Evidence map›Paper›PMID 37064483›Full record

ReviewHeliyon2023

Roadside screening tests for cannabis use: A systematic review.

Erica Wennberg, Sarah B Windle, Kristian B Filion, Brett D Thombs, Genevieve Gore, Andrea Benedetti, Roland Grad, Carolyn Ells, Mark J Eisenberg

Open access · goldAbstract readReview
In one paragraph

Review in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Detection of ΔDrug testing and analysis · 2024
    Trial
  3. Trial
  4. Interpol review of forensic drug chemistry, 2022-2025.Forensic science international. Synergy · 2026
    Review
  5. Interpol review of forensic toxicology, 2023-2025.Forensic science international. Synergy · 2026
    Review
  6. Metabolomic profiling of cannabis use and cannabis intoxication in humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  7. Article
  8. Article
  9. Review
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 at 4 institutions in 1 country.

Erica WennbergLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Sarah B WindleLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Kristian B FilionLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Brett D ThombsLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Genevieve GoreSchulich Library of Science and Engineering, McGill University, Montreal, Quebec, Canada.
Andrea BenedettiDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
Roland GradLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Carolyn EllsLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Mark J EisenbergLady Davis Institute for Medical Research, Jewish General Hospital/McGill University, Montreal, QC, Canada.
Jewish General Hospital · CAMcGill University · CAMcGill University Health Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As more countries legalize recreational cannabis, roadside screening programs are imperative to detect and deter driving under the influence of cannabis. This systematic review evaluated roadside screening tests for cannabis use. We searched six databases (inception-March 2020) and grey literature sources for primary studies evaluating test characteristics of roadside screening tests for cannabis use compared to laboratory tests for cannabinoids in blood or oral fluid. The synthesis was focused on sensitivity and specificity of delta-9-tetrahydrocannabinol (THC) detection. 101 studies were included. Oral fluid tests were higher in specificity and lower in sensitivity compared to urine tests when evaluated against blood laboratory tests. Oral fluid tests were higher in sensitivity and similar in specificity compared to observational tests when evaluated against blood and oral fluid laboratory tests. Sensitivity was variable among oral fluid tests; two instrumented immunoassays (Draeger DrugTest 5000 [5 ng/mL THC cut-off] and Alere DDS 2 Mobile Test System) appeared to perform best, but definitive conclusions could not be drawn due to imprecise estimates. Specificities were similar. Overall, oral fluid tests showed the most promise for use in roadside screening for blood THC levels over legal limits; their continued development and testing are warranted. Urine tests are generally inadvisable, and observational tests require sensitivity improvements.

Indexed as

CannabisDUICImpaired drivingSystematic review

Identifiers

PMID37064483
PMCPMC10102219
OpenAlexW4353094410

What OpenQuestion holds

Textmetadata
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.