Evidence map›Paper›PMID 35051702›Full record

ArticleThe American journal of emergency medicine2022

Comparison of hospital claims and poison center data to evaluate health impact of opioids, cannabis and synthetic cannabinoids.

George Sam Wang, Christine Buttorff, Asa Wilks, Daniel Schwam, Gregory J Tung, Shireen Banerji, Richard C Dart, Rosalie Liccardo Pacula

Open access · greenAbstract read
In one paragraph

Article in The American journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 26% 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, 7 citations in OpenAlex.

  1. Article
  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

8 authors at 5 institutions in 1 country.

George Sam WangUniversity of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Department of Pediatrics, 13123 East 16th Ave B251, Aurora, CO 80045, United States of America. Electronic address: george.wang@childrenscolorado.org.
Christine ButtorffRAND Corporation, United States of America. Electronic address: buttorff@rand.org.
Asa WilksRAND Corporation, United States of America. Electronic address: awilks@rand.org.
Daniel SchwamRAND Corporation, United States of America. Electronic address: dschwam@rand.org.
Gregory J TungUniversity of Colorado Anschutz Medical Campus, Colorado School of Public Health, Department of Health Systems, Management & Policy, United States of America. Electronic address: Gregory.tung@cuanschutz.edu.
Shireen BanerjiRocky Mountain Poison and Drug Safety, Denver Health Hospital AuthorityShireen, United States of America. Electronic address: Shireen.banerji@rmpds.org.
Richard C DartRocky Mountain Poison and Drug Safety, Denver Health Hospital AuthorityShireen, United States of America.
Rosalie Liccardo PaculaUniversity of Southern California, Sol Price School of Public Policy, Schaeffer Center for Health Policy & Economics, United States of America. Electronic address: Rmp_302@usc.edu.
RAND Corporation · USUniversity of Colorado Anschutz Medical Campus · USDenver Health Medical Center · USUniversity of Colorado Denver · USUniversity of Southern California · US

Funding

Impact of Marijuana Legalization on Opioid Prescribing and Poisonings in ColoradoR01DA045051 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PACULA, ROSALIE LICCARDO · 2018 to 2020
$1.7M
NIDA NIH HHS R01 DA045051
6 · The paper itself

Abstract

introductionOver the past 10 years, opioids and cannabis have garnered significant attention due to misuse and legalization trends. Different datasets and surveillance mechanisms can lead to different conclusions the due to a variety of factors. The primary objective of this study was to compare and describe trends of opioid, cannabis, and synthetic cannabinoid-related healthcare encounters and poison center (PC) cases in Colorado, a state that has legalized cannabis.

methodsThis was a retrospective study comparing hospital claims data (Colorado Hospital Association (CHA)) and poison center cases to describe opioid, cannabis and synthetic cannabinoid-related healthcare encounters and exposures in Colorado from 2013 to 2017 using related genetic codes and International Statistical Classification of Disease codes.

resultsBoth datasets observed increases in cannabis related encounters and exposures after recreational cannabis legalization in 2014. CHA reported an increase for cannabis-related ER visits from 14,109 in 2013 to 18,118 in 2017 while PC noted a 74.4% increase in cannabis-related cases (125 to 218). CHA inpatient visits associated with cannabis also increased (8311 in 2013 to 14,659 in 2017). On the other hand, Opioid-related exposures to the PC fell (1092 in 2013 to 971 in 2017) while both Opioid-related ER visits (8580 in 2013 to 12,928 in 2017) and inpatient visits in CHA increased (9084 in 2013 to 13,205).

conclusionsThis study demonstrates the differences in surveillance methodology for concurrent drug abuse epidemics using hospital claims and PC data. Both systems provide incomplete reports, but in combination can provide a more complete picture.

Indexed as

CannabinoidsCannabisHallucinogensPoisonsAnalgesics, OpioidCannabinoid Receptor AgonistsHospitalsHumansRetrospective StudiesAnalgesics, OpioidCannabinoid Receptor AgonistsCannabinoidsHallucinogensPoisonsCannabisMarijuanaOpioidsSurveillanceSynthetic cannabinoids

Identifiers

PMID35051702
PMCPMC8956045
OpenAlexW4206432493

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.