Evidence map›Paper›PMID 28476267›Full record

ArticleJournal of substance abuse treatment2017

Chronic pain among patients with opioid use disorder: Results from electronic health records data.

Yih-Ing Hser, Larissa J Mooney, Andrew J Saxon, Karen Miotto, Douglas S Bell, David Huang

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of substance abuse treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 126 papers.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed
–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.

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
NCT06581276 nacompletednot on this mapstarted 2023, after this paper: background citation

Increasing Access to Evidence-based Treatment for Chronic Pain and Opioid Use Disorder: Adapting Acceptance and Commitment Therapy for Opioid Treatment Programs

TypeinterventionalSponsorMontefiore Medical CenterRan2023 to 2024Enrolled7ConditionsOpioid Use, Opioid Use Disorder, Chronic PainArmsAcceptance and Commitment Therapy (ACT)
3 · Its place in the literature

Who cites it

126 citing papers in PubMed.

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66 more citing papers are in PubMed but not listed here.

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.

Yih-Ing HserUniversity of California, Los Angeles, United States. Electronic address: yhser@ucla.edu.
Larissa J MooneyUniversity of California, Los Angeles, United States.
Andrew J SaxonVeterans Affairs Puget Sound Health Care System, United States.
Karen MiottoUniversity of California, Los Angeles, United States.
Douglas S BellUniversity of California, Los Angeles, United States.
David HuangUniversity of California, Los Angeles, United States.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
STATISTICAL SUPPORT/DATA MANAGEMENT COREP30DA016383 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HSER, YIH-ING · 2005 to 2015
$8.6M
NCATS NIH HHS UL1 TR001881NIDA NIH HHS HHSN271201400028CNIDA NIH HHS P30 DA016383
6 · The paper itself

Abstract

purposeTo examine the prevalence of comorbid chronic pain among patients with opioid use disorder (OUD) and to compare other comorbidities (substance use disorder (SUD), mental health disorders, health/disease conditions) among patients in four categories: no chronic pain (No Pain), OUD prior to pain (OUD First), OUD and pain at the same time (Same Time), or pain condition prior to OUD (Pain First).

methodsUsing an electronic health record (EHR) database from 2006-2015, the study assessed 5307 adult patients with OUD in a large healthcare system; 35.6% were No Pain, 9.7% were OUD First, 14.9% were Same Time, and 39.8% were Pain First.

resultsMost OUD patients (64.4%) had chronic pain conditions, and among them 61.8% had chronic pain before their first OUD diagnosis. Other SUDs occurred more frequently among OUD First patients than among other groups in terms of alcohol (33.4% vs. 25.4% for No Pain, 20.7% for Same Time, and 20.3% for Pain First), cocaine (19.0%, vs. 13.8%, 9.4%, 7.1%), and alcohol or drug-induced disorders. OUD First patients also had the highest rates of HIV (4.7%) and hepatitis C virus (HCV; 28.2%) among the four groups. Pain First patients had the highest rates of mental disorder (81.7%), heart disease (72.0%), respiratory disease (68.4%), sleep disorder (41.8%), cancer (23.4%), and diabetes (19.3%).

conclusionsThe alarming high rates of chronic pain conditions occurring before OUD and the associated severe mental health and physical health conditions require better models of assessment and coordinated care plans to address these complex medical conditions.

Indexed as

AdultChronic PainComorbidityElectronic Health RecordsFemaleHumansMaleMental DisordersMiddle AgedOpioid-Related DisordersPrevalenceSubstance-Related Disorders

Identifiers

PMID28476267
PMCPMC5424616

What OpenQuestion holds

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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.