Evidence map›Paper›PMID 38544317›Full record

ArticleJournal of hospital medicine2024

Assessing for differences in opioid administration during inpatient end-of-life care for patients with limited English proficiency.

Nicole Curatola, Priya Prasad, Brieze K Bell, Margaret C Fang, Aksharananda Rambachan

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hospital medicine, 2024. 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
1.7field-weighted citation impact, top 16% 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, 2 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

5 authors at 1 institution in 1 country.

Nicole CuratolaDivision of Hospital Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0009-0007-2637-1060
Priya PrasadDivision of Hospital Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-1384-0960
Brieze K BellDivision of Hospital Medicine, University of California, San Francisco, San Francisco, California, USA.
Margaret C FangDivision of Hospital Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0003-3362-1543
Aksharananda RambachanDivision of Hospital Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-8506-5086
San Francisco General Hospital · US

Funding

Use and outcomes of anticoagulants for the treatment and prevention of thrombosis among hospitalized patientsK24HL141354 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FANG, MARGARET C. · 2018 to 2022
$731k
NHLBI NIH HHS K24 HL141354
6 · The paper itself

Abstract

backgroundPatients with limited English proficiency (LEP) may have worse health outcomes and differences in processes of care. Language status may particularly affect situations that depend on communication, such as symptom management or end-of-life (EOL) care.

objectiveThe objective of this study was to assess whether opioid prescribing and administration differs by English proficiency (EP) status among hospitalized patients receiving EOL care.

methodsThis single-center retrospective study identified all adult patients receiving "comfort care" on the general medicine service from January 2013 to September 2021. We assessed for differences in the quantity of opioids administered (measured by oral morphine equivalents [OME]) by patient LEP status using multivariable linear regression, controlling for other patient and medical factors.

resultsWe identified 2652 patients receiving comfort care at our institution during the time period, of whom 1813 (68%) died during the hospitalization. There were no significant differences by LEP status in terms of mean OME per day (LEP received 30.8 fewer OME compared to EP, p = .91) or in the final 24 h before discharge (LEP received 61.7 more OME compared to EP, p = .80).

conclusionLEP was not associated with differences in the amount of opioids received for patients whose EOL management involved standardized order sets for symptom management at our hospital.

Indexed as

Analgesics, OpioidLimited English ProficiencyTerminal CareAgedFemaleHospitalizationHumansInpatientsMaleMiddle AgedPalliative CareRetrospective StudiesAnalgesics, Opioid

Identifiers

PMID38544317
PMCPMC11222029
OpenAlexW4393276624

What OpenQuestion holds

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LicenceCC BY-NC
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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.