Evidence map›Paper›PMID 40109782›Full record

ArticleCureus2025

Trends in Drug and Polysubstance-Related Deaths in the State of Texas: County Comparisons.

Ernst J Nicanord, Wei-Chen Miso Lee, Sarah A Konopnicki, Kendall Campbell

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Ernst J NicanordFamily Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Wei-Chen Miso LeeFamily Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Sarah A KonopnickiFamily Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Kendall CampbellFamily Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe opioid epidemic remains a significant public health challenge, with a substantial number of overdose deaths occurring annually. Synthetic opioids, particularly illicitly manufactured fentanyl, account for a significant portion of these fatalities, with a notable increase in adolescent deaths. In Texas, despite a decrease in opioid prescriptions, overdose deaths from both legal and illegal opioids have increased. The state's current overdose tracking program lacks comprehensive reporting, suggesting the crisis may be worse than reported due to incomplete data from rural counties affected by border crossings. This paper examines the pattern of opioid overdose deaths in Texas over the last seven years and postulates that the extent of the opioid crisis in Texas may be worse than what is officially reported due to incomplete data from rural counties.

methodsThis study presents a trend analysis based on the Texas Department of State Health Services' surveillance data from 2016 to 2022. The analysis highlights trends in total polysubstance and drug-related deaths, the number of affected counties, and the average number of deaths per county. Additionally, the study identifies counties with increasing death rates over the seven-year period.

resultsThe analysis revealed a consistent increase in drug-related and polysubstance-related deaths from 2016 to 2022, along with a rise in the number of counties reporting these deaths. Additionally, a statistically significant association was found between the year and the number of deaths. The data indicates the significant impact of the COVID-19 pandemic, as evidenced by a dramatic surge in polysubstance-related deaths from 2019 to 2020.

conclusionsThe opioid crisis in Texas calls for a comprehensive strategy that includes improved data collection, equitable resource distribution, and evidence-based legislative reforms. This approach, which should be guided by empirical data, would not only address the immediate crisis but would also contribute to the broader discourse on public health policy and practice.

Indexed as

cdc opioid guidelinesdrug-related deathsopioid misusesynthetic fentanyltexas counties

Identifiers

PMID40109782
PMCPMC11922338

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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.