Evidence map›Paper›PMID 32051219›Full record

Trial reportPediatrics2020

Mail-Back Envelopes for Retrieval of Opioids After Pediatric Surgery.

Adam C Adler, Ammar N Yamani, Caitlin D Sutton, Danielle M Guffey, Arvind Chandrakantan

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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 1 institution in 1 country.

Adam C AdlerDepartment of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, Texas; and adam.adler@bcm.edu.
Ammar N YamaniDepartment of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, Texas; and.
Caitlin D SuttonDepartment of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, Texas; and.
Danielle M GuffeyThe Dan L. Duncan Institute for Clinical and Translation Research.
Arvind ChandrakantanDepartment of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, Texas; and.
Baylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpioid overprescription has the potential to lead to harmful medications remaining in homes and to a rise in accidental or deliberate ingestion by children and adolescents. Although methods for opioid disposal are available, many are costly or require greater than minimal effort for the patient. In this study, we used a mail-back return envelope to retrieve unused opioids after ambulatory pediatric surgery.

methodsThis feasibility study was performed to assess the rate of opioid return by using a mail-back envelope for children ages 0 to 18 prescribed opioids after outpatient surgery. Participants were provided a return envelope as well as instruction on the dangers of opioids in the home. Our primary outcome was to assess the absolute percent return rate through the use of a mail-back envelope.

resultsBetween November 2017 and October 2018, we identified 355 patients, of whom 331 were included in the analysis. In total, 64 (19.3%) returned opioids. In total, >2000 mL of liquid opioids and >250 tablets or nearly 3000 mg of oral morphine equivalents were removed from the homes of the 64 participants. Of those patients returning unused medications, the median rate of return was 58% (interquartile range = 34.7%-86.1%) of the written prescription.

conclusionsThe findings suggest that providing a free mail-back return envelope is a suitable way to remove unused opioids from the home after pediatric surgery. Additional research is needed to identify barriers to return of unused medications.

Indexed as

Ambulatory Surgical ProceduresPatient DischargePostal ServiceAccidents, HomeAdolescentAnalgesics, OpioidChildFeasibility StudiesFemaleHospitals, PediatricHumansMaleOpioid-Related DisordersPoisoningPostoperative PainPrescription Drug DiversionAnalgesics, Opioid

Identifiers

PMID32051219
PMCPMC7055926
OpenAlexW3005758868

What OpenQuestion holds

Textmetadata
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.