Evidence map›Paper›PMID 32052397›Full record

ArticleAmerican journal of perinatology2021

Stereoselective Analysis of Methadone and EDDP in Laboring Women and Neonates in Plasma and Dried Blood Spots and Association with Neonatal Abstinence Syndrome.

Ingrid F Metzger, Anna E Thomas, Cindy A Evrard, David R Jones, Andrea R Masters, David M Haas, Laura S Haneline, Sara K Quinney

Open access · greenAbstract read
In one paragraph

Article in American journal of perinatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 10 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

8 authors at 3 institutions in 2 countries.

Ingrid F Metzger *Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana.
Anna E Thomas *Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
Cindy A EvrardDepartment of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana.
David R JonesDivision of Clinical Pharmacology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Andrea R MastersClinical Pharmacology Analytical Core-Indiana University Simon Cancer Center, Indiana University School of Medicine, Indianapolis, Indiana.
David M HaasDepartment of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana.ORCID 0000-0002-8379-0743
Laura S HanelineDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
Sara K QuinneyDepartment of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana.ORCID 0000-0002-6554-0695
Indiana University School of MedicineIndiana University Health · USUniversidade de Brasília · BR

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Sara K Quinney · 1999 to 2026
$59.3M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
Individualization of nifedipine dosing for preterm laborK23HD071134 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI QUINNEY, SARA K · 2012 to 2016
$629k
NCATS NIH HHS UL1 TR001108NCI NIH HHS P30 CA082709NICHD NIH HHS K23 HD071134
6 · The paper itself

Abstract

objectiveThis pilot study evaluated the relationship between maternal and neonatal R- and S-methadone and R- and S-2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) exposure and the severity of neonatal abstinence syndrome (NAS). The use of dried blood spots (DBS) as an alternative for plasma in assessing methadone and EDDP was also assessed. STUDY

designWomen receiving methadone for medication assisted treatment of opioid use disorder during pregnancy were eligible for recruitment. Plasma and DBS samples were collected from mothers during labor, from cord blood, and from newborns during genetic screen. R-/S-methadone and EDDP were measured by high-performance liquid chromatography tandem mass spectrometry (HPLC/MS/MS). Associations between methadone exposure, neonatal morphine requirements, and severity of NAS were examined.

resultsTwenty women and infants completed the study. Maternal methadone dose at delivery was 112 mg/day (range = 60-180 mg/day). Sixteen neonates experienced NAS requiring morphine; three also required phenobarbital. Higher cord blood concentrations of R-methadone, R- and S-EDDP were associated with higher maximum doses of morphine (

conclusionMaternal methadone and cord blood concentration at delivery are variable and may be potential markers of neonatal abstinence syndrome.

Indexed as

Dried Blood Spot TestingAnalgesics, OpioidAnticonvulsantsFemaleHumansInfant, NewbornLabor, ObstetricMethadoneMorphineNeonatal Abstinence SyndromePhenobarbitalPregnancyPyrrolidines2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidineAnalgesics, OpioidAnticonvulsantsMethadoneMorphinePhenobarbitalPyrrolidines

Identifiers

PMID32052397
PMCPMC9393850
OpenAlexW3006634865

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.