Evidence map›Paper›PMID 31652266›Full record

ArticlePloS one2019

Co-prescription network reveals social dynamics of opioid doctor shopping.

Brea L Perry, Kai Cheng Yang, Patrick Kaminski, Meltem Odabas, Jaehyuk Park, Michelle Martel, Carrie B Oser, Patricia R Freeman, Yong-Yeol Ahn, Jeffery Talbert

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 31 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

10 authors at 2 institutions in 1 country.

Brea L PerryNetwork Science Institute, Indiana University, 1001 45/46 Bypass, Bloomington, IN, United States of America.ORCID 0000-0001-7869-7168
Kai Cheng YangSchool of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN, United States of America.
Patrick KaminskiDepartment of Sociology, Indiana University, Bloomington, IN, United States of America.
Meltem OdabasDepartment of Sociology, Indiana University, Bloomington, IN, United States of America.ORCID 0000-0001-6123-0676
Jaehyuk ParkSchool of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN, United States of America.
Michelle MartelDepartment of Psychology, University of Kentucky, Lexington, KY, United States of America.
Carrie B OserDepartment of Sociology, University of Kentucky, Lexington, KY, United States of America.
Patricia R FreemanDepartment of Pharmacy Practice and Science, University of Kentucky, Lexington, KY, United States of America.
Yong-Yeol AhnNetwork Science Institute, Indiana University, 1001 45/46 Bypass, Bloomington, IN, United States of America.
Jeffery TalbertDepartment of Pharmacy Practice and Science, University of Kentucky, Lexington, KY, United States of America.
Indiana University Bloomington · USUniversity of Kentucky · US

Funding

Doctor Shopping for Controlled Substances: Insights from Two-Mode Social Network AnalysisR01DA039928 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI PERRY, BREA LOUISE · 2016 to 2019
$1.4M
NIDA NIH HHS R01 DA039928
6 · The paper itself

Abstract

This paper examines network prominence in a co-prescription network as an indicator of opioid doctor shopping (i.e., fraudulent solicitation of opioids from multiple prescribers). Using longitudinal data from a large commercially insured population, we construct a network where a tie between patients is weighted by the number of shared opioid prescribers. Given prior research suggesting that doctor shopping may be a social process, we hypothesize that active doctor shoppers will occupy central structural positions in this network. We show that network prominence, operationalized using PageRank, is associated with more opioid prescriptions, higher predicted risk for dangerous morphine dosage, opioid overdose, and opioid use disorder, controlling for number of prescribers and other variables. Moreover, as a patient's prominence increases over time, so does their risk for these outcomes, compared to their own average level of risk. Results highlight the importance of co-prescription networks in characterizing high-risk social dynamics.

Indexed as

Social NetworkingAdultAgedDatabases, FactualFemaleHumansLongitudinal StudiesMaleMiddle AgedMorphine DependenceOpioid-Related DisordersPractice Patterns, Physicians'Prescription Drug Misuse

Identifiers

PMID31652266
PMCPMC6814254
OpenAlexW2981405936

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.