Evidence map›Paper›PMID 32193022›Full record

ArticleJournal of health economics2020

How increasing medical access to opioids contributes to the opioid epidemic: Evidence from Medicare Part D.

David Powell, Rosalie Liccardo Pacula, Erin Taylor

Abstract read
In one paragraph

Article in Journal of health economics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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.

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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmaceutical policies: effects of regulating drug insurance schemes.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Estimating price elasticities of demand for pain relief drugs: evidence from Medicare Part D.International journal of health economics and management · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. ORIGINS OF THE OPIOID CRISIS AND ITS ENDURING IMPACTS.The quarterly journal of economics · 2022
    Article
  13. Article
  14. Do opioid prescriptions lead to fatal car crashes?American journal of health economics · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Opioid use in older adults and Medicare Part D.Health services research · 2021
    Article
  20. Assessing the impact of a restrictive opioid prescribing law in West Virginia.Substance abuse treatment, prevention, and policy · 2021
    Article
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

3 authors.

David PowellRAND, Arlington, VA 22202, United States. Electronic address: dpowell@rand.org.
Rosalie Liccardo PaculaUniversity of Southern California, Los Angeles, CA 90089, United States.
Erin TaylorRAND, Santa Monica, CA 90407, United States.

Funding

Optimal Methods for Estimating Policy Effect Heterogeneity in Opioid Policy ResearchP50DA046351 · NIDA · RAND CORPORATION · PI BRADLEY D STEIN · 2018 to 2026
$20.8M
Prescription Drug Coverage, Access to Opioids, and Drug AbuseR21DA041653 · NIDA · RAND CORPORATION · PI POWELL, DAVID · 2017 to 2018
$526k
NIDA NIH HHS P50 DA046351NIDA NIH HHS R21 DA041653
6 · The paper itself

Abstract

Drug overdoses involving opioid analgesics have increased dramatically since 1999, representing one of the United States' top public health crises. Opioids have legitimate medical functions, but they are often diverted, suggesting a tradeoff between improving medical access and nonmedical abuse. We provide causal estimates of the relationship between the medical opioid supply and drug overdoses using Medicare Part D as a differential shock to the geographic distribution of opioids. Our estimates imply that a 10% increase in opioid medical supply leads to a 7.1% increase in opioid-related deaths among the Medicare-ineligible population, suggesting substantial diversion from medical markets.

Indexed as

Drug OverdoseEpidemicsMedicare Part DAgedAnalgesics, OpioidHumansOpioid EpidemicUnited StatesAnalgesics, OpioidDiversionOpioid crisisopioid supply

Identifiers

PMID32193022
PMCPMC7231644

What OpenQuestion holds

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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.