Evidence map›Paper›PMID 30403501›Full record

ArticleAmerican journal of public health2018

Consistency Between Opioid-Related Mortality Trends Derived From Poison Center and National Vital Statistics System, United States, 2006-2016.

Janetta L Iwanicki, S Geoff Severtson, Zachary Margolin, Nabarun Dasgupta, Jody L Green, Richard C Dart

Abstract read
In one paragraph

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Delta-Opioid Receptor; a Target for the Treatment of Pain.Frontiers in molecular neuroscience · 2020
    Review
  8. Article
  9. Article
  10. 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.

Janetta L IwanickiAt the time of this study, all of the authors were affiliated with Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.
S Geoff SevertsonAt the time of this study, all of the authors were affiliated with Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.
Zachary MargolinAt the time of this study, all of the authors were affiliated with Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.
Nabarun DasguptaAt the time of this study, all of the authors were affiliated with Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.
Jody L GreenAt the time of this study, all of the authors were affiliated with Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.
Richard C DartAt the time of this study, all of the authors were affiliated with Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the association between poison center opioid exposure calls and National Vital Statistics System (NVSS) deaths.

methodsWe categorized Centers for Disease Control and Prevention NVSS mortality and the Researched Abuse, Diversion and Addiction-Related Surveillance System poison center program cases from 2006 to 2016 by International Classification of Diseases, Tenth Revision, codes (heroin [T40.1]; natural or semisynthetic opioids [T40.2]; methadone [T40.3]; synthetic opioids, other than methadone [T40.4]). We scaled rates by 100 000 population and calculated Pearson correlation coefficients. Sensitivity analysis excluded polysubstance cases involving either heroin or synthetic opioids as well as natural and semisynthetic opioids.

resultsThe NVSS mortality and poison center program exposure rates showed similar trends from 2006 to 2012, and diverged after 2012 for all opioids combined, natural and semisynthetic opioids, and synthetic opioids (r = -0.37, -0.12, and 0.30, respectively). Sensitivity analysis with removal of heroin or synthetic opioid polysubstance deaths markedly improved correlations for all opioids combined and natural and semisynthetic opioids (r = 0.87 and 0.36, respectively).

conclusionsThe NVSS mortality and poison center exposure rates showed similar trends from 2006 to 2012 then diverged, with sensitivity analysis suggesting polysubstance cases also involving heroin or illicit fentanyl as the cause. Public Health Implications. The NVSS and poison center program may provide complementary data when trends diverge. Public health interventions must include both licit and illicit opioids for maximal impact.

Indexed as

Vital StatisticsData AccuracyDrug OverdoseHumansNarcoticsOpioid-Related DisordersPoison Control CentersPublic HealthPublic Health SurveillanceReproducibility of ResultsUnited StatesNarcotics

Identifiers

PMID30403501
PMCPMC6236735

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Registered trials

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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.