Evidence map›Paper›PMID 32515821›Full record

GuidelineJAMA2020

Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force, Alex H Krist, Karina W Davidson, Carol M Mangione, Michael J Barry, Michael Cabana, Aaron B Caughey, Susan J Curry, Katrina Donahue, Chyke A Doubeni and 8 more

Registry-linked trialOpen access · bronzeAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in JAMA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06177860 (Clinical Presentation, Coronary Angiographic Findings and Extent of Atherosclerotic Disease in Patients With Acute Coronary Syndrome Associated With Cocaine Use), which is not on this map. Cited by 125 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 5 pooled it
50.3field-weighted citation impact, top 1% 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.

NCT06177860 unknown statusnot on this mapstarted 2023, after this paper: background citation

Clinical Presentation, Coronary Angiographic Findings and Extent of Atherosclerotic Disease in Patients With Acute Coronary Syndrome Associated With Cocaine Use

TypeobservationalSponsorHospital El CruceRan2023 to 2024Enrolled400ConditionsMyocardial Infarction, Acute Coronary Syndrome, Cocaine Use, Cocaine Abuse
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 5 syntheses or guidelines pooled it, 253 citations in OpenAlex.

  1. Pooled it
  2. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2022
    Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Adolescent Substance Use Screening in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 13 institutions in 1 country.

US Preventive Services Task Force
Alex H KristFairfax Family Practice Residency, Fairfax, Virginia.
Karina W DavidsonFeinstein Institute for Medical Research at Northwell Health, Manhasset, New York.
Carol M MangioneUniversity of California, Los Angeles.
Michael J BarryHarvard Medical School, Boston, Massachusetts.
Michael CabanaUniversity of California, San Francisco.
Aaron B CaugheyOregon Health & Science University, Portland.
Susan J CurryUniversity of Iowa, Iowa City.
Katrina DonahueUniversity of North Carolina at Chapel Hill.
Chyke A DoubeniMayo Clinic, Rochester, Minnesota.
John W EplingVirginia Tech Carilion School of Medicine, Roanoke.
Martha KubikTemple University, Philadelphia, Pennsylvania.
Gbenga OgedegbeNew York University, New York, New York.
Lori PbertUniversity of Massachusetts Medical School, Worcester.
Michael SilversteinBoston University, Boston, Massachusetts.
Melissa A SimonNorthwestern University, Evanston, Illinois.
Chien-Wen TsengUniversity of Hawaii, Honolulu.
John B WongTufts University School of Medicine, Boston, Massachusetts.
Harvard University · USNorthwell Health · USNorthwestern University · USUniversity of Massachusetts Chan Medical School · USUniversity of North Carolina at Chapel Hill · USCarilion Clinic · USMayo Clinic · USNew York University · USOregon Health & Science University · USTufts University · USUniversity of Hawaiʻi at Mānoa · USUniversity of Iowa · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceAn estimated 12% of adults 18 years or older and 8% of adolescents aged 12 to 17 years report unhealthy use of prescription or illegal drugs in the US.

objectiveTo update its 2008 recommendation, the USPSTF commissioned reviews of the evidence on screening by asking questions about drug use and interventions for unhealthy drug use in adults and adolescents. POPULATION: This recommendation statement applies to adults 18 years or older, including pregnant and postpartum persons, and adolescents aged 12 to 17 years in primary care settings. This statement does not apply to adolescents or adults who have a currently diagnosed drug use disorder or are currently undergoing or have been referred for drug use treatment. This statement applies to settings and populations for which services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred. EVIDENCE ASSESSMENT: In adults, the USPSTF concludes with moderate certainty that screening by asking questions about unhealthy drug use has moderate net benefit when services for accurate diagnosis of unhealthy drug use or drug use disorders, effective treatment, and appropriate care can be offered or referred. In adolescents, because of the lack of evidence, the USPSTF concludes that the benefits and harms of screening for unhealthy drug use are uncertain and that the balance of benefits and harms cannot be determined. RECOMMENDATION: The USPSTF recommends screening by asking questions about unhealthy drug use in adults 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred. (Screening refers to asking questions about unhealthy drug use, not testing biological specimens.) (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for unhealthy drug use in adolescents. (I statement).

Indexed as

PsychotherapyAdolescentAdultHumansMass ScreeningNarcotic AntagonistsSensitivity and SpecificitySubstance Abuse DetectionSubstance-Related DisordersSurveys and QuestionnairesNarcotic Antagonists

Identifiers

PMID32515821
OpenAlexW3033692881

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.