Observational studyJournal of hospital medicine2019
Opioid Utilization and Perception of Pain Control in Hospitalized Patients: A Cross-Sectional Study of 11 Sites in 8 Countries.
Observational study in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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.
Preoperative Mindfulness Training for Minimally Invasive Hysterectomy
A Single-institution, Parallel, Double-blinded, Randomized Study Assessing the Safety and Efficacy of Transdermal Buprenorphine as a Post-operative Analgesic in Opioid-Naive Patients After Ankle Fracture Surgery
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Leftover opioids following adult surgical procedures: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- Opioids and Respiratory Related Consequences.Sleep medicine clinics · 2025Review
- Article
- Regional Anesthesia for Wrist Fractures and Dislocations: Are We Really Blocking Opioid Prescribing?Hand (New York, N.Y.) · 2025Article
- Opioid Overdose Risk Following Hospital Discharge Among Individuals Prescribed Long-Term Opioid Therapy: a Risk Interval Analysis.Journal of general internal medicine · 2023Article
- Exploring perspectives on changing opioid prescribing practices: A qualitative study of community stakeholders in the HEALing Communities Study.Drug and alcohol dependence · 2022Article
- Nonmedical Prescription Opioid Use among a Sample of College Students: Prevalence and Predictors.Pharmacy (Basel, Switzerland) · 2021Article
- Perspectives on Patient Experience: A National Survey of Hospitalists.Journal of patient experience · 2020Article
- Decisions Ahead of Time: The Power of Guidelines to Change Opioid Prescribing in Today's World.Ophthalmology · 2020Article
- Opioid Use Disorders in People Living with HIV/AIDS: A Review of Implications for Patient Outcomes, Drug Interactions, and Neurocognitive Disorders.Pharmacy (Basel, Switzerland) · 2020Article
- Clinical perspectives on hospitals' role in the opioid epidemic.BMC health services research · 2020Article
- The Opioid/Overdose Crisis as a Dialectics of Pain, Despair, and One-Sided Struggle.Frontiers in public health · 2020Review
- Pain in the United States: Time for a Culture Shift in Expectations, Messaging, and Management.Journal of hospital medicine · 2019Article
Corrections and comments
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Authors and funding
25 authors at 14 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use.
objectiveTo compare inpatient analgesic prescribing patterns and patients' perception of pain control in the United States and non-US hospitals.
designCross-sectional observational study.
settingFour hospitals in the US and seven in seven other countries.
participantsMedical inpatients reporting pain. MEASUREMENTS: Opioid analgesics dispensed during the first 24-36 hours of hospitalization and at discharge; assessments and beliefs about pain.
resultsWe acquired completed surveys for 981 patients, 503 of 719 patients in the US and 478 of 590 patients in other countries. After adjusting for confounding factors, we found that more US patients were given opioids during their hospitalization compared with patients in other countries, regardless of whether they did or did not report taking opioids prior to admission (92% vs 70% and 71% vs 41%, respectively; P < .05), and similar trends were seen for opioids prescribed at discharge. Patient satisfaction, beliefs, and expectations about pain control differed between patients in the US and other sites. LIMITATIONS: Limited number of sites and patients/country.
conclusionsIn the hospitals we sampled, our data suggest that physicians in the US may prescribe opioids more frequently during patients' hospitalizations and at discharge than their colleagues in other countries, and patients have different beliefs and expectations about pain control. Efforts to curb the opioid epidemic likely need to include addressing inpatient analgesic prescribing practices and patients' expectations regarding pain control.
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What OpenQuestion holds
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.