Evidence map›Paper›PMID 33543535›Full record

ArticleDrug and alcohol review2021

Non-medical prescription opioid use and in-hospital illicit drug use among people who use drugs.

Gurjit S Parmar, Kanna Hayashi, Seonaid Nolan, M-J Milloy, Kora DeBeck, Hennady P Shulha, Thomas Kerr, Lianping Ti

Abstract read
In one paragraph

Article in Drug and alcohol review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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.

Gurjit S ParmarBritish Columbia Centre on Substance Use, Vancouver, Canada.
Kanna HayashiBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-3843-2928
Seonaid NolanBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0001-9473-7190
M-J MilloyBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-3821-6221
Kora DeBeckBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-2045-1653
Hennady P ShulhaBritish Columbia Centre on Substance Use, Vancouver, Canada.
Thomas KerrBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0002-0870-7153
Lianping TiBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-2470-438X

Funding

Vancouver Drug Users Study: The Impacts of Evolving Drug Use Patterns on HIV/AIDSU01DA038886 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI DEBECK, KORA, HAYASHI, KANNA · 2015 to 2024
$12.1M
Impacts of universal access to HIV/AIDS care among HIV+ injection drug usersU01DA021525 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MILLOY, M-J · 2017 to 2024
$4.3M
CIHR MSH-141971CIHR SMN-139148NIDA NIH HHS U01 DA021525NIDA NIH HHS U01 DA038886
6 · The paper itself

Abstract

introductionIllicit drug use while admitted to hospital is common amongst people who use drugs. Furthermore, non-medical prescription opioid use (NMPOU) is increasingly being used by this population. This study was undertaken to investigate the relationship between NMPOU and having ever reported using illicit drugs in the hospital.

methodsThis study was a cross-sectional study design based on data derived from participants enrolled in three Canadian prospective cohort studies between December 2011 and November 2016. Using bivariable and multivariable logistic regression analyses, we examined the relationship between NMPOU and having ever reported illicit drug use in the hospital.

resultsAmong the 1865 participants (951 male, 471 female) enrolled in the studies, 1422 (76.25%) met the inclusion criteria of having ever been hospitalised. Of these, 436 (30.7%) had used illicit drugs while in the hospital. In multivariable analyses, after adjusting for various confounders, we found a positive relationship between the percentage of reporting at least daily NMPOU in the past 6 months during the cohort study period and illicit drug use in the hospital (adjusted odds ratio 3.42; 95% confidence interval 1.46-8.02). DISCUSSION AND

conclusionsAmong our sample, more persistent NMPOU was positively associated with having reported in-hospital illicit drug use. Our findings point to the need for better identification and management of opioid use disorder in acute care settings to reduce in-hospital illicit drug use, and to offer evidence-based medical treatments to achieve the most optimal outcomes for patients.

Indexed as

Illicit DrugsOpioid-Related DisordersAnalgesics, OpioidCanadaCohort StudiesCross-Sectional StudiesFemaleHospitalsHumansMalePrescriptionsProspective StudiesAnalgesics, OpioidIllicit Drugsaddictiondrug overdose/poisoningdrug safetydrug usehealth services

Identifiers

PMID33543535
PMCPMC8333188

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Registered trials

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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.