Evidence map›Paper›PMID 38721898›Full record

ArticleJournal of hospital medicine2024

Sex concordance between physicians and patients and discharge opioid prescribing.

Aksharananda Rambachan, Mihir Joshi, Andrew D Auerbach, Margaret C Fang

Abstract read
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

  1. Trial
  2. Observational
  3. 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

4 authors.

Aksharananda RambachanDivision of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-8506-5086
Mihir JoshiSanta Clara Valley Medical Center, San Jose, California, USA.
Andrew D AuerbachDivision of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0001-8440-0527
Margaret C FangDivision of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0003-3362-1543

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 HL141354NHLBI NIH HHS K24HL141354
6 · The paper itself

Abstract

Inpatient pain management is challenging for clinicians and inequities are prevalent. We examined sex concordance between physicians and patients to determine if discordance was associated with disparate opioid prescribing on hospital discharge. We examined 15,339 hospitalizations from 2013 to 2021. Adjusting for patient, clinical, and hospitalization-level characteristics, we calculated the odds of a patient receiving an opioid on discharge and the days of opioids prescribed across all hospitalizations and for patients admitted with a common pain diagnosis. We did not find an overall association between physician-patient sex concordance and discharge opioid prescriptions. Compared to concordant sex pairs, patients in discordant pairs were not significantly less likely to receive an opioid prescription (odds ratio: 1.04; 95% confidence interval [CI]: 0.95, 1.15) and did not receive significantly fewer days of opioids (2.1 fewer days of opioids; 95% CI: -4.4, 0.4). Better understanding relationships between physician and patient characteristics is essential to achieve more equitable prescribing.

Indexed as

Analgesics, OpioidPatient DischargePractice Patterns, Physicians'AdultAgedDrug PrescriptionsFemaleHospitalizationHumansMaleMiddle AgedPain ManagementSex FactorsAnalgesics, Opioid

Identifiers

PMID38721898
PMCPMC11222022

What OpenQuestion holds

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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.