Evidence map›Paper›PMID 33798030›Full record

ArticleSubstance abuse2022

Stimulant use for self-management of pain among safety-net patients with chronic non-cancer pain.

Cathleen M Beliveau, Vanessa M McMahan, Justine Arenander, Martin S Angst, Margot Kushel, Andrea Torres, Glenn-Milo Santos, Phillip O Coffin

Open access · greenAbstract read
In one paragraph

Article in Substance abuse, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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 at 3 institutions in 1 country.

Cathleen M BeliveauCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.ORCID 0000-0001-8571-1909
Vanessa M McMahanCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Justine ArenanderCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Martin S AngstDepartment of Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Margot KushelUniversity of California San Francisco, San Francisco, CA, USA.
Andrea TorresCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Glenn-Milo SantosCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Phillip O CoffinCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
San Francisco Department of Public Health · USUniversity of California, San Francisco · USStanford University · US

Funding

Substance Use and HIV Prevention Research in Minority Communities Training ProgramR25DA028567 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Julia Lechuga, Torsten Brian Neilands · 2009 to 2026
$5.4M
Cohort Study of Opioids, Pain, and Safety in an era of Changing Policy (COPING)R01DA040189 · NIDA · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI COFFIN, PHILLIP O · 2016 to 2020
$2.2M
Mentoring Researchers in Aging in Vulnerable PopulationsK24AG046372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B · 2015 to 2025
$1.9M
Midcareer K24 Award for Mentoring and Patient-Oriented ResearchK24DA042720 · NIDA · SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH · PI PHILLIP O COFFIN · 2016 to 2026
$1.6M
NIA NIH HHS K24 AG046372NIDA NIH HHS K24 DA042720NIDA NIH HHS R01 DA040189NIDA NIH HHS R25 DA028567
6 · The paper itself

Abstract

backgroundChronic pain affects one-fifth of US adults. Reductions in opioid prescribing have been associated with increased non-prescription opioid use and, chronologically, increased stimulant (methamphetamine and cocaine) use. While non-prescription opioid use is commonly attributed to pain self-management, the role of stimulants in managing pain is unclear.

methodsWe analyzed baseline data from a longitudinal study of patients with chronic non-cancer pain in an urban safety-net healthcare system who had been prescribed an opioid for ≥3 of the last 12 months, and had a history of non-prescription opioid, cocaine, or amphetamine use (

resultsFifty-two percent of participants with past-year stimulant use reported using stimulants in the past year to treat pain. Participants who used stimulants for pain reported slightly higher average pain in the past 3 months (median of 8 (IQR: 6-8) vs 7 (7-9) out of 10,

conclusionStimulants may be used for pain self-management, particularly for neuropathic pain and among women. Our findings suggest an underexplored motivation for stimulant use in an era of reduced access to prescribed opioids.

Indexed as

Chronic PainCocaineNeuralgiaOpioid-Related DisordersSelf-ManagementSubstance-Related DisordersAdultAnalgesics, OpioidFemaleHumansLongitudinal StudiesPractice Patterns, Physicians'Analgesics, OpioidCocaineChronic paincocainemethamphetaminepain managementsafety-net clinicstimulants

Identifiers

PMID33798030
PMCPMC8791072
OpenAlexW3143599643

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.