Evidence map›Paper›PMID 30228730›Full record

ArticleMissouri medicine

A Bridge to Nowhere? Challenging Outpatient Transitions of Care for Acute Pain Patients in the Opioid Epidemic Era.

Christopher R Carpenter, Lawrence Lewis, Randall S Jotte, Evan S Schwarz

Abstract read
In one paragraph

Article in Missouri medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Christopher R CarpenterChristopher R. Carpenter, MD, MSc, MSMA member since 2016, Associate Professor, is in the Division of Emergency Medicine, Washington University School of Medicine, St. Louis, Mo.
Lawrence LewisLawrence Lewis, MD, Professor, is in the Division of Emergency Medicine, Washington University School of Medicine, St. Louis, Mo.
Randall S JotteRandall S. Jotte, MD, MSMA member since 2016, Associate Professor, is in the Division of Emergency Medicine, Washington University School of Medicine, St. Louis, Mo.
Evan S SchwarzEvan S. Schwarz, MD, MSMA member since 2014, Associate Professor, is in the Division of Emergency Medicine, Washington University School of Medicine, St. Louis, Mo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Opioid misuse is reducing Americans' life expectancy, thereby catalyzing professional societies and legislators to action. Efforts to combat the opioid epidemic must work hand-in-hand with appropriate efforts to reduce the severity and duration of suffering. Pharmacologic analgesia is temporizing. Current opioid prescribing guidelines focus on reducing the frequency and quantity of narcotics prescribed, but lack attention to alleviation of the source of pain. Conditions eliciting acute pain sometimes require additional specialist management following discharge from the emergency department. Patients frequently lack timely access to these specialists, particularly if underinsured. This essay explores acute dental pain, extremity fractures, and back pain as three common examples whereby complex healthcare systems must efficiently adapt in order to serve the dual objectives of reducing the risk of opioid-related adverse consequences and minimizing the duration of patient suffering.

Indexed as

Transitional CareAcute PainAnalgesics, OpioidEpidemicsHumansOpioid-Related DisordersOutpatientsPain ManagementPractice Patterns, Physicians'United StatesAnalgesics, Opioid

Identifiers

PMID30228730
PMCPMC6140146

What OpenQuestion holds

Textmetadata
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.