Evidence map›Paper›PMID 30519904›Full record

ArticleAIDS and behavior2019

HIV Physicians and Chronic Opioid Therapy: It's Time to Raise the Bar.

Jennifer J Carroll, Jonathan Colasanti, Marlene C Lira, Carlos Del Rio, Jeffrey H Samet

Abstract read
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Improving the Delivery of Chronic Opioid Therapy Among People Living With Human Immunodeficiency Virus: A Cluster Randomized Clinical Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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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

5 authors.

Jennifer J CarrollDepartment of Medicine, Brown University, Providence, RI, USA. jcarroll16@elon.edu.
Jonathan ColasantiDivision of Infectious Diseases, Emory University, Atlanta, GA, USA.
Marlene C LiraClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.
Carlos Del RioDivision of Infectious Diseases, Emory University, Atlanta, GA, USA.
Jeffrey H SametClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.

Funding

Improving Physician Opioid Prescribing for Chronic Pain in HIV-infected PersonsR01DA037768 · NIDA · BOSTON MEDICAL CENTER · PI DEL RIO, CARLOS, SAMET, JEFFREY H. · 2014 to 2018
$5.3M
National Institute on Drug Abuse (US) R01DA037768NIDA NIH HHS R01 DA037768
6 · The paper itself

Abstract

Clinical practice that utilizes chronic opioid therapy has been recognized as one major cause of the opioid crisis. Among patients living with HIV, the risks associated with chronic opioid therapy may be complicated by factors such as co-occurring mental health diagnoses, substance use, and economic marginalization. Improving opioid prescribing practices in HIV clinics requires attention to these and other characteristics common to HIV care. In the context of a randomized controlled trial testing an intervention to improve opioid prescribing practices in HIV outpatient clinics, we interviewed physicians about their perspectives on chronic opioid therapy. Overwhelmingly, physicians voiced ambivalence about their own knowledge and comfort with prescription opioids. They raised concerns about the impact of opioid prescribing on patient-provider relationships and the increasing workload associated with prescribing and monitoring patients. In this report, we explore these concerns and propose several strategies for improving clinical care in which chronic opioid therapy is addressed.

Indexed as

Physician-Patient RelationsPractice Patterns, Physicians'Analgesics, OpioidChronic PainDrug PrescriptionsFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansInterviews as TopicMaleMiddle AgedPhysiciansQualitative ResearchSubstance-Related DisordersAnalgesics, OpioidHIVOpioidsPainPrescribingSafety

Identifiers

PMID30519904
PMCPMC6610859

What OpenQuestion holds

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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.