Evidence map›Paper›PMID 30658219›Full record

ArticleDrug and alcohol dependence2019

Fentanyl and fentanyl-analog involvement in drug-related deaths.

Zheng Dai, Marie A Abate, Gordon S Smith, James C Kraner, Allen R Mock

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 57 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Zheng DaiSchool of Public Health, West Virginia University, One Medical Center Drive, Morgantown, WV 26506, United States. Electronic address: zd0001@hsc.wvu.edu.
Marie A AbateSchool of Pharmacy, West Virginia University, 1124 Health Sciences North, Morgantown, WV 26506, United States. Electronic address: mabate@hsc.wvu.edu.
Gordon S SmithSchool of Public Health, West Virginia University, One Medical Center Drive, Morgantown, WV 26506, United States. Electronic address: gordon.smith@hsc.wvu.edu.
James C KranerWest Virginia Office of the Chief Medical Examiner, West Virginia Department of Health and Human Resources, 619 Virginia Street West, Charleston, WV 25302, United States. Electronic address: james.c.kraner@wv.gov.
Allen R MockWest Virginia Office of the Chief Medical Examiner, West Virginia Department of Health and Human Resources, 619 Virginia Street West, Charleston, WV 25302, United States. Electronic address: allen.r.mock@wv.gov.
West Virginia University · USVirginia Department of Health · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI JUDITH FEINBERG · 2012 to 2026
$81.0M
Rural West Virginia Responds to Opioid Injection Epidemics: From Data to ActionUG3DA044825 · NIDA · WEST VIRGINIA UNIVERSITY · PI FEINBERG, JUDITH, SMITH, GORDON STEPHEN · 2017 to 2018
$1.0M
Drugs and Driving: Developing a Sentinel Drug_FARS for ResearchR21DA040187 · NIDA · WEST VIRGINIA UNIVERSITY · PI SMITH, GORDON STEPHEN · 2016 to 2017
$360k
NCIPC CDC HHS R49 CE002109NIDA NIH HHS R21 DA040187NIDA NIH HHS UG3 DA044825NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundTo describe and analyze the involvement of fentanyl and fentanyl analogs (FAs) in drug-related deaths in West Virginia (WV), United States.

methodsRetrospective analyses of all WV drug-related deaths from 2005 to 2017 were performed, including comparisons of demographic and toxicological characteristics among total deaths, deaths in which fentanyl/FAs were present, deaths in which they were absent, heroin-related deaths, and prescription opioid-related deaths.

resultsMost of the 8813 drug-related deaths were overdoses, with about 11% resulting from transportation/other injuries in which drugs were contributors. Prescription opioid presence (without fentanyl) decreased by 75% from 2005-14 to 2015-17 (3545 deaths to 859 deaths, respectively), while fentanyl involvement in the deaths increased by 122% between these periods (487 to 1082 deaths). Ten FAs were identified (427 instances) after 2015. Alprazolam and ethanol were among the top five most frequently identified substances across years. Fentanyl, heroin and cocaine replaced oxycodone, diazepam and hydrocodone in the top five beginning in 2015. Few decedents had a prescription for fentanyl after 2015, with fewer prescriptions also present for other controlled substances identified.

conclusionsFentanyl, rapidly emerging FAs, and other illicit drugs in recent years pose a serious health threat even though prescription opioid-related deaths decreased over the same time period.

Indexed as

AdultAnalgesics, OpioidDatabases, FactualDrug OverdoseFemaleFentanylHumansIllicit DrugsMaleMiddle AgedMortalityRetrospective StudiesUnited StatesWest VirginiaAnalgesics, OpioidFentanylIllicit DrugsDeathFentanylFentanyl analogIllicit drugPrescription opioid

Identifiers

PMID30658219
PMCPMC6447047
OpenAlexW2910492831

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.