Evidence map›Paper›PMID 32911133›Full record

ArticleDrug and alcohol dependence2020

Cannabis use, other drug use, and risk of subsequent acute care in primary care patients.

Theresa E Matson, Gwen T Lapham, Jennifer F Bobb, Eric Johnson, Julie E Richards, Amy K Lee, Katharine A Bradley, Joseph E Glass

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 16 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 2 institutions in 1 country.

Theresa E MatsonKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA; Department of Health Services, University of Washington, 1959 NE Pacific St, Magnuson Health Sciences Center, Box 357660, Seattle, WA, 98195-7660, USA. Electronic address: Tessa.E.Matson@kp.org.
Gwen T LaphamKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA; Department of Health Services, University of Washington, 1959 NE Pacific St, Magnuson Health Sciences Center, Box 357660, Seattle, WA, 98195-7660, USA. Electronic address: Gwen.T.Lapham@kp.org.
Jennifer F BobbKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA. Electronic address: Jennifer.F.Bobb@kp.org.
Eric JohnsonKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA. Electronic address: Eric.Johnson@kp.org.
Julie E RichardsKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA; Department of Health Services, University of Washington, 1959 NE Pacific St, Magnuson Health Sciences Center, Box 357660, Seattle, WA, 98195-7660, USA. Electronic address: Julie.E.Richards@kp.org.
Amy K LeeKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA. Electronic address: Amy.K.Lee@kp.org.
Katharine A BradleyKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA, 98195-6560, USA; Department of Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195-6560, USA. Electronic address: Katharine.A.Bradley@kp.org.
Joseph E GlassKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101-1466, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Room BB1644, Seattle, WA, 98195-6560, USA. Electronic address: Joseph.E.Glass@kp.org.
Kaiser Permanente Washington Health Research Institute · USUniversity of Washington · US

Funding

Project-002UG1DA040314 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ingrid A Binswanger, CYNTHIA I CAMPBELL · 2015 to 2026
$34.9M
Sustained Implementation of Patient-Centered Care for Alcohol MisuseR18HS023173 · AHRQ · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI BRADLEY, KATHARINE ANTHONY · 2014 to 2017
$1.9M
Mentoring alcohol use intervention research in HIV health care settingsK24AA025703 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre · 2018 to 2026
$1.8M
Decreasing the Engagement Gap for Addiction Treatment in Primary CareK01AA023859 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI GLASS, JOSEPH EDWIN · 2017 to 2021
$931k
Training Clinicians in Implementation Research to Improve Alcohol-related CareK24AA022128 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BRADLEY, KATHARINE ANTHONY · 2016 to 2020
$876k
AHRQ HHS R18 HS023173NIAAA NIH HHS K01 AA023859NIAAA NIH HHS K24 AA022128NIDA NIH HHS UG1 DA040314
6 · The paper itself

Abstract

backgroundCannabis and other drug use is associated with adverse health events, but little is known about the association of routine clinical screening for cannabis or other drug use and acute care utilization. This study evaluated whether self-reported frequency of cannabis or other drug use was associated with subsequent acute care.

methodThis retrospective cohort study used EHR and claims data from 8 sites in Washington State that implemented annual substance use screening. Eligible adult primary care patients (N = 47,447) completed screens for cannabis (N = 45,647) and/or other drug use, including illegal drug use and prescription medication misuse, (N = 45,255) from 3/3/15-10/1/2016. Separate single-item screens assessed frequency of past-year cannabis and other drug use: never, less than monthly, monthly, weekly, daily/almost daily. An indicator of acute care utilization measured any urgent care, emergency department visits, or hospitalizations ≤19 months after screening. Adjusted Cox proportional hazards models estimated risk of acute care.

resultsPatients were predominantly non-Hispanic White. Those reporting cannabis use less than monthly (Hazard Ratio [HR] = 1.12, 95 % CI = 1.03-1.21) or daily (HR = 1.24; 1.10-1.39) had greater risk of acute care during follow-up than those reporting no use. Patients reporting other drug use less than monthly (HR = 1.34; 1.13-1.59), weekly (HR = 2.21; 1.46-3.35), or daily (HR = 2.53; 1.86-3.45) had greater risk of acute care than those reporting no other drug use.

conclusionPopulation-based screening for cannabis and other drug use in primary care may have utility for understanding risk of subsequent acute care. It is unclear whether findings will generalize to U.S. states with broader racial/ethnic diversity.

Indexed as

Ambulatory CareAdultCannabisEmergency Service, HospitalEthnicityFemaleHospitalizationHumansMaleMass ScreeningMiddle AgedPrimary Health CareRetrospective StudiesSelf ReportSubstance-Related DisordersWashingtonAcute careEmergency visitsMarijuanaPrimary careScreeningSubstance use

Identifiers

PMID32911133
PMCPMC7896808
OpenAlexW3048172178

What OpenQuestion holds

Textmetadata
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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.