ArticleJournal of hospital medicine2023
Use of nonstigmatizing language is associated with improved outcomes in hospitalized people who inject drugs.
Article in Journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
The trial behind it
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- Hospital-Based Clinicians' Knowledge and Practices Regarding Stigmatizing Language in Clinical Documentation: A Multicenter Survey.Journal of general internal medicine · 2026Article
- Optimizing Treatment of Infective Endocarditis in Patients Who Inject Drugs.Antibiotics (Basel, Switzerland) · 2026Review
- Nurses' stigmatizing attitudes toward patients with substance use disorders and their impact on care quality.BMC nursing · 2026Article
- Pregnant Patients are Less Likely to Disclose Substance USE if They Perceive Stigma in Their Clinic Notes.Journal of general internal medicine · 2026Article
- Understanding and Addressing Bias in Artificial Intelligence Systems: A Primer for the Emergency Medicine Physician.Journal of the American College of Emergency Physicians open · 2026Article
- Identifying Bias at Scale in Clinical Notes Using Large Language Models.Mayo Clinic proceedings. Digital health · 2025Article
- Beyond Keywords: A Qualitative Study of Context-Dependent Stigmatizing Language in Clinical Documentation from a Large, Multi-Payer Home Healthcare Agency.Home health care management & practice · 2025Article
- "There's a lot of people who love them, so why call 'em junkies?": clinician and patient perspectives about words used to describe people who use drugs.Addiction science & clinical practice · 2025Article
- Implementation of screening and assessment tools for diagnosing opioid use disorder: A systematic review.Drug and alcohol dependence reports · 2025Review
- Ethical Management of Challenging Behaviors in Hospitalized People Who Use Drugs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Identifying stigmatizing and positive/preferred language in obstetric clinical notes using natural language processing.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Documentation of Stigmatizing Language in Electronic Health Records and Birth Outcomes.Health equity · 2025Article
- Racial bias in clinician assessment of patient credibility: Evidence from electronic health records.PloS one · 2025Article
- Occurrence of Stigmatizing Documentation Among Hospital Medicine Encounters With Opioid-Related Diagnosis Codes: Cohort Study.JMIR formative research · 2024Article
- "Let Us Take Care of the Medicine": A Qualitative Analysis of Physician Communication When Caring for Febrile Infants.Academic pediatrics · 2024Article
- Stigmatizing Language in Substance Use-related International Classification of Diseases Codes.Journal of addiction medicineArticle
- Key Terms and Concepts in Alcohol Use and Problems: A Critical Evaluation.Substance use : research and treatmentArticle
Corrections and comments
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Authors and funding
18 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundStigma surrounding opioid use disorder (OUD) is a barrier to treatment. The use of stigmatizing language may be evidence of negative views toward patients.
objectiveWe aimed to identify associations between language and clinical outcomes in patients admitted for infectious complications of OUD. DESIGNS: We performed a retrospective medical record review. SETTINGS AND
participantsFour U.S. academic health systems. Participants were patients with OUD admitted for infectious complications of injection opioid use from January 1, 2018, to December 31, 2018, identified through international classification of diseases, 10th revision codes consistent with OUD and acute bacterial/fungal infection. MAIN OUTCOME AND MEASURES: Discharge summaries were reviewed for language, specifically: abuse, addiction, dependence, misuse, use disorder, intravenous drug use, and others. Binary outcomes including medication for OUD, planned discharge, naloxone provision, and an OUD treatment plan were evaluated using logistic regressions and admission duration was evaluated using Gamma regression.
resultsA total of 1285 records were reviewed and 328 met inclusion criteria. Of those, 191 (58%) were male, with a median age of 38 years. The most common term was "abuse" (219, 67%), whereas "use disorder" was recorded in 75 (23%) records. Having "use disorder" in the discharge summary was associated with increased odds of having a documented plan for ongoing OUD treatment (adjusted odds ratio [AOR]: 4.11, 95% confidence interval [CI]: 1.89-8.93) and having a documented plan for addiction-specific follow-up care (AOR: 2.31, 95% CI: 1.30-4.09).
conclusionsStigmatizing language was common in this study of patients hospitalized for infectious complications of OUD. Best-practice language was uncommon, but when used was associated with increased odds of addiction treatment and specialty care referrals.
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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.