Evidence map›Paper›PMID 37944042›Full record

ArticleThe oncologist2024

Opioid and Non-Opioid Pharmacotherapy Use for Pain Management Among Privately Insured Pediatric Patients With Cancer in the United States.

Chan Shen, J Douglas Thornton, Ning Li, Eric Schaefer, Shouhao Zhou, Sarah Kawasaki, Colette Pameijer, Douglas Leslie

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 1 country.

Chan ShenDepartment of Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.ORCID 0000-0001-5680-3134
J Douglas ThorntonDepartment of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, TX, USA.
Ning LiDepartment of Economics and Finance, Salisbury University, Salisbury, MD, USA.
Eric SchaeferDepartment of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Shouhao ZhouDepartment of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Sarah KawasakiDepartment of Psychiatry and Behavioral Health, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Colette PameijerDepartment of Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Douglas LeslieDepartment of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Pennsylvania State University · USPenn State Milton S. Hershey Medical Center · USSalisbury University · USUniversity of Houston · US

Funding

The effects of hydrocodone rescheduling on pain management of older lung cancer patientsR21CA277849 · NCI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SHEN, CHAN · 2022 to 2022
$471k
NCI NIH HHS R21 CA277849NIDA NIH HHS 1R21CA277849-01NIH HHS
6 · The paper itself

Abstract

backgroundThis study examined the trends and patterns of opioid and non-opioid pharmacotherapy use among a large national sample of privately insured pediatric patients with cancer in the United States. MATERIALS AND

methodsWe identified pediatric (aged < 21) patients diagnosed with central nervous system (CNS), lymphoma, gonadal, leukemia, or bone cancer from MarketScan data 2005-2019. We examined the proportion of patients who filled a prescription for the following 5 types of pharmacotherapy: opioid, anticonvulsant, non-steroidal anti-inflammatory drug (NSAID), antidepressant, and muscle relaxant during active cancer treatment. We assessed the trends and patterns in pharmacotherapy using multivariable logistic regressions.

resultsAmong 4174 patients included, 2979 (71%) had an opioid prescription; 746 (18%), 384 (9%), 202 (5%), and 169 (4%) had anticonvulsant, NSAID, antidepressant and muscle relaxant prescriptions, respectively. Multivariable logistic regression showed a nonlinear trend in the use of opioids among pediatric patients with cancer over time such that use slightly increased until 2012 (OR of 1.40 [95% CI, 1.12-1.73] for 2012 vs. 2006) but then decreased thereafter (OR of 0.51 [0.37-0.68] for 2018 vs. 2012). The use of anticonvulsants, NSAIDs, and muscle relaxants increased significantly linearly over time (all P < .005).

conclusionThere has been a downward trend in the use of opioids in recent years among pediatric patients with cancer and an upward trend in the use of non-opioid pharmacotherapy for pain management potentially as an alternative to opioids.

Indexed as

Analgesics, OpioidNeoplasmsAnticonvulsantsAntidepressive AgentsAnti-Inflammatory Agents, Non-SteroidalChildDrug PrescriptionsHumansInsurance, HealthPain ManagementPractice Patterns, Physicians'United StatesAnalgesics, OpioidAnticonvulsantsAntidepressive AgentsAnti-Inflammatory Agents, Non-Steroidalcommercial claims dataobservational studyopioid and non-opioid pharmacotherapypain managementpediatric cancer

Identifiers

PMID37944042
PMCPMC10836308
OpenAlexW4388515806

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.