Evidence map›Paper›PMID 30909018›Full record

ArticleDrug and alcohol dependence2019

Trends in fentanyl and fentanyl analogue-related overdose deaths - Montgomery County, Ohio, 2015-2017.

Raminta Daniulaityte, Matthew P Juhascik, Kraig E Strayer, Ioana E Sizemore, Mussa Zatreh, Ramzi W Nahhas, Kent E Harshbarger, Heather M Antonides, Silvia S Martins, Robert G Carlson

Registry-linked trialOpen access · greenAbstract 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. It is linked to trial NCT04706624 (Screen, Treat and Retain Meth-using People With Opioid Use Disorders at Methadone Clinics), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.7field-weighted citation impact, top 3% 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.

NCT04706624 nacompletednot on this mapstarted 2021, after this paper: background citation

Screen, Treat and Retain Meth-using People With Opioid Use Disorders at Methadone Clinics

TypeinterventionalSponsorHanoi Medical UniversityRan2021 to 2025Enrolled667ConditionsMethamphetamine Abuse, Opioid-use Disorder, HIV SeropositivityArmsContingency management (12 weeks), Contingency management (6 weeks), SMS reminders, Matrix only, Matrix + Contingency management
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 47 citations in OpenAlex.

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  14. Synthetic opioids: a review and clinical update.Therapeutic advances in psychopharmacology · 2022
    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

10 authors at 3 institutions in 1 country.

Raminta DaniulaityteDepartment of Population and Public Health Sciences, Center for Interventions, Treatment, and Addictions Research, Boonshoft School of Medicine, Wright State University, 3171 Research Blvd, Kettering, OH, 45420, USA. Electronic address: raminta.daniulaityte@wright.edu.
Matthew P JuhascikMontgomery County Coroner's Office/Miami Valley Regional Crime Lab (MCCO/MVRCL), 361 W Third ST., Dayton, OH, 45402, USA.
Kraig E StrayerDepartment of Chemistry, College of Science and Mathematics, Wright State University, 202 Oelman Hall, Dayton, OH, 45435, USA.
Ioana E SizemoreDepartment of Chemistry, College of Science and Mathematics, Wright State University, 202 Oelman Hall, Dayton, OH, 45435, USA.
Mussa ZatrehDepartment of Population and Public Health Sciences, Center for Interventions, Treatment, and Addictions Research, Boonshoft School of Medicine, Wright State University, 3171 Research Blvd, Kettering, OH, 45420, USA.
Ramzi W NahhasDepartment of Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, 3171 Research Blvd, Kettering, OH, 45420, USA; Department of Psychiatry, Boonshoft School of Medicine, Wright State University, 627 S. Edwin C. Moses Blvd., Suite 1 Dayton, OH, 45417, USA.
Kent E HarshbargerMontgomery County Coroner's Office/Miami Valley Regional Crime Lab (MCCO/MVRCL), 361 W Third ST., Dayton, OH, 45402, USA.
Heather M AntonidesMontgomery County Coroner's Office/Miami Valley Regional Crime Lab (MCCO/MVRCL), 361 W Third ST., Dayton, OH, 45402, USA.
Silvia S MartinsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th St. NY, NY, 10032, USA.
Robert G CarlsonDepartment of Population and Public Health Sciences, Center for Interventions, Treatment, and Addictions Research, Boonshoft School of Medicine, Wright State University, 3171 Research Blvd, Kettering, OH, 45420, USA.
Wright State University · USHamilton County Coroner · USColumbia University · US

Funding

A Natural History Study of Buprenorphine Diversion, Self-Treatment, and Use of Drug Abuse Treatment ServicesR01DA040811 · NIDA · WRIGHT STATE UNIVERSITY · PI NAHHAS, RAMZI WILLIAM · 2016 to 2019
$2.2M
Characterizing fentanyl outbreaks: Ethnographic and forensic perspectivesR21DA042757 · NIDA · WRIGHT STATE UNIVERSITY · PI DANIULAITYTE, RAMINTA · 2016 to 2017
$408k
NIDA NIH HHS R01 DA040811NIDA NIH HHS R21 DA042757
6 · The paper itself

Abstract

introductionThere is a lack of information on illicitly manufactured fentanyl and fentanyl analogue-related (IMF) unintentional overdose death trends over time. The study analyzes IMF-related unintentional overdose fatalities that occurred between July 2015 and June 2017 in Montgomery County, Ohio, an area with the highest rates of unintentional overdose mortality in Ohio.

methodsLC-MS/MS-based method was used to identify fentanyl analogs and metabolites in 724 unintentional overdose death cases. The Chi-square statistic was used to assess differences over time in demographic and drug-related characteristics.

resultsThe number of unintentional overdose death cases testing positive for IMFs increased by 377% between second half of 2015 and first half of 2017. The majority of decedents were white (82.5%) and male (67.8%). The proportion of fentanyl-only (no other analogs) cases declined from 89.2%-24.6% (p < 0.001), while proportion of fentanyl analogue-containing cases increased from 9.8%-70.3% (p < 0.001) between the second half of 2015 and first half of 2017. The most commonly identified fentanyl analogs were carfentanil (29.7%), furanyl fentanyl (14.1%) and acryl fentanyl (10.2%). Proportion of IMF cases also testing positive for heroin declined from 21.6% to 5.4% (p < 0.001), while methamphetamine positive cases increased from 1.4%-17.8% (p < 0.001) over the same time period. DISCUSSION: Emergence of fentanyl analogs contributed to substantial increases in unintentional overdose deaths. The data indicate a growing overlap between the IMF and methamphetamine outbreaks. Continuous monitoring of local IMF trends and rapid information dissemination to active users are needed to reduce the risks associated with IMF use.

Indexed as

AdultAnalgesics, OpioidDrug OverdoseFemaleFentanylFuransHumansMaleMiddle AgedOhioAnalgesics, OpioidFentanylFuransfuranyl fentanylCarfentanilFentanylFentanyl analogsIllicitly manufactured fentanylOhioUnintentional overdose deaths

Identifiers

PMID30909018
PMCPMC9419823
OpenAlexW2922423484

What OpenQuestion holds

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Registered trials

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.