Evidence map›Paper›PMID 34582128›Full record

ArticleACR open rheumatology2021

Prevalence and Risk Factors of Substance Use Disorder in Rheumatoid Arthritis.

Kaarina Kowalec, Heather Carney, Mitulkumar Patel, Carol Hitchon, James M Bolton, Scott B Patten, Lesley A Graff, Charles N Bernstein, Christine Peschken, Ruth Ann Marrie and 1 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

11 authors at 3 institutions in 2 countries.

Kaarina KowalecUniversity of Manitoba, Winnipeg, Manitoba, Canada, and Karolinska Institutet, Solna, Sweden.ORCID https://orcid.org/0000-0003-3928-9879
Heather CarneyUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Mitulkumar PatelUniversity of Calgary, Calgary, Alberta, Canada.
Carol HitchonUniversity of Manitoba, Winnipeg, Manitoba, Canada.ORCID https://orcid.org/0000-0001-5547-3268
James M BoltonUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Scott B PattenUniversity of Calgary, Calgary, Alberta, Canada.
Lesley A GraffUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Charles N BernsteinUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Christine PeschkenUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Ruth Ann MarrieUniversity of Manitoba, Winnipeg, Manitoba, Canada.
Canadian Institutes of Health Research Team in Defining the Burden and Managing the Effects of Psychiatric Comorbidity in Chronic Immunoinflammatory Disease
University of Manitoba · CAUniversity of Calgary · CAResearch Manitoba · CA

Funding

CIHR THC-135234
6 · The paper itself

Abstract

objectiveIn this study, we aimed to determine the lifetime prevalence of substance use disorder (SUD) in a Canadian rheumatoid arthritis (RA) cohort and factors associated with SUD in RA.

methodsParticipants with RA (N = 154) were recruited via rheumatology clinics as part of a larger cohort study of psychiatric comorbidity in immune-mediated inflammatory diseases. SUD is defined as the uncontrolled use of a substance despite the harmful consequences of its use. To identify lifetime SUD, the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition was administered to participants. Participants' sociodemographic and RA clinical characteristics were also assessed. We examined factors associated with lifetime SUD using unadjusted and adjusted logistic regression modeling.

resultsTwenty-three (14.9%) of 154 participants with RA met the criteria for a lifetime diagnosis of SUD. The majority of the participants were women, were White, had postsecondary education, and were on a disease-modifying antirheumatic drug. Factors associated with increased odds of SUD were male sex (adjusted odds ratio [aOR]: 3.63, 95% confidence interval [CI]: 1.03-12.73), younger age (aOR: 0.94, 95% CI: 0.90-0.98), and ever smoking (aOR: 6.44, 95% CI: 1.53-27.07).

conclusionWe found that approximately 1 in 7 individuals with RA had a lifetime diagnosis of SUD, highlighting the importance of identifying and treating SUD in those with RA. In particular, the following factors were associated with higher odds of SUD: male sex, younger age, and smoking behaviors.

Identifiers

PMID34582128
PMCPMC8672171
OpenAlexW3204095373

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.