Evidence map›Paper›PMID 30239345›Full record

ArticleFemale pelvic medicine & reconstructive surgery2020

Opioid Pain Medication Use in New Urogynecology Patients.

Denicia S Dwarica, Abby R Rubenstein, Robert B Boccaccio, Anita K Motwani, Jennifer D Peck, Edgar L LeClaire, Lieschen H Quiroz

Open access · greenAbstract readComparative Study
In one paragraph

Article in Female pelvic medicine & reconstructive surgery, 2020. 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
0.5field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. 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

7 authors at 3 institutions in 2 countries.

Denicia S DwaricaFrom the Obstetrics & Gynecology, Division of Female Pelvic Medicine & Reconstructive Surgery, University of Oklahoma Health Sciences Center.
Abby R RubensteinSchool of Medicine, University of Oklahoma.
Robert B BoccaccioObstetrics & Gynecology.
Anita K MotwaniObstetrics & Gynecology.
Jennifer D PeckBiostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
Edgar L LeClaireFrom the Obstetrics & Gynecology, Division of Female Pelvic Medicine & Reconstructive Surgery, University of Oklahoma Health Sciences Center.
Lieschen H QuirozFrom the Obstetrics & Gynecology, Division of Female Pelvic Medicine & Reconstructive Surgery, University of Oklahoma Health Sciences Center.
University of Oklahoma Health Sciences Center · USBeijing Obstetrics and Gynecology Hospital · CNUniversity of Oklahoma · US

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI JENNIFER DAVID PECK · 2013 to 2026
$68.2M
NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

objectivesThe aim of this study was to determine the prevalence of opioid pain medication use among patients presenting for a new visit to the urogynecology clinic compared with those presenting to general gynecology.

methodsWe identified all patients who presented for new patient visits to the urogynecology and gynecology clinics between January 1, 2016, and December 31, 2016. Any previous or current opioid use was extracted from the electronic medical record medication list. Statistical analysis was performed using χ and Fisher exact tests for comparisons of categorical variables. Modified Poisson regression models were used to estimate prevalence proportion ratios (PPRs).

resultsThere were 1835 (955 gynecology, 880 urogynecology) patients included. Median age was 47 years (interquartile range, 29 years), and median body mass index was 28.15 kg/m (interquartile range, 9.96 kg/m). Prevalence of opioid use was lowest among women who identified as Asian or other race and highest among black and Native American women; however, when compared by ethnicity, use was lowest among Hispanic women (P = 0.01). Among new urogynecology patients, 14% had self-reported opioid pain medication usage. Opioid use was almost twice as likely in the urogynecology group (PPR, 1.86; 95% confidence interval, 1.4-2.4). When adjusted for confounders, the urogynecology group was 1.3 times as likely to report opioid use (PPR 1.29; 95% confidence interval, 1.0-1.8), with this result approaching statistical significance.

conclusionsOpioid use is greater in patients presenting to the urogynecology clinic compared with general gynecology. Urogynecologists need to know this information for planning and optimizing pain management in this population.

Indexed as

AdultAnalgesics, OpioidFemaleGynecologyHumansMiddle AgedPain ManagementPostoperative PainRetrospective StudiesSelf ReportUrologyAnalgesics, Opioid

Identifiers

PMID30239345
PMCPMC6426690
OpenAlexW2894447963

What OpenQuestion holds

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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.