Evidence map›Paper›PMID 39594931›Full record

ArticleChildren (Basel, Switzerland)2024

Proportional Trends in Pediatric Opioid Prescribing Between 2005 and 2016 by Age Group, Sex, Ethnicity, Race, Language, and Payer Status from a Large Children's Hospital in the Southwest United States.

Melissa Pielech, Eric Kruger, Samantha M Portis, Khirsten J Wilson, W Evan Rivers, Kevin E Vowles

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 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
–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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Melissa PielechDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.ORCID 0000-0001-7885-4637
Eric KrugerDivision of Physical Therapy, Department of Orthopedics and Rehabilitation, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA.
Samantha M PortisDepartment of Psychological Sciences, University of Missouri, Columbia, MO 65211, USA.
Khirsten J WilsonDepartment of Psychology, University of Notre Dame, Notre Dame, IN 46556, USA.ORCID 0000-0002-0339-8566
W Evan RiversPhysical Medicine and Rehabilitation Service, Tennessee Valley Healthcare System, Department of Veterans Affairs, Nashville, TN 37212, USA.
Kevin E VowlesSchool of Psychology, Queen's University Belfast and Belfast Centre for Pain Rehabilitation, Belfast City Hospital, Belfast BT9 7AB, UK.

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
Adapting and evaluating an integrated intervention for adolescent substance use and pain during oral surgeryK23DA053411 · NIDA · BROWN UNIVERSITY · PI PIELECH, MELISSA · 2021 to 2025
$1.0M
Metadoxine as a novel pharmacotherapy for older adults with alcohol use disorderK99AA030076 · NIAAA · BROWN UNIVERSITY · PI PORTIS, SAMANTHA · 2022 to 2023
$251k
Barriers and Facilitators to Implementation of Family-Based Treatment for Opioid Use Disorder in Adolescents and Young AdultsF32DA049440 · NIDA · BROWN UNIVERSITY · PI PIELECH, MELISSA · 2019 to 2020
$134k
Center for Regional Studies at the University of New Mexico n/aNCATS NIH HHS ULITR001449NIAAA NIH HHS K99 AA030076NIDA NIH HHS F32 DA049440NIDA NIH HHS K23 DA053411
6 · The paper itself

Abstract

BACKGROUND/

objectivesPrescription opioid use before adulthood is typically effective for acute pain control and is also associated with adverse short- and long-term consequences.

methodsThis study examined pediatric opioid prescribing trends over time across different age groups (early childhood, school age, adolescence, young adult) and sociodemographic subgroups (sex, ethnicity, race, language, payer type) from 2005 to 2016.

resultsUtilizing 42,020 first outpatient opioid prescriptions for youth aged 0-21 years from a large US children's hospital, this research found notable trends and disparities. Prescription rates increased by 35% from 2005-2007 to 2008-2010, then decreased by 14% from 2008-2010 to 2011-2013, and decreased again by 22% from 2011-2013 to 2014-2016. Chi-squared tests indicated significant changes in prescription rates across all sociodemographic subgroups, though only age group, ethnicity, and payer type (i.e., the party responsible for payment for hospital services) had changes with non-negligible effect sizes (Cramer's V). Specifically, age group showed small to medium effects (V = 0.16), while ethnicity and payer demonstrated small effects (V = 0.10 each). This study highlights variations in opioid prescribing trends, particularly among different age groups, ethnicities, and payer statuses up to 2016.

conclusionsThese findings reveal differing trends in pediatric opioid prescribing during the peak of the opioid epidemic, highlighting the importance of considering age and sociodemographic variables for understanding prescribing patterns fully and raising potential concerns about inequities in pain management. Future studies should explore similar trends from 2016 onward.

Indexed as

age-related differenceschildrenopioidspediatricsprescribing trends

Identifiers

PMID39594931
PMCPMC11593118

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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.