Evidence map›Paper›PMID 33385644›Full record

ArticleThe Science of the total environment2021

Estimating drug consumption during a college sporting event from wastewater using liquid chromatography mass spectrometry.

Dominick J Lemas, Mathew Shane Loop, Michelle Duong, Andrew Schleffer, Clark Collins, John Alfred Bowden, Xinsong Du, Keval Patel, Austin L Ciesielski, Zach Ridge and 3 more

Abstract read
In one paragraph

Article in The Science of the total environment, 2021. 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
–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

7 citing papers in PubMed.

  1. Recreational Drug use at Sports Events in the US and UK.Journal of sport and social issues · 2026
    Article
  2. Article
  3. Article
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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

13 authors.

Dominick J LemasDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, United States. Electronic address: djlemas@ufl.edu.
Mathew Shane LoopDivision of Pharmacotherapy and Experimental Therapeutics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Michelle DuongDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, United States.
Andrew SchlefferDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, United States.
Clark CollinsFacilities Services, University of Florida, Gainesville, FL, United States.
John Alfred BowdenDepartment of Physiological Sciences, University of Florida, Gainesville, FL, United States.
Xinsong DuDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, United States.
Keval PatelDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, United States.
Austin L CiesielskiSchool of Forensic Sciences, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Zach RidgeSchool of Forensic Sciences, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Jarrad WagnerSchool of Forensic Sciences, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Bikram SubediDepartment of Chemistry, Murray State University, Murray, KY, United States.
Chris DelcherDepartment of Pharmacy Practice & Science, Institute for Pharmaceutical Outcomes and Policy, University of Kentucky, Lexington, KY, United States.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Human milk metabolomics and microbe-host interactions associated with pediatric obesityK01DK115632 · NIDDK · UNIVERSITY OF FLORIDA · PI LEMAS, DOMINICK JOSEPH · 2019 to 2023
$831k
NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427NIDDK NIH HHS K01 DK115632
6 · The paper itself

Abstract

Consumption of licit and/or illicit compounds during sporting events has traditionally been monitored using population surveys, medical records, and law enforcement seizure data. This pilot study evaluated the temporal and geospatial patterns in drug consumption during a university football game from wastewater using liquid chromatography tandem mass spectrometry (LC-MS/MS). Untreated wastewater samples were collected from three locations within or near the same football stadium every 30 min during a university football game. This analysis leveraged two LCMS/ MS instruments (Waters Acquity TQD and a Shimadzu 8040) to analyze samples for 58 licit or illicit compounds and some of their metabolites. Bayesian multilevel models were implemented to estimate mass load and population-level drug consumption, while accounting for multiple instrument runs and concentrations censored at the lower limit of quantitation. Overall, 29 compounds were detected in at least one wastewater sample collected during the game. The 10 most common compounds included opioids, anorectics, stimulants, and decongestants. For compounds detected in more than 50% of samples, temporal trends in median mass load were correlated with the timing of the game; peak loads for cocaine and tramadol occurred during the first quarter of the game and for phentermine during the third quarter. Stadium-wide estimates of the number of doses of drugs consumed were rank ordered as follows: oxycodone (n = 3246) > hydrocodone (n = 2260) > phentermine (n = 513) > cocaine (n = 415) > amphetamine (n = 372) > tramadol (n = 360) > pseudoephedrine (n = 324). This analysis represents the most comprehensive assessment of drug consumption during a university football game and indicates that wastewater-based epidemiology has potential to inform public health interventions focused on reducing recreational drug consumption during large-scale sporting events.

Indexed as

WastewaterWater Pollutants, ChemicalBayes TheoremChromatography, LiquidHumansPilot ProjectsSubstance Abuse DetectionTandem Mass SpectrometryUniversitiesWastewaterWater Pollutants, ChemicalFootball gameIllicit and prescription drugsMass spectrometryWastewater-based epidemiology

Identifiers

PMID33385644
PMCPMC12087351

What OpenQuestion holds

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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.