Evidence map›Paper›PMID 36441691›Full record

ArticlePloS one2022

Association between recent overdose and chronic pain among individuals in treatment for opioid use disorder.

Sarah M Hartz, Robert C Culverhouse, Carrie M Mintz, Matthew S Ellis, Zachary A Kasper, Patricia Cavazos-Rehg, Richard A Grucza, Laura J Bierut, Theodore J Cicero

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Estimating the Need for Naloxone Distribution from United States Emergency Departments.Journal of the American College of Emergency Physicians open · 2026
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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

9 authors.

Sarah M HartzDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.
Robert C CulverhouseDepartment of Medicine and Division of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.
Carrie M MintzDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.
Matthew S EllisDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.
Zachary A KasperDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.ORCID 0000-0001-9279-1863
Patricia Cavazos-RehgDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.
Richard A GruczaDepartment of Family & Community Medicine, St. Louis University School of Medicine, St. Louis, Missouri, United States of America.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.
Theodore J CiceroDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, Missouri, United States of America.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Career Development Program in Drug Abuse and AddictionK12DA041449 · NIDA · WASHINGTON UNIVERSITY · PI Laura J. Bierut, Patricia A Cavazos-Rehg · 2017 to 2026
$4.2M
Returning Research Results that Indicate Risk of Alzheimer Disease to Healthy Participants in Longitudinal StudiesR01AG065234 · NIA · WASHINGTON UNIVERSITY · PI HARTZ, SARAH, MOZERSKY, JESSICA · 2020 to 2024
$3.8M
Investigating the longitudinal relationship between alcohol use, neurophysiological functioning, and Alzheimer disease biomarkers in the Collaborative Study on the Genetics of AlcoholismR01AA029308 · NIAAA · WASHINGTON UNIVERSITY · PI HARTZ, SARAH · 2020 to 2024
$2.0M
AN EXAMINATION OF AGE-RELATED DISPARITIES IN MEDICATION ASSISTED TREATMENT AND ASSOCIATED OUTCOMESR21DA044744 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2017 to 2018
$419k
THE SHARED GENETICS OF ALCOHOL-RELATED DISORDERS AND SCHIZOPHRENIAR21AA024888 · NIAAA · WASHINGTON UNIVERSITY · PI HARTZ, SARAH · 2017 to 2018
$417k
NCATS NIH HHS UL1 TR002345NIAAA NIH HHS R01 AA029308NIAAA NIH HHS R21 AA024888NIA NIH HHS R01 AG065234NIDA NIH HHS K12 DA041449NIDA NIH HHS R21 DA044744
6 · The paper itself

Abstract

Chronic pain increases risk for opioid overdose among individuals with opioid use disorder. The purpose of this study is to evaluate the relationship between recent overdose and whether or not chronic pain is active. 3,577 individuals in treatment for opioid use disorder in 2017 or 2018 were surveyed regarding recent overdoses and chronic pain. Demographics from the 2017 Treatment Episode Data Set, which includes all U.S. facilities licensed or certified to provide substance use care, were used to evaluate the generalizability of the sample. χ2 tests and logistic regression models were used to compare associations between recent overdoses and chronic pain. Specifically, active chronic pain was associated with opioid overdose among people in treatment for opioid use disorder. Individuals with active chronic pain were more likely to have had a past month opioid overdose than those with no history chronic pain (adjusted OR = 1.55, 95% CI 1.16-2.08, p = 0.0003). In contrast, individuals with prior chronic pain, but no symptoms in the past 30 days, had a risk of past month opioid overdose similar to those with no history of chronic pain (adjusted OR = 0.88, 95% CI 0.66-1.17, p = 0.38). This suggests that the incorporation of treatment for chronic pain into treatment for opioid use disorder may reduce opioid overdoses.

Indexed as

Chronic PainDrug OverdoseOpiate OverdoseOpioid-Related DisordersCertificationHumans

Identifiers

PMID36441691
PMCPMC9704550

What OpenQuestion holds

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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.