Evidence map›Paper›PMID 35651523›Full record

ArticleJAMIA open2022

Development and implementation of a prescription opioid registry across diverse health systems.

G Thomas Ray, Andrea Altschuler, Ruchir Karmali, Ingrid Binswanger, Jason M Glanz, Christina L Clarke, Brian Ahmedani, Susan E Andrade, Joseph A Boscarino, Robin E Clark and 11 more

Abstract read
In one paragraph

Article in JAMIA open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
  4. 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

21 authors.

G Thomas RayDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Andrea AltschulerDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Ruchir KarmaliDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Ingrid BinswangerInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA.ORCID https://orcid.org/0000-0001-8862-8078
Jason M GlanzInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA.
Christina L ClarkeInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA.
Brian AhmedaniCenter for Health Policy & Health Services Research, Henry Ford Health System, Detroit, Michigan, USA.
Susan E AndradeMeyers Primary Care Institute, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Joseph A BoscarinoDepartment of Population Health Sciences, Geisinger Clinic, Danville, Pennsylvania, USA.
Robin E ClarkDepartment of Family Medicine and Community Health, University of Massachusetts Chan School of Medicine, Worcester, Massachusetts, USA.
Irina V HallerEssentia Institute of Rural Health, Duluth, Minnesota, USA.
Rulin HechterKaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, USA.
Douglas W RoblinMid-Atlantic Permanente Research Institute, Kaiser Permanente, Rockville, Maryland, USA.
Katherine SanchezBaylor Scott & White Research Institute, Dallas, Texas, and School of Social Work, University of Texas at Arlington, Arlington, Texas, USA.
Bobbi Jo YarboroughCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Steffani R BaileyDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Dennis McCartyOHSU-PSU School of Public Health, Portland, Oregon, USA.
Kari A StephensDepartment of Family Medicine, University of Washington, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-2520-5526
Carmen L RosaCenter for the Clinicals Trials Network, National Institute on Drug Abuse, National Institutes of Health, Bethesda, Maryland, USA.
Andrea L RubinsteinDepartment of Pain Medicine, The Permanente Medical Group, Santa Rosa, California, USA.
Cynthia I CampbellDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.

Funding

Project-002UG1DA040314 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ingrid A Binswanger, CYNTHIA I CAMPBELL · 2015 to 2026
$34.9M
Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Clinical Trials Network: Pacific Northwest Node (CTN-0082, -0131, -0139 and dissemination library)UG1DA013714 · NIDA · UNIVERSITY OF WASHINGTON · PI Mary Akiko Hatch, John M. Roll · 2015 to 2026
$19.8M
NIDA NIH HHS UG1 DA013714NIDA NIH HHS UG1 DA015815NIDA NIH HHS UG1 DA040314
6 · The paper itself

Abstract

Objective: Develop and implement a prescription opioid registry in 10 diverse health systems across the US and describe trends in prescribed opioids between 2012 and 2018. Materials and Methods: Using electronic health record and claims data, we identified patients who had an outpatient fill for any prescription opioid, and/or an opioid use disorder diagnosis, between January 1, 2012 and December 31, 2018. The registry contains distributed files of prescription opioids, benzodiazepines and other select medications, opioid antagonists, clinical diagnoses, procedures, health services utilization, and health plan membership. Rates of outpatient opioid fills over the study period, standardized to health system demographic distributions, are described by age, gender, and race/ethnicity among members without cancer. Results: The registry includes 6 249 710 patients and over 40 million outpatient opioid fills. For the combined registry population, opioid fills declined from a high of 0.718 per member-year in 2013 to 0.478 in 2018, and morphine milligram equivalents (MMEs) per fill declined from 985 MMEs per fill in 2012 to 758 MMEs in 2018. MMEs per member declined from 692 MMEs per member in 2012 to 362 MMEs per member in 2018. Conclusion: This study established a population-based opioid registry across 10 diverse health systems that can be used to address questions related to opioid use. Initial analyses showed large reductions in overall opioid use per member among the combined health systems. The registry will be used in future studies to answer a broad range of other critical public health issues relating to prescription opioid use.

Indexed as

EHR dataopioid use disorderprescription opioidsregistry

Identifiers

PMID35651523
PMCPMC9150082

What OpenQuestion holds

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LicenceCC BY-NC
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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.