Evidence map›Paper›PMID 33530762›Full record

ArticleHand (New York, N.Y.)2022

Is Opioid-Limiting Legislation Effective for Hand Surgery Patients?

Kalpit N Shah, Daniel B C Reid, Jack H Ruddell, Benjamin H Shapiro, Peter James, Joseph A Gil, Alan H Daniels, Edward Akelman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Hand (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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 1 institution in 1 country.

Kalpit N ShahBrown University, Providence, RI, USA.ORCID 0000-0003-0883-1426
Daniel B C ReidBrown University, Providence, RI, USA.ORCID 0000-0001-6094-2233
Jack H RuddellBrown University, Providence, RI, USA.
Benjamin H ShapiroBrown University, Providence, RI, USA.
Peter JamesBrown University, Providence, RI, USA.
Joseph A GilBrown University, Providence, RI, USA.ORCID 0000-0002-0117-1026
Alan H DanielsBrown University, Providence, RI, USA.
Edward AkelmanBrown University, Providence, RI, USA.
Brown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Rhode Island State Legislature passed the

methodsA 6-month period (January-June 2016) prior to passage of the law was compared with a period following its implementation (July-December 2017). Thumb carpometacarpal arthroplasty and distal radius fracture fixation were classified as "major surgery" and carpal tunnel and trigger finger release as "minor surgery." Prescription Drug Monitoring Database was used to review controlled substances filled during the study periods.

resultsA total of 1380 patients met our inclusion criteria, with 644

conclusionsIn Rhode Island, opioid-limiting legislation resulted in a significant decrease in the number of pills and MMEs of the initial prescription and a 30% decrease in total MMEs in the 30-day postoperative period after "major hand surgery." Additional research is needed to explore the association between legislation and clinical outcomes.

Indexed as

Opioid-Related DisordersPrescription DrugsAnalgesics, OpioidControlled SubstancesHandHumansMaleMorphine DerivativesPostoperative PainPractice Patterns, Physicians'Analgesics, OpioidControlled SubstancesMorphine DerivativesPrescription Drugshand surgerylegislationopioid epidemicopioid-limiting legislationopioid use

Identifiers

PMID33530762
PMCPMC9608291
OpenAlexW3128453164

What OpenQuestion holds

Textmetadata
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.