Evidence map›Paper›PMID 33394528›Full record

ArticleAddiction (Abingdon, England)2021

Abuse-deterrent extended-release oxycodone and risk of opioid-related harm.

Tapio Paljarvi, John Strang, Patrick D Quinn, Sierra Luciano, Seena Fazel

Erratum issuedAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Tapio PaljarviDepartment of Psychiatry, Oxford University, UK.ORCID 0000-0002-5324-9825
John StrangInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-5413-2725
Patrick D QuinnDepartment of Applied Health Science, School of Public Health, Indiana University, Bloomington, IN, USA.
Sierra LucianoTriNetX Inc, Cambridge, MA, USA.
Seena FazelDepartment of Psychiatry, Oxford University, UK.

Funding

Pharmacoepidemiologic Studies of Prescription Opioid Analgesic RisksR00DA040727 · NIDA · TRUSTEES OF INDIANA UNIVERSITY · PI QUINN, PATRICK DONOVAN · 2018 to 2020
$744k
NIDA NIH HHS R00 DA040727Wellcome Trust 202836/Z/16/Z
6 · The paper itself

Abstract

aimTo establish and quantify the association between abuse-deterrent formulation (ADF) oxycodone and 1-year risk of opioid-related harm.

designPropensity score-matched cohort study of electronic medical records for years 2014-18, with patients followed up for 1 year after their index health-care visit.

settingMore than 70 million patients from 56 US health-care organizations.

participantsPatients aged 18-64 years at index health-care visit with any indication for an oral opioid analgesic, with no past 12-month history of oral oxycodone use or substance use disorder, and who were alive at the end of the 1-year follow-up (new episode of prescription oral ADF oxycodone [OxyContin], n = 45 045; new episode of non-ADF oxycodone opioid preparation, n = 1 377 359). MEASUREMENTS: International Classification of Diseases diagnoses of any opioid-related disorder or non-fatal opioid poisoning within 1 year of the index health-care visit. Pooled odds ratios (OR) with 95% confidence intervals (95% CI).

findingsAfter propensity score matching, 89 802 patients with a mean age of 44 [standard deviation (SD) = 11] years (62% women, 68% white) were included. During 1-year follow-up, 1445 diagnoses of opioid use disorder or opioid poisoning occurred in the ADF oxycodone cohort (34.8/1000 person-years) and 765 occurred in the non-ADF oxycodone cohort (18.2/1000 person-years). The odds of opioid-related adverse outcomes were increased in the ADF oxycodone cohort compared with the non-ADF oxycodone opioid cohort, including for opioid use disorders (OR = 2.02; 95% CI = 1.83, 2.23) and opioid poisoning (OR = 1.64 95% CI = 1.35, 1.99).

conclusionsPatients with a new prescription of abuse-deterrent formulation oxycodone may be at increased risk of opioid-related harm.

Indexed as

Opioid-Related DisordersOxycodoneAnalgesics, OpioidChildCohort StudiesDelayed-Action PreparationsElectronic Health RecordsFemaleHumansMaleAnalgesics, OpioidDelayed-Action PreparationsOxycodoneAbuse-deterrent formulationscohort studyopioidsopioid use disordersoxycodonepharmacoepidemiology

Identifiers

PMID33394528
PMCPMC8363193

What OpenQuestion holds

Textmetadata
LicenceTDM
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.