Evidence map›Paper›PMID 34013442›Full record

ArticleHealth & justice2021

Fentanyl-related overdose during incarceration: a comprehensive review.

Eliana Kaplowitz, Ashley Q Truong, Alexandria Macmadu, Meghan Peterson, Lauren Brinkley-Rubinstein, Nathan Potter, Traci C Green, Jennifer G Clarke, Josiah D Rich

Open access · goldAbstract read
In one paragraph

Article in Health & justice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

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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

9 authors at 7 institutions in 1 country.

Eliana KaplowitzThe Center for Health and Justice Transformation, The Miriam Hospital, Providence, RI, USA. EKaplowitz@lifespan.org.
Ashley Q TruongDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Alexandria MacmaduThe Center for Health and Justice Transformation, The Miriam Hospital, Providence, RI, USA.
Meghan PetersonDivision of General Internal Medicine, Albert Einstein College of Medicine, New York City, NY, USA.
Lauren Brinkley-RubinsteinThe Center for Health and Justice Transformation, The Miriam Hospital, Providence, RI, USA.
Nathan PotterChristiana Care Health System, Newark, DE, USA.
Traci C GreenCenter of Biomedical Research Excellence on Opioids and Overdose , The Rhode Island Hospital , RI, Providence, USA.
Jennifer G ClarkeRhode Island Department of Health, Providence, RI, USA.
Josiah D RichThe Center for Health and Justice Transformation, The Miriam Hospital, Providence, RI, USA.
Brown University · USAlbert Einstein College of Medicine · USChristiana Care Health System · USJohns Hopkins University · USProvidence College · USRhode Island Hospital · USUniversity of North Carolina at Chapel Hill · US

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Ju Nyeong Park · 2018 to 2026
$23.4M
NIDA Epidemiology Training Program: Johns Hopkins UniversityT32DA007292 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RENEE M. JOHNSON, Brion S Maher · 1993 to 2026
$17.7M
HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
Evaluating the implementation and impact of a novel medication assisted treatment program in a unified jail and prison systemR21DA044443 · NIDA · MIRIAM HOSPITAL · PI RICH, JOSIAH D · 2017 to 2018
$663k
NIDA NIH HHS R21 DA044443NIDA NIH HHS R21DA044443NIDA NIH HHS T32 DA007292NIDA NIH HHS T32DA007292NIDA NIH HHS T32 DA013911NIDA NIH HHS T32DA013911NIGMS NIH HHS P20 GM125507NIGMS NIH HHS P20GM125507
6 · The paper itself

Abstract

backgroundFentanyl and related compounds have recently saturated the illicit drug supply in the United States, leading to unprecedented rates of fatal overdose. Individuals who are incarcerated are particularly vulnerable, as the burden of opioid use disorder is disproportionately higher in this population, and tolerance generally decreases during incarceration.

methodsWe conduct a systematic search for publications about fentanyl overdoses during incarceration in PubMed and PsycINFO, as well as lay press articles in Google, from January 1, 2013 through March 30th, 2021.

resultsNot a single fentanyl overdose was identified in the medical literature, but 90 overdose events, comprising of 76 fatal and 103 nonfatal fentanyl overdoses, were identified in the lay press. Among the 179 overdoses, 138 occurred in jails and 41 occurred in prisons, across the country.

conclusionsFentanyl-related overdoses are occurring in correctional facilities with unknown but likely increasing frequency. In addition to the need for improved detection and reporting, immediate efforts to 1) increase understanding of the risks of fentanyl and how to prevent and treat overdose among correctional staff and residents, 2) ensure widespread prompt availability of naloxone and 3) expand the availability of medications to treat opioid use disorder for people who are incarcerated will save lives.

Indexed as

FentanylIncarcerationOpioidOverdose

Identifiers

PMID34013442
PMCPMC8133055
OpenAlexW3161316537

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.