Evidence map›Paper›PMID 41506694›Full record

ArticleJournal of opioid management

Variation in naloxone and buprenorphine prescribing in LA County's safety-net system.

Lia Pak, Christina Crowley, Kyle Ragins, Hrishikesh Belani, Mariah Kalmin, Katherine E Watkins

Abstract read
In one paragraph

Article in Journal of opioid management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lia PakRAND Corporation, Santa Monica, California. ORCID: https://orcid.org/0009-0008-8322-1357.
Christina CrowleyRAND Corporation, Santa Monica, California.
Kyle RaginsLA County Department of Health Services, Los Angeles, California.
Hrishikesh BelaniLA County Department of Health Services, Los Angeles, California.
Mariah KalminRAND Corporation, Santa Monica, California.
Katherine E WatkinsRAND Corporation, Santa Monica, California.

Funding

Improving Access and Treatment for Co-occurring Opioid Use Disorders and Mental Illness - Recruitment ExtensionUF1MH121954 · NIMH · RAND CORPORATION · PI KOMAROMY, MIRIAM, WATKINS, KATHERINE E · 2019 to 2024
$15.8M
NIMH NIH HHS UF1 MH121954
6 · The paper itself

Abstract

objectiveTo describe patients and visits with identified, probable opioid use disorder (OUD) in Los Angeles County's (LAC) safety-net system and examine rates of naloxone and buprenorphine prescribing across healthcare settings.

designA descriptive analysis of electronic health record data.

settingLAC's largest safety-net provider, the LAC Department of Health Services. PATIENTS: This study included 3,881 patients with 5,580 visits involving probable OUD from July 2022 to June 2023.

main outcome measuresVisit-level analysis was performed to identify treatment settings where patients accessed care. We compared rates of buprenorphine and naloxone prescription across treatment settings using Chi-square tests and 95 percent confidence intervals.

resultsVisits with identified OUD most often occurred in outpatient settings (36 percent) compared to inpatient (31 percent), emergency (24 percent), or urgent care (8 percent) settings. Overall, 35.8 percent of visits included a naloxone prescription, and 30.4 percent included a buprenorphine prescription. Prescription rates varied significantly by treatment setting.

conclusionsMost visits with probable OUD did not include naloxone or buprenorphine prescriptions, and prescription receipt varied by setting.

Indexed as

BuprenorphineNaloxoneNarcotic AntagonistsOpioid-Related DisordersPractice Patterns, Physicians'Safety-net ProvidersAdultDrug PrescriptionsElectronic Health RecordsFemaleHumansLos AngelesMaleMiddle AgedOpiate Substitution TreatmentYoung AdultBuprenorphineNaloxoneNarcotic Antagonists

Identifiers

PMID41506694
PMCPMC12937130

What OpenQuestion holds

Textmetadata
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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.