Evidence map›Paper›PMID 30632790›Full record

ArticleAIDS care2019

Provider opioid prescribing practices and the belief that opioids keep people living with HIV engaged in care: a cross-sectional study.

Judith I Tsui, Alexander Y Walley, Debbie M Cheng, Marlene C Lira, Jane M Liebschutz, Leah S Forman, Margaret M Sullivan, Jonathan Colasanti, Christin Root, Kristen O'Connor and 4 more

Open access · greenAbstract read
In one paragraph

Article in AIDS care, 2019. 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
1.8field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. 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
    Trial
  3. Trial
  4. Article
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  8. Review
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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

14 authors at 5 institutions in 1 country.

Judith I Tsuia Section of General Internal Medicine, Department of Medicine , University of Washington , Seattle , WA , USA.
Alexander Y Walleyb Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine , Boston University School of Medicine , Boston , MA , USA.
Debbie M Chengd Department of Biostatistics , Boston University School of Public Health , Boston , MA , USA.
Marlene C Lirac Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine and Grayken Center for Addiction , Boston Medical Center , Boston , MA , USA.
Jane M Liebschutze Section of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , PA , USA.
Leah S Formanf Biostatistics and Epidemiology Data Analytics Center , Boston University School of Public Health , Boston , MA , USA.
Margaret M Sullivang Section of Infectious Diseases, Department of Medicine , Boston University School of Medicine , Boston , MA , USA.
Jonathan Colasantih Divison of Infectious Diseases, Department of Medicine , Emory University School of Medicine , Atlanta , GA , USA.
Christin Rooti Hubert Department of Global Health , Rollins School of Public Health of Emory University , Atlanta , GA , USA.
Kristen O'Connorc Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine and Grayken Center for Addiction , Boston Medical Center , Boston , MA , USA.
Christopher W Shanahanc Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine and Grayken Center for Addiction , Boston Medical Center , Boston , MA , USA.
Carly L Briddenc Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine and Grayken Center for Addiction , Boston Medical Center , Boston , MA , USA.
Carlos Del Rioh Divison of Infectious Diseases, Department of Medicine , Emory University School of Medicine , Atlanta , GA , USA.
Jeffrey H Sametb Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine , Boston University School of Medicine , Boston , MA , USA.
Boston University · USBoston Medical Center · USEmory University · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
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
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI050409NIDA NIH HHS R01 DA037768
6 · The paper itself

Abstract

We describe HIV providers' opioid prescribing practices and assess whether belief that chronic opioid therapy (COT) keeps people living with HIV (PLWH) engaged in care is associated with differences in these practices among providers from two HIV clinics. We conducted logistic regression to evaluate the association between the belief that COT keeps PLWH engaged in care and at least one component of guideline-recommended care (i.e., urine drug tests, treatment agreements, and/or prescription monitoring program use). The sample included 41 providers with a median age of 42 years, 63% female, 37% non-white. Routine adherence to guideline-recommended practices was: 34% urine drug tests, 27% treatment agreements, and 17% prescription monitoring program. Over half [54%] agreed that COT keeps PLWH engaged in care. There was no significant association between belief that COT keeps PLWH engaged in care and routinely providing any recommended COT care component (aOR 2.38; 95% CI 0.65-8.73). Most HIV providers do not routinely follow guidelines for opioid prescribing. We observed a positive association between belief that COT keeps PLWH engaged in care and following any guideline-recommended prescribing practices, although the result was not statistically significant. Interventions are needed to improve guideline-concordant care for COT by HIV providers.

Indexed as

Attitude of Health PersonnelAdultAgedAnalgesics, OpioidChronic PainCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedPatient Acceptance of Health CarePractice Patterns, Physicians'Analgesics, Opioidanalgesicschronic painHIVopioid-related disordersopioidspainphysicians

Identifiers

PMID30632790
PMCPMC6625838
OpenAlexW2909817442

What OpenQuestion holds

Textmetadata
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.