ArticlePediatrics2019
Outpatient Prescription Opioid Use in Pediatric Medicaid Enrollees With Special Health Care Needs.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Emergency department use for nontraumatic dental conditions for Medicaid-enrolled children with special health care needs: A multistate cross-sectional study.Journal of the American Dental Association (1939) · 2026Article
- Emergency department use for nontraumatic dental conditions for children with special health care needs enrolled in Oregon Medicaid.Journal of the American Dental Association (1939) · 2024Article
- A coordinated approach for managing polypharmacy among children with medical complexity: rationale and design of the Pediatric Medication Therapy Management (pMTM) randomized controlled trial.BMC health services research · 2023Article
- Making Polypharmacy Safer for Children with Medical Complexity.The Journal of pediatrics · 2023Article
- Parent-Reported Symptoms and Medications Used Among Children With Severe Neurological Impairment.JAMA network open · 2020Article
- Children And The Opioid Epidemic: Age-Stratified Exposures And Harms.Health affairs (Project Hope) · 2020Article
- Challenges of managing pediatric polypharmacy in a pediatric complex care program: A qualitative pilot study.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesAlthough potentially dangerous, little is known about outpatient opioid exposure (OE) in children and youth with special health care needs (CYSHCN). We assessed the prevalence and types of OE and the diagnoses and health care encounters proximal to OE in CYSHCN.
methodsThis is a retrospective cohort study of 2 597 987 CYSHCN aged 0-to-18 years from 11 states, continuously enrolled in Medicaid in 2016, with ≥1 chronic condition. OE included any filled prescription (single or multiple) for opioids. Health care encounters were assessed within 7 days before and 7 and 30 days after OE.
resultsAmong CYSHCN, 7.4% had OE. CYSHCN with OE versus without OE were older (ages 10-18 years: 69.4% vs 47.7%), had more chronic conditions (≥3 conditions: 49.1% vs 30.6%), and had more polypharmacy (≥5 other medication classes: 54.7% vs 31.2%),
conclusionsOE in CYSHCN is common, especially with multiple chronic conditions and polypharmacy. In subsequent studies, researchers should examine the appropriateness of opioid prescribing, particularly in emergency departments, as well as assess for drug interactions with chronic medications and reasons for insufficient follow-up.
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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.