Evidence map›Paper›PMID 36610545›Full record

ArticleDiabetes research and clinical practice2023

Opioid prescription and diabetes among Medicare beneficiaries.

Sarah S Casagrande, Adan Z Beccera, Keith F Rust, Catherine C Cowie

Open access · greenAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Sarah S CasagrandeSocial & Scientific Systems, Inc., Department of Health Services Research, Silver Spring, MD, United States. Electronic address: Sarah.casagrande@dlhcorp.com.
Adan Z BecceraSocial & Scientific Systems, Inc., Department of Health Services Research, Silver Spring, MD, United States; Rush University, Department of Surgery, Rush Medical College, Chicago, IL, United States.
Keith F RustWestat, Rockville, MD, United States.
Catherine C CowieNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, United States.
Social and Scientific Systems (United States) · USNational Institute of Diabetes and Digestive and Kidney Diseases · USWestat (United States) · US

Funding

Intramural NIH HHS Z99 DK999999
6 · The paper itself

Abstract

aimsTo determine the prevalence of opioid prescriptions among U.S. Medicare beneficiaries by diabetes status, and predictors of opioid prescription among those with diabetes.

methodsThis retrospective study used claims data from the Centers for Medicare and Medicaid Services among beneficiaries age ≥ 65 years who were continuously enrolled in Part A, Part B, and Part D Medicare between 2017 and 2019 (N = 709,374). Logistic regression was used to determine the odds of opioid prescription among those with vs without diabetes; and, among those with diabetes, significant predictors of opioid prescription.

resultsOverall, the prevalence of any opioid prescription was 30.8 % among persons with diabetes and 24.2 % in those without diabetes (p < 0.001); chronic use was 8.0 % and 7.4 %, respectively (p < 0.001). Those with diabetes had a 45 % higher odds of having an opioid prescription compared to those without diabetes after adjusting for sociodemographic characteristics (OR = 1.45, 1.44-1.47). After adjustment for comorbidities/complications, the association reversed (OR = 0.83, 0.82-0.84). Persons with diabetes who had hypertension, obesity, CVD, neuropathy, amputation, liver disease, COPD, cancer, osteoporosis, depression, or alcohol/drug abuse had a 20 %-140 % higher odds of opioid prescription compared to those without these conditions.

conclusionsComorbidities and complications accounted for the higher odds of opioid prescriptions among those with diabetes.

Indexed as

Analgesics, OpioidDiabetes MellitusAgedDrug PrescriptionsHumansMedicareRetrospective StudiesUnited StatesAnalgesics, OpioidComorbiditiesMedicareOpioids

Identifiers

PMID36610545
PMCPMC9974602
OpenAlexW4313594402

What OpenQuestion holds

Textmetadata
LicenceTDM
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.