Evidence map›Paper›PMID 40922589›Full record

ArticleThe Permanente journal2025

Impact of Clinical Pharmacy Team Intervention on Naloxone Fills in Patients on ChroCnic Opioid Therapy.

Rosy S Sijapati, Erin R Himes, Stephanie A Hale

Abstract read
In one paragraph

Article in The Permanente journal, 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. 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

3 authors.

Rosy S SijapatiDepartment of Pharmacy, Kaiser Permanente Georgia, Atlanta, GA, USA.ORCID 0009-0003-5086-3154
Erin R HimesDepartment of Pharmacy, Kaiser Permanente Georgia, Atlanta, GA, USA.
Stephanie A HaleDepartment of Pharmacy, Kaiser Permanente Georgia, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpioids are highly effective for pain management but carry risks. Naloxone quickly reverses opioid overdoses by blocking opioid receptors in the brain. Despite its effectiveness, naloxone remains underutilized. Kaiser Permanente created the Interregional Pharmacy Opioid Use Improvement Group to support safe opioid prescribing and increase appropriate naloxone prescribing.

methodsThis retrospective study included Kaiser Permanente Georgia members who were 18 years or older and filling chronic opioid therapy of ≥ 50 morphine milligram equivalents (MME) averaged over the previous 90 days. The primary objective was to compare the number of patients who filled a naloxone prescription within the last 24 months as of March 31, 2023 (preintervention) vs as of December 31, 2023 (postintervention). The secondary outcome was to compare the naloxone fill rates based on intervention type.

resultsAs of March 31, 2023, 122 out of 399 patients (30.6%) had filled naloxone prescriptions compared to 241 out of 356 patients (67.7%) as of December 31, 2023 (30.6% vs 67.7%;

conclusionsPharmacy-led interventions, particularly telephone outreach, were effective at improving naloxone fill rates in patients on chronic opioid therapy of ≥ 50 morphine milligram equivalents per day. Voicemails had a lower fill rate, highlighting the importance of direct interaction in improving patient outcomes.

Indexed as

Analgesics, OpioidNaloxoneNarcotic AntagonistsPatient Care TeamAdultDrug PrescriptionsFemaleGeorgiaHumansMaleMiddle AgedRetrospective StudiesAnalgesics, OpioidNaloxoneNarcotic Antagonistsambulatory carenaloxoneopioid overdoseopioid overdose reversal agentopioid use disorder

Identifiers

PMID40922589
PMCPMC12703524

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.