Evidence map›Paper›PMID 28663601›Full record

ArticleJournal of drug issues2016

A Mixed-Method Analysis of Reports on 100 Cases of Improper Prescribing of Controlled Substances.

James M DuBois, John T Chibnall, Emily E Anderson, Michelle Eggers, Kari Baldwin, Meghan Vasher

Abstract read
In one paragraph

Article in Journal of drug issues, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.0field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. How broad are state physician health program descriptions of physician impairment?Substance abuse treatment, prevention, and policy · 2018
    Article
  6. Article
  7. 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

6 authors at 3 institutions in 1 country.

James M DuBoisBander Professor of Medical Ethics and Professionalism in the Division of General Medical Sciences at Washington University School of Medicine. He also directs the Center for Clinical Research Ethics within the Institute for Clinical and Translational Sciences at Washington University.
John T ChibnallProfessor in the Department of Neurology and Psychiatry at Saint Louis University School of Medicine. He also is also Director of Statistics and Methodology in the Grants Development Office of Saint Louis University.
Emily E AndersonAssistant Professor in the Neiswanger Institute for Bioethics at Loyola University Chicago, Stritch School of Medicine. She is also a member of the faculty of Public Responsibility in Medicine and Research (PRIM&R).
Michelle EggersResearch Assistant in the Professional and Social Issues Lab in the Division of General Medical Sciences at Washington University School of Medicine. She is also a graduate student in philosophy at Southern Illinois University in Carbondale, IL.
Kari BaldwinClinical Research Coordinator in the Professional and Social Issues Lab in the Division of General Medical Sciences at Washington University School of Medicine.
Meghan VasherHealth lawyer in the State of Missouri. At the time the work was performed for this paper, she was a Program Manager in the Professional and Social Issues Lab in the Division of General Medical Sciences at Washington University School of Medicine.
Washington University in St. Louis · USLoyola University Chicago · USSaint Louis University · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Preventing ethical disasters in the practice of medicineR01AG043527 · NIA · WASHINGTON UNIVERSITY · PI DUBOIS, JAMES M · 2013 to 2017
$1.4M
NCATS NIH HHS UL1 TR000448NIA NIH HHS R01 AG043527
6 · The paper itself

Abstract

Improper prescribing of controlled substances contributes to opioid addictions and deaths by overdose. Studies conducted to-date have largely lacked a theoretical framework and ignored the interaction of individual with environmental factors. We conducted a mixed-method analysis of published reports on 100 cases that occurred in the United States. An average of 17 reports (e.g., from medical boards) per case were coded for 38 dichotomous variables describing the physician, setting, patients, and investigation. A theory on how the case occurred was developed for each case. Explanatory typologies were developed and then validated through hierarchical cluster analysis. Most cases involved physicians who were male (88%), >40 years old (90%), non-board certified (63%), and in small private practices (97%); 54% of cases reported facts about the physician indicative of self-centered personality traits. Three explanatory typologies were validated. Increasing oversight provided by peers and trainees may help prevent improper prescribing of controlled substances.

Identifiers

PMID28663601
PMCPMC5485258
OpenAlexW2521018247

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.