Evidence map›Paper›PMID 37517585›Full record

ReviewBrazilian journal of anesthesiology (Elsevier)

Prevention of drug diversion and substance use disorders among anesthesiologists: a narrative review.

Michael G Fitzsimons, Gabriel Soares de Sousa, Arpine Galstyan, Vinícius Caldeira Quintão, Cláudia Marquez Simões

Open access · diamondAbstract readReview
In one paragraph

Review in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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 3 institutions in 2 countries.

Michael G FitzsimonsMassachusetts General Hospital, Department of Anesthesia, Critical Care, and Pain Medicine, Boston, USA.
Gabriel Soares de SousaHospital Sírio-Libanês, Serviços Médicos de Anestesia (SMA), São Paulo, SP, Brazil; Hospital Municipal Infantil Menino Jesus, Serviços Médicos de Anestesia (SMA), São Paulo, SP, Brazil.
Arpine GalstyanMassachusetts General Hospital, Department of Anesthesia, Critical Care, and Pain Medicine, Boston, USA.
Vinícius Caldeira QuintãoUniversidade de São Paulo, Faculdade de Medicina, Disciplina de Anestesiologia, São Paulo, SP, Brazil. Electronic address: vinicius.quintao@hc.fm.usp.br.
Cláudia Marquez SimõesHospital Sírio-Libanês, Serviços Médicos de Anestesia (SMA), São Paulo, SP, Brazil; Universidade de São Paulo, Faculdade de Medicina, Disciplina de Anestesiologia, São Paulo, SP, Brazil; Faculdade de Medicina da Universidade de São Paulo (FMUSP), Hospital das Clínicas (HC), Instituto do Câncer do Estado de São Paulo ICESP, São Paulo, SP, Brazil.
Boston University · USUniversidade de São Paulo · BRSociedade Brasileira de Anestesiologia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diversion of substances from the care of the intended patient is a significant problem in healthcare. Patients are harmed by the undertreatment of pain and suffering, transmission of disease, as well as the risk associated with impaired vigilance. Healthcare providers may be harmed by the physical and mental impact of their addictions. Healthcare systems are placed in jeopardy by the legal impact associated with illegal routes of drug release including sanction and financial liability and loss of public trust. Healthcare institutions have implemented many measures to reduce diversion from the perioperative area. These efforts include education, medical record surveillance, automated medication dispensing systems, urine drug testing, substance waste management systems, and drug diversion prevention teams. This narrative review evaluates strengths, weaknesses, and effectiveness of these systems and provides recommendations for leaders and care providers.

Indexed as

AnesthesiologistsSubstance-Related DisordersHealth PersonnelHumansPainPrescription Drug DiversionAnesthesiologyDrug diversionDrug testingHealthcare professionalsSubstance abuseSubstance use disorders

Identifiers

PMID37517585
PMCPMC10625155
OpenAlexW4385336816

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.