Evidence map›Paper›PMID 38000322›Full record

ArticleDrug and alcohol dependence2023

Costing analysis of a point-of-care drug checking program in Rhode Island.

Javier A Cepeda, Erin Thompson, Merci Ujeneza, Jessica Tardif, Thomas Walsh, Alexis Morales, Joseph G Rosen, Traci C Green, Ju Nyeong Park

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Interpol review of forensic drug chemistry, 2022-2025.Forensic science international. Synergy · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

9 authors at 3 institutions in 1 country.

Javier A CepedaDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. Electronic address: jcepeda2@jhu.edu.
Erin ThompsonHarm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI, USA.
Merci UjenezaHarm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI, USA.
Jessica TardifHarm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI, USA.
Thomas WalshHarm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI, USA.
Alexis MoralesProject Weber Renew, Pawtucket, RI, USA.
Joseph G RosenHarm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI, USA; Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Traci C GreenOpioid Policy Research Collaborative, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA; Department of Epidemiology, School of Public Health, Brown University, Providence, RI, USA.
Ju Nyeong ParkHarm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI, USA; Department of Epidemiology, School of Public Health, Brown University, Providence, RI, USA; Department of General Internal Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Providence College · USJohns Hopkins University · USBrown University · US

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI TRACI C GREEN · 2018 to 2026
$23.4M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
MODELING THE IMPACT OF A POLICE EDUCATION PROGRAM ON HIV INCIDENCE AMONG PEOPLE WHO INJECT DRUGSK01DA043421 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CEPEDA, JAVIER · 2017 to 2021
$941k
Navigating the Fentanyl Age with Community Drug CheckingUG3DA056881 · NIDA · RHODE ISLAND HOSPITAL · PI GREEN, TRACI C · 2022 to 2023
$821k
Viral Load Trajectories and Dynamics among People Living with HIV in Rakai, Uganda: A Mixed-Methods StudyF31MH126796 · NIMH · JOHNS HOPKINS UNIVERSITY · PI ROSEN, JOSEPH GREGORY · 2021 to 2022
$79k
FDA HHS U01 FD00745501NIDA NIH HHS K01 DA043421NIDA NIH HHS UG3 DA056881NIGMS NIH HHS P20 GM125507NIMH NIH HHS F31 MH126796NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

backgroundDrug checking is a harm reduction strategy that provides greater awareness and information about the drug supply to the community. While fentanyl test strips are low-cost and available in most parts of the U.S., community-based organizations are considering using more sophisticated technologies, such as Fourier-transform infrared (FTIR) spectroscopy to test drugs. FTIR can detect multiple substances in a non-destructive manner that can be rapidly communicated to the program client by a trained technician, however implementation costs in community-based settings have not been assessed.

methodsWe conducted a costing analysis of a new pilot drug checking service that employed an FTIR spectrometer, fentanyl test strips and confirmatory testing in Rhode Island from January 2023-May 2023. We used microcosting methods to determine the overall cost during this period and cost per drug checked, reflecting realistic service capacity.

resultsAmong 101 drug samples that were voluntarily submitted and tested, 53% tested positive for fentanyl, 39% for cocaine, 9% for methamphetamine and 13% for xylazine, a powerful sedative. The total cost during this period was $71,044 and the cost per drug checked was $474, though sensitivity analyses indicated that the cost would rise to $78,058 - $83,058 or $544 - $593 for programs needing to pay for specialized training.

conclusionsThese findings demonstrate feasibility and inform the resources needed to scale-up drug checking services to reduce overdose risk.

Indexed as

Analgesics, OpioidDrug OverdoseFentanylHarm ReductionHumansPoint-of-Care SystemsRhode IslandAnalgesics, OpioidFentanylCost analysisDrug checkingHarm reductionInfrared spectroscopySubstance useTest strips

Identifiers

PMID38000322
PMCPMC11238094
OpenAlexW4388714779

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.