Evidence map›Paper›PMID 35665553›Full record

Observational studyAddiction (Abingdon, England)2022

Trends in hospital presentations following analytically confirmed synthetic cannabinoid receptor agonist exposure before and after implementation of the 2016 UK Psychoactive Substances Act.

Sam Craft, Michael Dunn, Dan Vidler, Jane Officer, Ian S Blagbrough, Christopher R Pudney, Graeme Henderson, Ahmed Abouzeid, Paul I Dargan, Michael Eddleston and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. An Internet Snapshot Survey Assessing the sale of Synthetic Cannabinoid Receptor Agonists for use with Electronic Vaping Devices.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024
    Article
  6. Observational
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

15 authors.

Sam CraftAddiction and Mental Health Group (AIM), Department of Psychology, University of Bath, Bath, UK.ORCID 0000-0002-5663-2731
Michael DunnTranslational and Clinical Research Institute, Newcastle University, Newcastle, UK.
Dan VidlerTranslational and Clinical Research Institute, Newcastle University, Newcastle, UK.
Jane OfficerScottish Police Authority Forensic Services, Edinburgh, UK.
Ian S BlagbroughDepartment of Pharmacy and Pharmacology, University of Bath, Bath, UK.
Christopher R PudneyDepartment of Biology and Biochemistry, University of Bath, Bath, UK.
Graeme HendersonSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.ORCID 0000-0001-6050-0048
Ahmed AbouzeidBlackpool Teaching Hospitals NHS Foundation Trust, Blackpool, Blackpool, UK.
Paul I DarganGuy's and St Thomas' NHS Foundation Trust, London, UK.
Michael EddlestonRoyal Infirmary of Edinburgh, Edinburgh, UK.
Jamie CooperAberdeen Royal Infirmary, Aberdeen, UK.
Simon L HillNewcastle Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle, UK.
Clair RoperTranslational and Clinical Research Institute, Newcastle University, Newcastle, UK.
Tom P FreemanAddiction and Mental Health Group (AIM), Department of Psychology, University of Bath, Bath, UK.
Simon H L ThomasTranslational and Clinical Research Institute, Newcastle University, Newcastle, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe United Kingdom (UK) Psychoactive Substances Act (PSA), implemented on the 26

designObservational study.

settingThirty-four hospitals across the UK participating in the Identification of Novel Psychoactive Substances (IONA) study.

participantsA total of 627 (79.9% male) consenting individuals who presented to participating hospitals between July 2015 and December 2019 with severe acute toxicity and suspected novel psychoactive substances exposure. MEASUREMENTS: Toxicological analyses of patient samples were conducted using liquid-chromatography tandem mass-spectrometry. Time-series analysis was conducted on the monthly number of patients with and without analytically confirmed SCRA exposure using Poisson segmented regression.

findingsSCRAs were detected in 35.7% (n = 224) of patients. After adjusting for seasonality and the number of active sites, models showed no clear evidence of an upward or downward trend in the number of SCRA exposure cases in the period before (incidence rate ratio [IRR], 1.12; 95% CI, 0.99-1.26; P = 0.068) or after (IRR, 0.97; 95% CI, 0.94-1.01; P = 0.202) the implementation of the PSA. There was also no clear evidence of an upward or downward trend in non-SCRA exposure cases before (IRR, 1.12; 95% CI, 0.98-1.27; P = 0.105) or after (IRR, 1.01; 95% CI, 0.98-1.04; P = 0.478) implementation of the PSA.

conclusionsThere is no clear evidence of an upward or downward trend in the number of patients presenting to UK hospitals with severe acute toxicity following analytically confirmed synthetic cannabinoid receptor agonist exposure since the implementation of the Psychoactive Substances Act.

Indexed as

Cannabinoid Receptor AgonistsPersonalityChromatography, LiquidFemaleHospitalsHumansMaleUnited KingdomCannabinoid Receptor AgonistsNPSPSAPsychoactive Substances ActSCRAsynthetic cannabinoid receptor agoniststime series analysistoxicity

Identifiers

PMID35665553
PMCPMC9796520

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Registered trials

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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.