Evidence map›Paper›PMID 31835012›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2020

Opioid Prescribing Among Adults With Disabilities in the United States After the 2014 Federal Hydrocodone Rescheduling Regulation.

Victor Liaw, Yong-Fang Kuo, Mukaila A Raji, Jacques Baillargeon

Open access · bronzeAbstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974), 2020. 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
2.2field-weighted citation impact, top 12% 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, 15 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

4 authors at 2 institutions in 1 country.

Victor LiawCollege of Natural Sciences, University of Texas at Austin, Austin, TX, USA.
Yong-Fang KuoDepartment of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA.
Mukaila A RajiDepartment of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA.
Jacques BaillargeonDepartment of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, USA.ORCID 0000-0002-3297-653X
The University of Texas Medical Branch at Galveston · USThe University of Texas at Austin · US

Funding

Pattern, Variation and Outcomes of Opioid Prescription in Older AdultsR01DA039192 · NIDA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI KUO, YONG-FANG, RAJI, MUKAILA A · 2016 to 2023
$3.1M
NIDA NIH HHS R01 DA039192
6 · The paper itself

Abstract

objectivesDeaths from prescription opioid overdoses have reached an epidemic level in the United States, particularly among persons with disabilities. The 2014 federal rescheduling regulation is associated with reduced opioid prescribing in the general US population; however, to date, no data have been published on this regulation's effect on persons with disabilities. We examined whether the 2014 hydrocodone rescheduling change was associated with reduced opioid prescribing among adult Medicare beneficiaries with disabilities.

methodsWe identified 680 876 Medicare beneficiaries with disabilities aged 21-64 in 2013 and 657 687 in 2015 from a 20% national sample. We examined changes in the monthly opioid-prescribing rates from January 1, 2013, through December 31, 2015. We also compared opioid-prescribing rates in 2013 with rates in 2015.

resultsIn 2014, the percentage of Medicare beneficiaries with disabilities who received hydrocodone prescriptions decreased by 0.154% per month (95% confidence interval [CI], -0.186 to -0.121,

conclusionsThe 2014 federal rescheduling of hydrocodone was associated with only minor changes in overall and potentially high-risk opioid-prescribing rates. Neither state variation in long-term prescribing nor beneficiary characteristics explained the changes in persistently high opioid-prescribing rates among adults with disabilities after the 2014 regulation. Future studies should examine patient and provider characteristics underlying the persistent high-risk prescribing patterns in this population.

Indexed as

AdultAnalgesics, OpioidComorbidityDrug and Narcotic ControlDrug UtilizationFemaleHumansHydrocodoneMaleMedicareMiddle AgedPersons with DisabilitiesPractice Patterns, Physicians'PrescriptionsRacial GroupsResidence CharacteristicsAnalgesics, OpioidHydrocodonedisabilityhydrocodoneMedicareopioidregulation

Identifiers

PMID31835012
PMCPMC7119258
OpenAlexW2995529619

What OpenQuestion holds

Textmetadata
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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.