Evidence map›Paper›PMID 33888001›Full record

Observational studyJournal of the International Association of Providers of AIDS Care

Emergency Department Utilization Among People Living With HIV on Chronic Opioid Therapy.

Kinna Thakarar, Amoli Kulkarni, Sara Lodi, Alexander Y Walley, Marlene C Lira, Leah S Forman, Jonathan A Colasanti, Carlos Del Rio, Jeffrey H Samet

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

9 authors at 3 institutions in 1 country.

Kinna ThakararMaine Medical Center Research Institute, Boston, MA, USA.
Amoli KulkarniBoston Medical Center / Boston University School of Medicine, Boston, MA, USA.
Sara LodiBoston University School of Public Health, Boston, MA, USA.
Alexander Y WalleyBoston Medical Center / Boston University School of Medicine, Boston, MA, USA.
Marlene C LiraBoston Medical Center / Boston University School of Medicine, Boston, MA, USA.ORCID 0000-0001-7967-1963
Leah S FormanBoston University School of Public Health, Boston, MA, USA.
Jonathan A ColasantiEmory University, Atlanta, GA, USA.
Carlos Del RioEmory University, Atlanta, GA, USA.
Jeffrey H SametBoston Medical Center / Boston University School of Medicine, Boston, MA, USA.
Boston University · USEmory University · USTufts University · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Improving Physician Opioid Prescribing for Chronic Pain in HIV-infected PersonsR01DA037768 · NIDA · BOSTON MEDICAL CENTER · PI DEL RIO, CARLOS, SAMET, JEFFREY H. · 2014 to 2018
$5.3M
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI050409NIDA NIH HHS R01 DA037768
6 · The paper itself

Abstract

Chronic pain among people with HIV (PWH) is a driving factor of emergency department (ED) utilization, and it is often treated with chronic opioid therapy (COT). We conducted a cross-sectional analysis of a prospective observational cohort of PWH on COT at 2 hospital-based clinics to determine whether COT-specific factors are associated with ED utilization among PWH. The primary outcome was an ED visit within 12 months after study enrollment. We used stepwise logistic regression including age, gender, opioid duration, hepatitis C, depression, prior ED visits, and Charlson comorbidity index. Of 153 study participants, n = 69 (45%) had an ED visit; 25% of ED visits were pain-related. High dose opioids, benzodiazepine co-prescribing, and lack of opioid treatment agreements were not associated with ED utilization, but prior ED visits (p = 0.002), depression (p = 0.001) and higher Charlson comorbidity score (p = 0.003) were associated with ED utilization. COT-specific factors were not associated with increased ED utilization among PWH.

Indexed as

Analgesics, OpioidAntiretroviral Therapy, Highly ActiveChronic PainCross-Sectional StudiesEmergency Service, HospitalFemaleHIV InfectionsHumansMaleMiddle AgedOpioid-Related DisordersProspective StudiesAnalgesics, Opioidchronic opioidschronic painemergency department utilizationHIV infection

Identifiers

PMID33888001
PMCPMC8072919
OpenAlexW3156834166

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.