Evidence map›Paper›PMID 35351781›Full record

ArticleCMAJ open

Patterns of prescription opioid dispensing among Red River Métis in Manitoba, Canada: a retrospective longitudinal cross-sectional study.

Nathan C Nickel, Jennifer E Enns, Julianne Sanguins, Carrie O'Conaill, Dan Chateau, S Michelle Driedger, Carole Taylor, Gilles Detillieux, Miyosha Tso Deh, Emily Brownell and 2 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. 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
0.6field-weighted citation impact, top 33% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

12 authors at 1 institution in 1 country.

Nathan C NickelManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man. Nathan.nickel@umanitoba.ca jsanguins@mmf.mb.ca.
Jennifer E EnnsManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Julianne SanguinsManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man. Nathan.nickel@umanitoba.ca jsanguins@mmf.mb.ca.
Carrie O'ConaillManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Dan ChateauManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
S Michelle DriedgerManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Carole TaylorManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Gilles DetillieuxManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Miyosha Tso DehManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Emily BrownellManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
A Frances ChartrandManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Alan KatzManitoba Centre for Health Policy (Nickel, Enns, Chateau, Taylor, Detillieux, Tso Deh, Brownell, Katz), Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba; Departments of Community Health Sciences (Nickel, O'Conaill, Chateau, Driedger) and Family Medicine (Katz), Rady Faculty of Health Sciences, University of Manitoba; National Centre for Epidemiology and Population Health (Chateau), Australian National University, Canberra, Australia; Health and Wellness Department (Sanguins) and Early Learning and Child Care Department (Chartrand), Manitoba Métis Federation, Winnipeg, Man.
Manitoba Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmid rising concern about opioid use across Canada, Métis leaders in Manitoba are seeking information on prescription opioid dispensing in Red River Métis populations to assist with planning and implementing appropriate evidence-based harm-reduction strategies in their communities. We examined patterns of prescription opioid dispensing among Red River Métis and compared them to those among other residents of Manitoba.

methodsWe conducted a population-based retrospective cross-sectional study for fiscal years 2006/07-2018/19 using administrative data from the Manitoba Population Research Data Repository and a study designed in partnership with researchers from the Manitoba Métis Federation. We compared age- and sex-adjusted rates of prescription opioid dispensing and mean morphine equivalents (MEQ) between Red River Métis and all other Manitobans aged 10 years or older, in accordance with Indigenous data sovereignty principles. To better understand what was driving any differences in patterns of prescription opioid dispensing between the 2 groups, we stratified the groups by age, sex, urbanicity, number of comorbidities, income quintile and opioid type, and compared patterns in MEQ/person.

resultsThe 2018/19 cohort included 76 755 Red River Métis and 1 117 854 other Manitobans. Other Manitobans were more likely than Red River Métis to be in higher income quintiles and to live in urban areas, and were less likely to have been diagnosed with a mood or anxiety disorder or a substance use disorder in the previous 5 years. The rate of prescription opioid dispensing and the opioid-associated MEQ/person were consistently higher among Red River Métis than among other Manitobans in each study year (

interpretationThe rate of prescription opioid dispensing and the potency of prescribed opioids were higher among Red River Métis in Manitoba than among other Manitobans. Further investigation into the different dispensing patterns between the 2 groups and the potential opioid-related harms they may herald is warranted.

Indexed as

Analgesics, OpioidPrescriptionsCanadaCross-Sectional StudiesHumansManitobaMorphineRetrospective StudiesAnalgesics, OpioidMorphine

Identifiers

PMID35351781
PMCPMC9259467
OpenAlexW4220824929

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.