Evidence map›Paper›PMID 40693060›Full record

ArticleCureus2025

Escalating Mortality From Opioid-Related Deaths With Concurrent Gastrointestinal Complications in the United States, 2010-2020: A Population-Based Analysis.

John K Appiah, Richeal Asante, Chukwunonso B Ubanatu, George S Blewusi, Ewurabena Plange-Kaye, Emmanuel K Asiedu

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 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

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

6 authors.

John K AppiahInternal Medicine, Geisinger Health System, Wilkes-Barre, USA.
Richeal AsanteInternal Medicine, Geisinger Health System, Wilkes-Barre, USA.
Chukwunonso B UbanatuInternal Medicine, Geisinger Health System, Wilkes-Barre, USA.
George S BlewusiPublic Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Ewurabena Plange-KayeDentistry, Columbia University, New York City, USA.
Emmanuel K AsieduInternal Medicine, Mother and Child Hospital, Accra, GHA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The opioid crisis has evolved beyond overdose deaths to include complex medical complications. Gastrointestinal (GI) complications represent a significant but underexplored aspect of opioid-related mortality. This study aimed to characterize trends in opioid-related deaths with concurrent GI complications in the United States from 2010 to 2020. Methods We conducted a retrospective, population-based analysis using mortality data from the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database and the Global Burden of Disease (GBD) Study 2021. Opioid-related deaths were identified using ICD-10 codes T40.0-T40.4 and T40.6 (opium, heroin, other opioids, methadone, and synthetic and unspecified narcotics) in combination with K25-K28 (peptic ulcers), K56.0-K56.7 (intestinal obstruction), K59.0 (constipation), and K92.0-K92.2 (GI hemorrhage). Background GI mortality rates were obtained from GBD. Crude and age-adjusted mortality rates were calculated, and trends were analyzed using descriptive statistics. Results From 2010 to 2020, opioid-related deaths with GI complications increased by 218.6%, from 22,040 deaths (7.15 per 100,000) to 70,222 deaths (21.31 per 100,000). Males experienced disproportionately higher mortality rates (16.31 per 100,000) compared to females (7.76 per 100,000). West Virginia demonstrated the highest mortality rate (37.85 per 100,000), followed by Ohio (23.48 per 100,000) and Maryland (23.19 per 100,000). The steepest increases occurred between 2015 and 2017, with an unprecedented surge in 2020. Conclusions Opioid-related deaths with concurrent GI complications represent a rapidly escalating public health crisis, with mortality rates more than tripling over the study decade. The disproportionate impact on males and concentration in Appalachian and Rust Belt states suggest that targeted interventions are urgently needed.

Indexed as

epidemiologygastrointestinal complicationsmortalityopioidspublic health surveillance

Identifiers

PMID40693060
PMCPMC12279323

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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.