Evidence map›Paper›PMID 32011940›Full record

ArticleHealth affairs (Project Hope)2020

Five-Year Outcomes Among Medicaid-Enrolled Children With In Utero Opioid Exposure.

Marian P Jarlenski, Elizabeth E Krans, Joo Yeon Kim, Julie M Donohue, A Everette James, David Kelley, Bradley D Stein, Debra L Bogen

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.5field-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

14 citing papers in PubMed, 30 citations in OpenAlex.

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  9. Pediatric Primary Care Diagnoses Among Children with Intrauterine Opioid Exposure.Journal of health care for the poor and underserved · 2023
    Article
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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

8 authors at 6 institutions in 2 countries.

Marian P JarlenskiMarian P. Jarlenski ( marian. jarlenski@pitt. edu ) is an assistant professor in the Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, in Pennsylvania.
Elizabeth E KransElizabeth E. Krans is an assistant professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, and at the Magee-Womens Research Institute, in Pittsburgh.
Joo Yeon KimJoo Yeon Kim is a senior data analyst in the Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health.
Julie M DonohueJulie M. Donohue is a professor in the Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health.
A Everette JamesA. Everette James III is a professor in the Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health.
David KelleyDavid Kelley is senior medical director in the Pennsylvania Department of Human Services, in Harrisburg.
Bradley D SteinBradley D. Stein is a senior physician policy researcher at the RAND Corporation in Pittsburgh.
Debra L BogenDebra L. Bogen is a professor in the Department of Pediatrics, University of Pittsburgh School of Medicine.
Department of Health · TWDepartment of Health Services · USMagee-Womens Research Institute · USPennsylvania Department of Human Services · USRAND Corporation · USUniversity of Pittsburgh · US

Funding

Availability, accessibility, and structure of opioid use disorder treatment and maternal and child health outcomesR01DA045675 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JARLENSKI, MARIAN PATRICIA, KRANS, ELIZABETH E · 2018 to 2022
$3.4M
Buprenorphine Assignment in Pregnancy: Objective CriteriaK23DA038789 · NIDA · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI KRANS, ELIZABETH E · 2016 to 2018
$497k
NIDA NIH HHS K23 DA038789NIDA NIH HHS R01 DA045675
6 · The paper itself

Abstract

The health of women and children affected by opioid use disorder is a priority for state Medicaid programs. Little is known about longer-term outcomes among Medicaid-enrolled children exposed to opioids in utero. We examined well-child visit use and diagnoses of pediatric complex chronic conditions in the first five years of life among children with opioid exposure, tobacco exposure, or neither exposure in utero. The sample consisted of 82,329 maternal-child dyads in the Pennsylvania Medicaid program in which the children were born in the period 2008-11 and followed up for five years. Children with in utero opioid exposure had a lower predicted probability of recommended well-child visit use at age fifteen months (42.1 percent) compared to those with tobacco exposure (54.1 percent) and those with neither exposure (55.7 percent). Children with in utero opioid exposure had a predicted probability of being diagnosed with a pediatric complex chronic condition similar to that among children with tobacco exposure and those with neither exposure (20.4 percent, 18.7 percent, and 20.2 percent, respectively). Our findings were consistent when we examined a subgroup of opioid-exposed children identified as having neonatal opioid withdrawal symptoms.

Indexed as

Analgesics, OpioidOpioid-Related DisordersChildChronic DiseaseFemaleHumansInfantInfant, NewbornMedicaidPennsylvaniaUnited StatesAnalgesics, OpioidAbstinenceAccess and useChildren's healthChronic diseaseEmergency departmentsHealth conditionsHealth policyMedicaidOpioid use disorderPediatric chronic conditionsPregnancyWell-child visits

Identifiers

PMID32011940
PMCPMC7328447
OpenAlexW3004067375

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.