Evidence map›Paper›PMID 37042333›Full record

ArticleHealth informatics journal

Predicting opioid use disorder before and after the opioid prescribing peak in the United States: A machine learning tool using electronic healthcare records.

Tyler J Banks, Tung D Nguyen, Jeffery K Uhlmann, Satish S Nair, Jeffrey F Scherrer

Open access · goldAbstract read
In one paragraph

Article in Health informatics journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Moving towards the use of artificial intelligence in pain management.European journal of pain (London, England) · 2025
    Pooled it
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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

5 authors at 2 institutions in 1 country.

Tyler J BanksElectrical Engineering and Computer Science, University of Missouri, Columbia, MO, USA.
Tung D NguyenElectrical Engineering and Computer Science, University of Missouri, Columbia, MO, USA.
Jeffery K UhlmannElectrical Engineering and Computer Science, University of Missouri, Columbia, MO, USA.
Satish S NairElectrical Engineering and Computer Science, University of Missouri, Columbia, MO, USA.ORCID 0000-0002-1489-7029
Jeffrey F ScherrerSaint Louis University School of Medicine, Medicine, Saint Louis, MO, USA.
University of Missouri · USSaint Louis University · US

Funding

CRCNS: Optimization of closed-loop control of gamma oscillationsR01MH122023 · NIMH · UNIVERSITY OF MISSOURI-COLUMBIA · PI NAIR, SATISH S · 2019 to 2023
$1.4M
NIMH NIH HHS R01 MH122023
6 · The paper itself

Abstract

Existing predictive models of opioid use disorder (OUD) may change as the rate of opioid prescribing decreases. Using Veterans Administration's EHR data, we developed machine-learning predictive models of new OUD diagnoses and ranked the importance of patient features based on their ability to predict a new OUD diagnosis in 2000-2012 and 2013-2021. Using patient characteristics, the three separate machine learning techniques were comparable in predicting OUD, achieving an accuracy of >80%. Using the random forest classifier, opioid prescription features such as early refills and length of prescription consistently ranked among the top five factors that predict new OUD. Younger age was positively associated with new OUD, and older age inversely associated with new OUD. Age stratification revealed prior substance abuse and alcohol dependency as more impactful in predicting OUD for younger patients. There was no significant difference in the set of factors associated with new OUD in 2000-2012 compared to 2013-2021. Characteristics of opioid prescriptions are the most impactful variables that predict new OUD both before and after the peak in opioid prescribing rates. Predictive models should be tailored to age groups. Further research is warranted to determine if machine learning models perform better when tailored to other patient subgroups.

Indexed as

Opioid-Related DisordersTool Use BehaviorAnalgesics, OpioidElectronicsHumansMachine LearningPractice Patterns, Physicians'United StatesAnalgesics, OpioidEHRfeature importancemachine learningopioid abuseopioid dependenceOUD

Identifiers

PMID37042333
PMCPMC10158959
OpenAlexW4365135107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.