Evidence map›Paper›PMID 37068366›Full record

Trial reportAddictive behaviors2023

Cannabis use for medical symptoms: Patterns over the first year of use.

Jodi M Gilman, Kevin Potter, Randi M Schuster, Bettina B Hoeppner, A Eden Evins

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03224468 (Effect of Medical Marijuana on Neurocognition and Escalation of Use), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% 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.

NCT03224468 nacompletednot on this map

Effect of Medical Marijuana on Neurocognition and Escalation of Use

TypeinterventionalSponsorMassachusetts General HospitalRan2017 to 2022Enrolled269ConditionsPain, Insomnia, Depression, AnxietyArmsMedical Marijuana
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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.

Jodi M GilmanMassachusetts General Hospital (MGH) Department of Psychiatry, Center for Addiction Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: jgilman1@mgh.harvard.edu.
Kevin PotterMassachusetts General Hospital (MGH) Department of Psychiatry, Center for Addiction Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Randi M SchusterMassachusetts General Hospital (MGH) Department of Psychiatry, Center for Addiction Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Bettina B HoeppnerMassachusetts General Hospital (MGH) Department of Psychiatry, Center for Addiction Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
A Eden EvinsMassachusetts General Hospital (MGH) Department of Psychiatry, Center for Addiction Medicine, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Harvard University · USMassachusetts General Hospital · US

Funding

Medical Marijuana, Neurocognition, and Subsequent Substance UseR01DA042043 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI GILMAN, JODI · 2017 to 2021
$3.3M
Using Neuroimaging Markers to Understand Risk Factors and Consequences of Cannabis on Brain Structure and FunctionK02DA052684 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI GILMAN, JODI · 2021 to 2025
$642k
NIDA NIH HHS K02 DA052684NIDA NIH HHS R01 DA042043
6 · The paper itself

Abstract

backgroundAs greater numbers of states in the United States and countries in the world continue to legalize cannabis for medical use, it has become increasingly important to assess patterns of cannabis use in individuals using cannabis for medical symptoms over time. A public health concern is that, like recreational cannabis, some individuals using cannabis for medical reasons may develop detrimental patterns of use, leading to the development of a cannabis use disorder (CUD).

methodsIn a 9-month longitudinal cohort study following a 12-week randomized, waitlist-controlled trial in 149 adults who used cannabis to alleviate insomnia, pain, depressed mood, or anxiety (RCT: NCT03224468), we assessed whether patterns of cannabis use for the 9 months following the RCT were associated with the development of CUD.

resultsWe identified five unique trajectories of use; 31 participants (21%) had low stable or no use, 50 (34%) had medium stable use, 19 (13%) had high stable use, 26 (17%) showed de-escalating and 23 (15%) showed escalating use over 9 months following the RCT. Of 149 participants enrolled, 19 (13%) met diagnostic criteria for CUD at 12 months. Only the escalating cannabis use pattern predicted significantly higher rates of CUD compared to the low or no use category (OR = 4.29, 95% CI = 1.21 to 10.87, p = 0.02).

conclusionsThese data indicate that most individuals using cannabis for medical symptoms have a stable pattern of use over the first year. Escalation of use may be a detrimental pattern that warrants further concern.

Indexed as

CannabisMarijuana AbuseSubstance-Related DisordersAdultAnxiety DisordersHumansLongitudinal StudiesUnited StatesAddictionCannabisCannabis use disorderMedical CannabisPatterns

Identifiers

PMID37068366
PMCPMC10330117
OpenAlexW4365459616

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.