Evidence map›Paper›PMID 37934539›Full record

ArticleJournal of addiction medicine

Trends in Characteristics of Prescription Opioid-related Poisonings among Older Adults in the United States, 2015-2021.

Benjamin H Han, Jennifer S Jewell, Belicia K Ding, Nicholas C Wu, Linda B Cottler, Joseph J Palamar

Open access · greenAbstract read
In one paragraph

Article in Journal of addiction medicine. 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
1.2field-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.

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, 4 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

6 authors at 3 institutions in 2 countries.

Benjamin H HanFrom the Department of Medicine, University of California San Diego, San Diego, CA (BHH, BD, NCW); Rocky Mountain Poison & Drug Safety, Denver, CO (JSJ); Department of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, FL (LBC); NDEWS, University of Florida, Gainesville, FL (LBC); and New York University Grossman School of Medicine, Department of Population Health, New York, NY (JJP).
Jennifer S Jewell
Belicia K Ding
Nicholas C Wu
Linda B Cottler
Joseph J Palamar
Jobs With Justice · USLeo Baeck College · GBNorth Carolina Wesleyan College · US

Funding

National Drug Early Warning System (NDEWS) COVID-19 SupplementU01DA051126 · NIDA · UNIVERSITY OF FLORIDA · PI Linda B. Cottler, Joseph J Palamar · 2020 to 2026
$6.3M
Drug use among nightclub and dance festival attendees in New York CityR01DA044207 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI PALAMAR, JOSEPH J · 2018 to 2021
$1.5M
Chronic Disease and Health Outcomes of Older Adults with Opioid Use DisordersK23DA043651 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HAN, BENJAMIN HYUN · 2018 to 2023
$1.2M
NIDA NIH HHS K23 DA043651NIDA NIH HHS R01 DA044207NIDA NIH HHS U01 DA051126
6 · The paper itself

Abstract

objectivesFew studies have considered how trends in opioid poisonings have changed among older adults. The objective of this study was to examine trends in fatal and nonfatal opioid-related poisonings ("exposures") among older adults.

methodsNational poison center data were used to examine trends in characteristics of reported exposures to commonly prescribed opioids between 2015 and 2021 among adults 60 years or older. We estimated the proportion of opioid exposures by demographic characteristics, the specific opioid(s) involved, exposure type, route of administration, other substances co-used, and medical outcomes for each calendar year. We estimated whether there were linear changes in prevalence by year using logistic regression.

resultsAlthough there was a decrease in the number of opioid exposures within the study population from 7706 in 2015 to 7337 in 2021 (a 4.8% decrease, P = 0.04), exposures increased for adults aged 70 to 79 years (a 14.0% increase, P < 0.001). The proportion classified as "abuse" increased by 63.3% ( P < 0.001). There were significant decreases in the proportion involving hydromorphone (a 23.3% decrease, P < 0.001) and morphine (a 22.0% decrease, P < 0.001), with an increase involving buprenorphine (a 216.0% increase, P < 0.001). The proportion increased for co-use of cocaine (a 488.9% increase, P < 0.001) and methamphetamine (a 220.0% increase, P = 0.02), with a decrease in co-use of benzodiazepines (a 25.5% decrease, P < 0.001). The proportion of major medical outcomes increased by 93.9% ( P < 0.001).

conclusionsNational patterns of opioid-related poisonings are shifting among older adults, including the types of opioids involved and co-use of other drugs. These results can inform prevention and harm reduction efforts aimed at older adults.

Indexed as

BuprenorphineCocaineAgedAnalgesics, OpioidBenzodiazepinesHumansPrescriptionsUnited StatesAnalgesics, OpioidBenzodiazepinesBuprenorphineCocaine

Identifiers

PMID37934539
PMCPMC10740379
OpenAlexW4381716303

What OpenQuestion holds

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LicenceTDM
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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.