Evidence map›Paper›PMID 40291104›Full record

ArticleProceedings (Baylor University. Medical Center)2025

Inpatient outcomes of rheumatoid arthritis in hospitalized patients using cannabis: data from the National Inpatient Sample.

Karun Shrestha, Prakriti Subedi, Anil Regmi, Manoj Ghimire, Sajana Poudel, Mahmoud Hashim, Mohammed Hasan, Clement Tagoe

Abstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 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. Cannabis: an opioid alternative for pain management in rheumatic diseases?Proceedings (Baylor University. Medical Center) · 2025
    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

8 authors.

Karun ShresthaDepartment of Internal Medicine, St. Barnabas Hospital, SBH Health System, Bronx, New York, USA.ORCID https://orcid.org/0000-0001-7142-1847
Prakriti SubediDepartment of Internal Medicine, St. Barnabas Hospital, SBH Health System, Bronx, New York, USA.
Anil RegmiDepartment of Internal Medicine, Parkview Health, Fort Wayne, Indiana, USA.
Manoj GhimireDepartment of Internal Medicine, St. Barnabas Hospital, SBH Health System, Bronx, New York, USA.
Sajana PoudelDepartment of Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois, USA.
Mahmoud HashimDepartment of Internal Medicine, St. Barnabas Hospital, SBH Health System, Bronx, New York, USA.
Mohammed HasanDepartment of Internal Medicine, UCHealth Parkview Medical Center, Pueblo, Colorado, USA.
Clement TagoeDivision of Rheumatology, Montefiore Medical Center, Bronx, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite advancements in rheumatoid arthritis (RA) treatment, effective pain management remains challenging, with many patients also experiencing insomnia, anxiety, and depression. Cannabis, with its analgesic properties, offers a promising nonopioid alternative. This study evaluated outcomes in hospitalized RA patients using cannabis through the National Inpatient Sample (NIS) database. Methods: This retrospective study analyzed NIS data (2016-2021) using ICD-10 codes to identify RA patients. Demographic and clinical characteristics and inpatient outcomes were compared between cannabis users and nonusers. Results: RA patients using cannabis (n = 42,415) were younger (mean age 51.8 vs 67.8 years), less likely to be female (60.65% vs 73.71%), and more likely to be African American (24.02% vs 12.86%) and Native American (2.25% vs 0.86%). Cannabis use was associated with lower mortality (0.98% vs 2.71%) and hospital charges ($57,773 vs $63,681). After adjusting for age, gender, race, and comorbidities, cannabis use was linked to decreased mortality (odds ratio [OR]: 0.50), depression (OR: 0.47), chronic pain (OR: 0.45), and anxiety (OR: 0.55). Conversely, cannabis use increased the risk of opioid use (OR: 1.10), nicotine dependence (OR: 1.35), and alcohol use (OR: 1.35). Conclusion: RA patients using cannabis had lower mortality, depression, chronic pain, and anxiety, but higher risks of opioid, nicotine, and alcohol use. Further research is needed on the long-term effects of cannabis in RA management.

Indexed as

Cannabisinpatient outcomespain managementrheumatoid arthritis

Identifiers

PMID40291104
PMCPMC12026033

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.