Evidence map›Paper›PMID 27646841›Full record

ArticleThe American journal of drug and alcohol abuse2017

Statewide opioid prescriptions and the prevalence of adolescent opioid misuse in Ohio.

Erin R McKnight, Andrea E Bonny, Hannah L H Lange, David M Kline, Mahmoud Abdel-Rasoul, Joseph R Gay, Steven C Matson

Open access · greenAbstract read
In one paragraph

Article in The American journal of drug and alcohol abuse, 2017. 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
1.2field-weighted citation impact, top 16% 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, 13 citations in OpenAlex.

  1. Article
  2. State-Level Prevalence and Associates of Opioid Dependence in the USA.International journal of environmental research and public health · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors at 2 institutions in 1 country.

Erin R McKnighta Nationwide Children's Hospital , Division of Adolescent Medicine , Columbus , OH , USA.
Andrea E Bonnya Nationwide Children's Hospital , Division of Adolescent Medicine , Columbus , OH , USA.
Hannah L H Langec The Research Institute at Nationwide Children's Hospital , Columbus , OH , USA.
David M Klined The Ohio State University, Center for Biostatistics , Columbus , OH , USA.
Mahmoud Abdel-Rasould The Ohio State University, Center for Biostatistics , Columbus , OH , USA.
Joseph R Gaye Health Recovery Services , Athens , OH , USA.
Steven C Matsona Nationwide Children's Hospital , Division of Adolescent Medicine , Columbus , OH , USA.
Nationwide Children's Hospital · USThe Ohio State University · US

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
NCATS NIH HHS UL1 TR001070
6 · The paper itself

Abstract

backgroundLittle is known about the relationship between opioid prescribing practices and the prevalence of adolescent opioid misuse.

objectiveTo examine the relationships between both opioid prescriptions filled by adolescents and adults and adolescents seeking treatment for opioid misuse in Ohio.

methodsAnalyses of large statewide databases from 2008 to 2012, including all 88 counties in Ohio. The Ohio Board of Pharmacy provided data regarding prescription opioids filled by adolescents (12-20 years, N = 50,030,820 doses) and adults (>20 years, N = 3,811,288,395 doses) by county of residence. The Ohio Department of Mental Health and Drug Addiction Services provided annual treatment admissions for adolescent opioid misuse by county of residence (N = 6446).

resultsAdults filled prescriptions for nearly 100 oral opioid doses per capita annually, while adolescents filled prescriptions for approximately 7 oral opioid doses per capita annually. In Bayesian Poisson modeling examining the effect of annual adult per capita dose on adolescent treatment admissions, adjusted for annual adolescent per capita dose and year, an increase of one in the annual adult per capita opioid dose resulted in an increase of 1.3% (RR = 1.013, 95% HPD CI = [1.008, 1.017]) in the rate of adolescent treatment admissions. This association corresponds to a 99.99% chance that the adolescent treatment rate increases when the annual per capita adult dose is increased by one unit.

conclusionThe amount of opioids filled by adults in Ohio, although relatively stable from 2008 to 2012, is approximately 13 times that filled by adolescents and is significantly associated with adolescents seeking treatment for opioid misuse. Efforts to decrease adolescent opioid misuse should also focus on reducing adult opioid prescriptions.

Indexed as

Administration, OralAdolescentAdultAge FactorsAnalgesics, OpioidBayes TheoremChildDatabases, FactualDose-Response Relationship, DrugHumansOhioOpioid-Related DisordersPoisson DistributionPractice Patterns, Physicians'Prescription Drug MisusePrevalenceAnalgesics, OpioidAdolescentopioid

Identifiers

PMID27646841
PMCPMC5357590
OpenAlexW2521969574

What OpenQuestion holds

Textmetadata
LicenceTDM
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.