Evidence map›Paper›PMID 30608266›Full record

ArticleJournal of addiction medicine

Role of the Hospital in the 21st Century Opioid Overdose Epidemic: The Addiction Medicine Consult Service.

Kelsey C Priest, Dennis McCarty

Abstract readMulticenter Study
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
–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

68 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Combined Medical Toxicology and Addiction Medicine Training: A Fellow's Perspective.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
  7. Review
  8. Article
  9. Physician Experiences of Substance Use Disorder Management in Pediatric Hospitals: A Qualitative Study of Key Informant Interviews.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Central nervous system medication use around hospitalization.Journal of the American Geriatrics Society · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. It's Time to Train Residents in Addiction Medicine.Journal of graduate medical education · 2023
    Article
  20. Article

8 more citing papers are in PubMed but not listed here.

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

2 authors.

Kelsey C PriestOregon Health & Science University (OHSU) and Portland State University School of Public Health (KCP, DM), School of Medicine, MD/PhD Program, OHSU (KCP), Department of Psychiatry, School of Medicine, OHSU, Portland, OR (DM).
Dennis McCarty

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials NetworkU10DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCARTY, DENNIS, SORENSEN, JAMES L · 2002 to 2015
$25.2M
Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Variation in the Use of Opioid Agonist Treatment in HospitalsF30DA044700 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI PRIEST, KELSEY CAROLINE · 2017 to 2020
$186k
NIDA NIH HHS F30 DA044700NIDA NIH HHS U10 DA015815NIDA NIH HHS UG1 DA015815
6 · The paper itself

Abstract

objectiveThe aim of the study was to explore and describe the structure and design elements of addiction medicine consult (AMC) services within selected US hospitals.

methodsAs part of a larger mixed methods study, 10 qualitative semi-structured telephone interviews were completed with board-certified addiction medicine physicians affiliated with the Addiction Medicine Foundation's Addiction Medicine Fellowship Programs at 9 US hospitals. Interviews were transcribed, coded, and analyzed using a directed content analysis.

resultsInterviews completed with established AMC services in 9 hospitals probed AMC structure and design commonalities and differences across 4 domains: (1) availability and coverage, (2) team composition, (3) scope and responsibility, and (4) financing. Only 1 service provided weekend consults and most services did not provide coverage in the emergency department. Interprofessional teams were common with a variety of discipline combinations. AMC service scope and responsibility, generally, included 3 types of activities: (1) education and culture change, (2) the delivery of psychosocial and medical services, and (3) hospital guidance document development. Finally, most AMC services existed within a fragile financial environment with idiosyncratic arrangements.

conclusionsAs opioid use disorder (OUD)-related hospitalizations increase stakeholders look to innovative care delivery mechanisms to improve care and outcomes for persons with OUD. The implementation of an AMC service may be an organizational intervention for achieving these aims. Understanding the shared and different approaches to AMC service structure and design is an important first step for delivery systems interested in implementing or expanding these services.

Indexed as

Addiction MedicineContinuity of Patient CareFemaleHospitalizationHumansInterviews as TopicMaleMiddle AgedNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersPatient Acceptance of Health CareQualitative ResearchQuality of Health CareReferral and ConsultationUnited StatesNarcotic Antagonists

Identifiers

PMID30608266
PMCPMC6417955

What OpenQuestion holds

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LicenceTDM
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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.