Evidence map›Paper›PMID 30034551›Full record

ArticleJournal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain2018

Opioids in Georgia Medicaid: Gender and Insurance Disparities in Utilization and Potential Inappropriate Prescribing Practices.

Jayani Jayawardhana, Amanda J Abraham, Henry N Young, Matthew Perri

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain, 2018. 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
1.4field-weighted citation impact, top 18% 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, 8 citations in OpenAlex.

  1. Article
  2. Opioid Dependency After Craniomaxillofacial Trauma Surgery.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  3. Misalignment of Stakeholder Incentives in the Opioid Crisis.International journal of environmental research and public health · 2020
    Review
  4. Article
  5. 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

4 authors at 1 institution in 1 country.

Jayani JayawardhanaAssociate Professor, Department of Clinical and Administrative Pharmacy, University of Georgia, 250 West Green Street, Athens GA, 30602.
Amanda J AbrahamAssistant Professor, Department of Public Administration and Policy, University of Georgia, 204 Baldwin Hall, Athens GA 30602.
Henry N YoungAssociate Professor, Department of Clinical and Administrative Pharmacy, University of Georgia, 250 West Green Street, Athens GA, 30602.
Matthew PerriProfessor, Department of Clinical and Administrative Pharmacy, University of Georgia, 250 West Green Street, Athens GA, 30602.
University of Georgia · US

Funding

Opioid Prescribing in Medicaid: Healthcare Utilization and Deaths from OverdoseR01DA039930 · NIDA · UNIVERSITY OF GEORGIA · PI JAYAWARDHANA, JAYANI, PERRI, MATTHEW · 2016 to 2018
$675k
NIDA NIH HHS R01 DA039930
6 · The paper itself

Abstract

objectivesMedicaid populations have been disproportionately affected by the opioid epidemic. In Georgia, opioid deaths have increased at more than twice the rate of the nation at large. It is unknown if certain populations within the Medicaid unduly receive opioid prescriptions or experience inappropriate prescribing of opioids. Thus, this study examines gender and insurance disparities in the use of opioids and the prevalence of indicators for potential inappropriate prescribing of opioids in the Georgia Medicaid population.

methodsUsing individual Georgia Medicaid pharmacy claims data from 2012, disparities across gender (male/female) and type of insurance (fee-for-service (FFS)/managed care (MC)) were examined for the general use of opioids and potential inappropriate prescribing practices by providers. These outcome measures were taken from previous clinical guidelines and expert panels. T-tests were conducted to estimate significance in disparities across gender and type of insurance. KEY

findingsAverage number of opioid prescriptions received and average days of supply of opioids were higher among males than females (p<0.001), and among FFS patients than MC patients (p<0.001). Similarly, average incidences of potential inappropriate prescribing of opioids were higher among males (1.41) than females (0.83) (p<0.001), and among FFS patients (1.60) than MC patients (0.46) (p<0.001).

conclusionsResults indicate statistically significant disparities among male/female patients and FFS/MC patients in the general use of opioids and in potential inappropriate prescribing of opioids. Policies aimed at curbing potential inappropriate prescribing of opioids, especially among male and FFS enrollees are needed to reduce prescription drug abuse within this population.

Indexed as

fee-for-servicegenderinappropriate prescribingmanaged careMedicaidOpioids

Identifiers

PMID30034551
PMCPMC6051715
OpenAlexW2783199760

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.