ArticleAmerican journal of public health2018
Standard Death Certificates Versus Enhanced Surveillance to Identify Heroin Overdose-Related Deaths.
Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Misclassification of opioid-involvement in drug-related overdose deaths in the United States: A scoping review.Annals of epidemiology · 2025Article
- Unveiling the spectrum of sudden cardiac death: a multidisciplinary analysis from the Friuli Venezia Giulia registry.Frontiers in cardiovascular medicine · 2025Article
- Socioeconomic inequalities and Black/White disparities in US cocaine-involved overdose mortality risk.Social psychiatry and psychiatric epidemiology · 2022Article
- Using death scene and toxicology evidence to define involvement of heroin, pharmaceutical morphine, illicitly manufactured fentanyl and pharmaceutical fentanyl in opioid overdose deaths, 38 states and the District of Columbia, January 2018-December 2019.Addiction (Abingdon, England) · 2022Article
- Build It Better for Public Health: Improved Data Infrastructure Is Vital to Bending the Curve of the Overdose Crisis.American journal of public health · 2022Article
- Article
- Correlates of death during outpatient treatment for opioid use disorder: A national study.Journal of substance abuse treatment · 2020Article
- Changes in Mortality Involving Extended-Release and Long-Acting Opioids After Implementation of a Risk Evaluation and Mitigation Strategy.Pain medicine (Malden, Mass.) · 2020Article
- Article
- Methodological Complexities in Quantifying Rates of Fatal Opioid-Related Overdose.Current epidemiology reports · 2019Review
- Opportunities to Prevent Overdose Deaths Involving Prescription and Illicit Opioids, 11 States, July 2016-June 2017.MMWR. Morbidity and mortality weekly report · 2018Article
- A Public Health Strategy for the Opioid Crisis.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare 2 approaches to identifying heroin-related deaths in cases of overdose: standard death certificates and enhanced surveillance.
methodsWe reviewed Maryland death certificates from 2012 to 2015 in cases of overdose to determine specific mentions of heroin. Counts were compared with estimates obtained through an enhanced surveillance approach that included a protocol considering cause of death, toxicology, and scene investigation findings.
resultsDeath certificates identified 1130 heroin-related deaths. Enhanced surveillance identified 2182 cases, nearly double the number found through the standard approach. The major factors supporting enhanced surveillance in identifying cases were the presence of morphine, either alone or in combination with quinine, and scene investigation information suggesting heroin use.
conclusionsDeath certificates, the primary source of state and national data on overdose deaths, may underestimate the contribution of heroin to drug-related mortality. Enhanced surveillance efforts should be considered to allow a better understanding of the contribution of heroin to the overdose crisis. Public Health Implications. If enhanced surveillance can be incorporated into the death certificate process, national data on overdoses may better reflect the contribution of heroin to the opioid crisis.
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