Evidence map›Paper›PMID 31515308›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Canada's hidden opioid crisis: the health care system's inability to manage high-dose opioid patients: Fallout from the 2017 Canadian opioid guidelines.

Hance Clarke, James Bao, Aliza Weinrib, Ruth E Dubin, Meldon Kahan

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Addressing inaccurate claims about the Canadian opioid guideline.Canadian family physician Medecin de famille canadien · 2019
    Article
  12. Response.Canadian family physician Medecin de famille canadien · 2019
    Article
  13. Longer-term remedies for chronic pain management.Canadian family physician Medecin de famille canadien · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Hance ClarkeStaff anesthesiologist and Director of Pain Services in the Department of Anesthesia and Pain Management in the Pain Research Unit at Toronto General Hospital in Ontario. hance.clarke@utoronto.ca.
James BaoAnesthesiology resident in the Department of Anesthesia and Pain Management at Toronto General Hospital.
Aliza WeinribClinical psychologist in the Transitional Pain Service in the Department of Anesthesia and Pain Management at Toronto General Hospital.
Ruth E DubinFamily physician with a special interest in pain and addiction practising in Kingston, Ont, Associate Professor in the Department of Family Medicine at Queen's University, and Co-chair of ECHO Ontario Pain and Opioid Stewardship.
Meldon KahanProfessor in the Department of Family and Community Medicine at the University of Toronto, and Medical Director of Substance Use Service/Addictions Medicine and Project Lead of META:PHI (Mentoring, Education and Clinical Tools for Addiction: Primary Care-Hospital Integration), both at Women's College Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PubMed holds no abstract for this paper.

Indexed as

Guideline AdherenceOpioid EpidemicAnalgesics, OpioidCanadaChronic PainHumansPractice Guidelines as TopicPrescription Drug OveruseAnalgesics, Opioid

Identifiers

PMID31515308
PMCPMC6741787

What OpenQuestion holds

Textmetadata
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.