Evidence map›Paper›PMID 33682465›Full record

ArticleHand (New York, N.Y.)2022

Sex, Race, Insurance, and Pain: Do Patient Sociodemographics Influence Postoperative Opioid Prescriptions Among Hand Surgeons?

Connor J Peck, Martin Carney, Alexander Chiu, Kitae E Park, Alexandre Prassinos, Omar Allam, J Grant Thomson, Adnan Prsic

Open access · greenAbstract read
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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Larger Perioperative Opioid Prescriptions Lead to Prolonged Opioid Use After Hand and Upper Extremity Surgery: A Multicenter Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
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.

Connor J PeckYale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-4115-2938
Martin CarneyYale School of Medicine, New Haven, CT, USA.
Alexander ChiuYale School of Medicine, New Haven, CT, USA.
Kitae E ParkYale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-3399-7268
Alexandre PrassinosYale School of Medicine, New Haven, CT, USA.
Omar AllamYale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-7385-7959
J Grant ThomsonYale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-5995-5923
Adnan PrsicYale School of Medicine, New Haven, CT, USA.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundSocial and demographic factors may influence patient treatment by physicians. This study analyzes the influence of patient sociodemographics on prescription practices among hand surgeons.

methodsWe performed a retrospective analysis of all hand surgeries (N = 5278) at a single academic medical center from January 2016 to September 2018. The average morphine milligram equivalent (MME) prescribed following each surgery was calculated and then classified by age, race, sex, type of insurance, and history of substance use or chronic pain. Multivariate linear regression was used to compare MME among groups.

resultsOverall, patients with a history of substance abuse were prescribed 31.2 MME more than those without (

conclusionsNumerous sociodemographic factors influenced postoperative opioid prescription among hand surgeons at our institution. These findings highlight the importance of establishing more uniform, evidence-based guidelines for postoperative pain management, which may help minimize subjectivity and prevent the overtreatment or undertreatment of pain in certain patient populations.

Indexed as

Chronic PainSurgeonsAgedAnalgesics, OpioidEndrinFemaleHumansMaleMedicareMorphine DerivativesPractice Patterns, Physicians'PrescriptionsRetrospective StudiesUnited StatesAnalgesics, OpioidEndrinMMEMorphine Derivativesanatomyhandhand surgeryhealth disparityopioidopioid prescriptionprescriptionracial disparity

Identifiers

PMID33682465
PMCPMC9608288
OpenAlexW3134367072

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.