Evidence map›Paper›PMID 31952626›Full record

ArticleJournal of substance abuse treatment2020

Prescribed and non-prescribed gabapentin use among persons seeking inpatient opioid detoxification.

Michael D Stein, Shannon R Kenney, Bradley J Anderson, Micah T Conti, Genie L Bailey

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 4 institutions in 1 country.

Michael D SteinBehavioral Medicine Department, Butler Hospital, Providence, RI 02906, United States of America; Boston University School of Public Health, Boston, MA 02118, United States of America.
Shannon R KenneyBehavioral Medicine Department, Butler Hospital, Providence, RI 02906, United States of America; Warren Alpert Medical School of Brown University, Providence, RI 02912, United States of America. Electronic address: Shannon_Kenney@brown.edu.
Bradley J AndersonBehavioral Medicine Department, Butler Hospital, Providence, RI 02906, United States of America.
Micah T ContiStanley Street Treatment and Resources, Inc., Fall River, MA 02720, United States of America.
Genie L BaileyWarren Alpert Medical School of Brown University, Providence, RI 02912, United States of America; Stanley Street Treatment and Resources, Inc., Fall River, MA 02720, United States of America.
Brown University · USButler Hospital · USProvidence College · USStanley Street Treatment and Resources · US

Funding

Linking Opioid Dependent Patients from Inpatient Detoxification to Primary CareR01DA034261 · NIDA · BUTLER HOSPITAL (PROVIDENCE, RI) · PI BAILEY, GENIE, STEIN, MICHAEL D · 2012 to 2016
$2.4M
A Multi-Component Alcohol and Sex Risk Intervention for College StudentsR34AA026032 · NIAAA · LEHIGH UNIVERSITY · PI KENNEY, SHANNON REILLY, KILP, LUCY ELIZABETH · 2018 to 2020
$689k
NIAAA NIH HHS R34 AA026032NIDA NIH HHS R01 DA034261
6 · The paper itself

Abstract

backgroundPersons with opioid use disorder (OUD) are at increased risk for gabapentin misuse. Rising rates of concomitant gabapentin-opioid use in the U.S. are concerning given heightened risk of fatal overdose.

objectiveTo examine predictors of ever using gabapentin among persons seeking treatment for opioid use and to assess if reasons for gabapentin use differed by gender and how gabapentin was procured (prescribed, non-prescribed, or both).

methodPersons with OUD were recruited from a managed withdrawal program. t-Tests and Pearson χ2 tests of independence were used to compare reasons for gabapentin use by gender and source of acquisition.

resultsAmong participants (n = 401; 69.1% male, 84.5% White, 86.8% sought treatment for heroin use, 90.0% insured), female gender, higher educational attainment, injection drug use (IDU), history of overdose, and chronic pain were associated with gabapentin use. Overall, reasons for use were similar across genders among those reporting a history of gabapentin use (65.8%), although males were more likely to use to get high than females. About half (47.0%) reported only using gabapentin that was not prescribed, 20.5% had only used prescribed gabapentin, and 32.5% reported prescribed and non-prescribed use. Persons prescribed gabapentin were most likely to use it to control pain (81.5%); for those using diverted gabapentin only and those reporting both prescribed and non-prescribed gabapentin use, the most common reasons for intake were to: get high, increase effects of heroin, substitute for opioids, and help with opioid withdrawal.

conclusionsIn this sample of people with OUD entering inpatient detoxification program, a majority reported a history of gabapentin use, with most using diverted gabapentin. The range of reasons for gabapentin use point to the need to better understand why co-use is common.

Indexed as

Drug OverdoseOpioid-Related DisordersAnalgesics, OpioidFemaleGabapentinHumansInpatientsMaleAnalgesics, OpioidGabapentinGabapentinHarm reductionHeroinOpioidsOverdose

Identifiers

PMID31952626
PMCPMC6981248
OpenAlexW2995220244

What OpenQuestion holds

Textmetadata
LicenceTDM
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.