Evidence map›Paper›PMID 27567185›Full record

SynthesisThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2016

A Systematic Review of Opioid and Benzodiazepine Misuse in Older Adults.

Rachel D Maree, Zachary A Marcum, Ester Saghafi, Debra K Weiner, Jordan F Karp

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05037682 (Addressing Opioid Use Disorder in the Elderly Through Primary Care Innovation), which is not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 5% 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.

NCT05037682 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Addressing Opioid Use Disorder in the Elderly Through Primary Care Innovation: Pain and Opioid Management in Older Adults

TypeinterventionalSponsorUniversity of OklahomaRan2020 to 2024Enrolled1,035ConditionsPain, Chronic, Opioid Use DisorderArmsDissemination and Implementation Research
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Prevalence of Opioid Use in Nursing Homes Over the Last Decade: A Systematic Literature Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024
    Article
  10. Accidental substance-related acute toxicity deaths in older adults in 2016 and 2017: a national chart review study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Social Vulnerability and the Prevalence of Opioid Use Disorder Among Older Medicare Beneficiaries in U.S. Counties.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. 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 at 3 institutions in 1 country.

Rachel D MareeDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Zachary A MarcumSchool of Pharmacy, University of Washington, Seattle, WA.
Ester SaghafiDepartment of Information Science, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Debra K WeinerDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA; Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA; Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; Geriatric Research, Education & Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, PA.
Jordan F KarpDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA; Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA; Geriatric Research, Education & Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, PA. Electronic address: karpjf@upmc.edu.
University of Pittsburgh · USUniversity of Washington · USVA Pittsburgh Healthcare System · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
Optimizing Care for Older Adults with Back Pain and DepressionR01AG033575 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARP, JORDAN F · 2010 to 2014
$2.3M
1/3 Buprenorphine for Late-Life Treatment Resistant DepressionR34MH101371 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARP, JORDAN F · 2014 to 2016
$672k
NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG033575NIA NIH HHS T32 AG021885NIMH NIH HHS R34 MH101371
6 · The paper itself

Abstract

objectiveThe authors assessed the prevalence of opioid and benzodiazepine prescription drug misuse in older adults, the risk factors associated with misuse, and age-appropriate interventions.

methodsFollowing PRISMA guidelines, a literature search of PubMed, PsycINFO, and EMBASE for peer-reviewed journal articles in English through April 2014 with updates through November 2015 was conducted for reports on misuse of prescription benzodiazepines and opioids in older adults. Relevant publications were reviewed that included participants age ≥65 years. Reference lists were manually searched for key identified articles and geriatric journals through April 2016. Information on the study design, sample, intervention, comparators, outcome, time frame, and risk of bias were abstracted for each article.

resultsOf 4,932 reviewed reports, 15 were included in this systematic review. Thirteen studies assessed the prevalence of prescription drug misuse and included studies related to opioid shopping behavior, assessment of morbidity and mortality associated with opioid and/or benzodiazepine use, frequency and characteristics of opioid prescribing, frequency of substance use disorders and nonprescription use of pain relievers, and health conditions and experiences of long-term benzodiazepine users. One study identified risk factors for misuse, and one study described the effects of provider education and an electronic support tool as an intervention.

conclusionThere is a dearth of high quality research on prescription drug misuse in older adults. Existing studies are heterogeneous, making it difficult to draw broad conclusions. The need for further research specific to prescription drug misuse among older adults is discussed.

Indexed as

BenzodiazepinesAgedHumansOpioid-Related DisordersPrescription Drug MisusePrevalenceSubstance-Related DisordersBenzodiazepinesAginggeriatricsprescription drug abuseprimary caresubstance abuse

Identifiers

PMID27567185
PMCPMC5069126
OpenAlexW2410547166

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.