston, Massachusetts.
John S BrownsteinEpidemico, Inc., Boston, Massachusetts.
John J BurkeNational Association of Drug Diversion Investigators, Lutherville, Maryland, USA.
Steven P KurtzCenter for Applied Research on Substance Use and Health Disparities, Nova Southeastern University, Fort Lauderdale, Florida.
Nabarun DasguptaEpidemico, Inc., Boston, Massachusetts.
Nova Southeastern University · USAmerican Lung Association · USHealth and Hospital Corporation · USSan Antonio Military Medical Center · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrescription opioid analgesics are commonly prescribed for moderate to severe pain. An unintended consequence of prescribing opioid analgesics is the abuse and diversion of these medications. Tapentadol ER is a recently approved centrally acting analgesic with synergistic mechanisms of action: μ-opioid receptor agonism and inhibition of norepinephrine reuptake. We assessed the amount of diversion and related cost of obtaining tapentadol IR (Nucynta®) and tapentadol ER (Nucynta ER®) as well as other Schedule II opioid medications in street transactions in the United States using the Researched Abuse, Diversion and Addiction-Related Surveillance (RADARS®) System.

methodsThe Drug Diversion Program measures the number of cases opened by 260 drug diversion investigators in 49 states. StreetRx(TM) uses a crowd-sourcing Website to collect the prices paid for licit or illicit drugs.

resultsThe population-based rates of diversion were 0.003 (tapentadol IR), 0.001 (tapentadol ER), and 1.495 (other Schedule II opioid tablets) reports per 100,000 population. The tapentadol ER rate was lower than the other Schedule II opioid tablets (P < 0.001) and tapentadol IR (P= 0.004). Diversion rates based on drug availability were 0.03 (tapentadol IR), 0.016 (tapentadol ER), and 0.172 (other Schedule II opioid tablets) per 1,000 prescriptions dispensed. The median street price per milligram was $0.18 (tapentadol IR), $0.10 (tapentadol ER), and $1.00 (other Schedule II opioid tablets). DISCUSSION: Our results indicate that tapentadol ER is rarely sold illicitly in the United States. When sold illicitly, tapentadol ER costs less than other Schedule II opioid products.

Indexed as

Analgesics, OpioidPhenolsDelayed-Action PreparationsHumansIllicit DrugsPrescription Drug DiversionTapentadolUnited StatesAnalgesics, OpioidDelayed-Action PreparationsIllicit DrugsPhenolsTapentadolAbuseDiversionOpioidRADARS SystemStreetRxTapentadol

Identifiers

PMID26814267
PMCPMC4975014
OpenAlexW2282597098

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.