Evidence map›Paper›PMID 39118033›Full record

ArticleBMC public health2024

Evaluation of the strategies opioid manufacturers used to recruit health professionals and encourage overprescribing: an analysis of industry documents.

Christie Lee, Allison Tsui, Selina Xu, Dorie E Apollonio

Abstract read
In one paragraph

Article in BMC public health, 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. Article
  2. Healthcare (Basel, Switzerland) · 2025
    Article
  3. Review
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.

Christie LeeDepartment of Clinical Pharmacy, University of California, San Francisco, 530 Parnassus Ave Suite 366, Box 1390, San Francisco, CA, 94143, USA.
Allison TsuiDepartment of Clinical Pharmacy, University of California, San Francisco, 530 Parnassus Ave Suite 366, Box 1390, San Francisco, CA, 94143, USA.
Selina XuDepartment of Clinical Pharmacy, University of California, San Francisco, 530 Parnassus Ave Suite 366, Box 1390, San Francisco, CA, 94143, USA.
Dorie E ApollonioDepartment of Clinical Pharmacy, University of California, San Francisco, 530 Parnassus Ave Suite 366, Box 1390, San Francisco, CA, 94143, USA. dorie.apollonio@ucsf.edu.ORCID 0000-0003-4694-0826

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore than 263,000 individuals died due to prescription opioid misuse between 1999 and 2020. Between 2013 and 2015 alone, pharmaceutical companies spent over $39 million to market opioids to over 67,000 prescribers. However, there is still limited information about differences in provider responses to promotions for medications. In this study we investigated and evaluated strategies used by opioid manufacturers to encourage overprescribing, specifically focusing on oncology.

methodsWe conducted a retrospective review of opioid industry documents released in litigation between 1999 and 2021. We began with a preliminary search for business plans in a subset of collections that identified key terms and phrases. These search terms were then used to narrow the investigation, which ultimately focused on Insys Therapeutics, and how they targeted oncology providers as well as patients with cancer pain.

resultsWe found that, overall, Insys sought to market to institutions with fewer resources, to less experienced and high-volume providers, and directly to cancer patients, with the goal of encouraging increased opioid prescribing and use.

conclusionsOur research revealed gaps in provider training that may make some providers more susceptible to pharmaceutical marketing. Developing and promoting continuing education courses for providers that are free from conflicts of interest, particularly at smaller institutions, may be one step towards reducing opioid overprescribing and its associated harms.

Indexed as

Analgesics, OpioidDrug IndustryHealth PersonnelHumansInappropriate PrescribingPractice Patterns, Physicians'Retrospective StudiesAnalgesics, OpioidAnalgesicsCancer painInappropriate prescribingOpioid

Identifiers

PMID39118033
PMCPMC11308442

What OpenQuestion holds

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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.