Evidence map›Paper›PMID 32020048›Full record

ReviewMolecular psychiatry2021

The changing opioid crisis: development, challenges and opportunities.

Nora D Volkow, Carlos Blanco

Registry-linked trialAbstract readReview
In one paragraph

Review in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05099055 (Dexmedetomidine Comme Adjuvant à la rachianesthésie Lors de césariennes électives), which is not on this map. Cited by 302 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
302citing papers in PubMed, 4 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.

NCT05099055 phase3completednot on this mapstarted 2022, after this paper: background citation

Dexmedetomidine Comme Adjuvant à la rachianesthésie Lors de césariennes électives : Une étude Pilote

TypeinterventionalSponsorSt. Justine's HospitalRan2022 to 2023Enrolled42ConditionsAnalgesia, Analgesics, Opioid, Anesthesia, Obstetrical, Anesthesia, SpinalArmsDexmedetomidine 0.004 MG/ML [Precedex], Opioids
3 · Its place in the literature

Who cites it

302 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Dezocine as preemptive analgesia alleviates ultrapulse COJournal of cosmetic dermatology · 2024
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  20. Kava (Nutrients · 2026
    Review

242 more citing papers are in PubMed but not listed here.

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

2 authors.

Nora D VolkowNational Institute on Drug Abuse, Bethesda, MD, 20892, USA. nvolkow@nida.nih.gov.ORCID http://orcid.org/0000-0001-6668-0908
Carlos BlancoNational Institute on Drug Abuse, Bethesda, MD, 20892, USA. carlos.blanco2@nih.gov.ORCID http://orcid.org/0000-0001-6187-3057

Funding

Neurobiology of Substance Abuse and AddictionZIAAA000550 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI VOLKOW, NORA D. · 2009 to 2025
$115.1M
Intramural NIH HHS Z99 DA999999
6 · The paper itself

Abstract

The current opioid epidemic is one of the most severe public health crisis in US history. Responding to it has been difficult due to its rapidly changing nature and the severity of its associated outcomes. This review examines the origin and evolution of the crisis, the pharmacological properties of opioids, the neurobiology of opioid use and opioid use disorder (OUD), medications for opioid use disorder (MOUD), and existing and promising approaches to prevention. The results of the review indicate that the opioid epidemic is a complex, evolving phenomenon that involves neurobiological vulnerabilities and social determinants of health. Successfully addressing the epidemic will require advances in basic science, development of more acceptable and effective treatments, and implementation of public health approaches, including prevention. The advances achieved in addressing the current crisis should also serve to advance the science and treatment of other substance use disorders.

Indexed as

Opioid EpidemicOpioid-Related DisordersAnalgesics, OpioidHumansNeurobiologySocial FactorsAnalgesics, Opioid

Identifiers

PMID32020048
PMCPMC7398847

What OpenQuestion holds

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Registered trials

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.