Evidence map›Paper›PMID 37968970›Full record

Observational studyJournal of opioid management

Analgesic methadone prescribing in community health centers among patients with chronic pain.

Steffani R Bailey, Jean P O'Malley, Daniel M Hartung, Nathalie Huguet, Miguel Marino, John Muench

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of opioid management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 country.

Steffani R BaileyOregon Health & Science University, Portland, Oregon. ORCID: https://orcid.org/0000-0002-4482-8083.
Jean P O'MalleyOCHIN, Inc., Portland, Oregon.
Daniel M HartungCollege of Pharmacy, Oregon State University, Corvallis, Oregon.
Nathalie HuguetOregon Health & Science University, Portland, Oregon.
Miguel MarinoOregon Health & Science University, Portland, Oregon.
John MuenchOregon Health & Science University, Portland, Oregon.
Oregon Health & Science University · USOchin · USOregon State University · US

Funding

EpiCenter ? EPIdemiology of opioid prescribing in community health CENTERsR01DA046468 · NIDA · OREGON STATE UNIVERSITY · PI HARTUNG, DANIEL M · 2018 to 2022
$2.5M
NIDA NIH HHS R01 DA046468
6 · The paper itself

Abstract

objectiveTo examine analgesic methadone prescriptions among community health center (CHC) patients with chronic pain.

designObservational; two cross-sectional periods.

settingOregon and California CHCs. PATIENTS: Chronic pain patients with ≥1 visit in 2012-2013 or 2017-2018 (N = 158,239). OUTCOMES: Changes in adjusted relative rates (aRRs) of receiving no opioids, short-acting only, long-acting only other than methadone, and methadone; characteristics associated with ≥1 methadone prescription.

resultsOpioid prescribing declined over time, with the largest decrease in methadone (aRR = 0.19, 95 percent confidence interval: 0.14-0.27). Among patients receiving ≥1 long-acting opioid, variables associated with methadone prescribing included being aged <65 years, having nonprivate insurance, and an opioid use disorder (OUD) diagnosis. From 2012-2013 to 2017-2018, aRR increased among patients with OUD and decreased for those aged 18-30 (vs ≥65), uninsured and Medicaid-insured (vs private), and race/ethnicity other than non-Hispanic Black (vs non-Hispanic White).

conclusionsMethadone prescribing decreased in CHCs but remained elevated for several high-risk demographic groups.

Indexed as

Chronic PainOpioid-Related DisordersAnalgesics, OpioidCommunity Health CentersCross-Sectional StudiesHumansMethadonePractice Patterns, Physicians'United StatesAnalgesics, OpioidMethadone

Identifiers

PMID37968970
PMCPMC11423870
OpenAlexW4388737164

What OpenQuestion holds

Textmetadata
LicenceTDM
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.