Evidence mapPaperPMID 25052325Full record

ArticleJournal of clinical pharmacology2015

The accuracy of self-reported drug ingestion histories in emergency department patients.

Andrew A Monte, Kennon J Heard, Jason A Hoppe, Vasilis Vasiliou, Frank J Gonzalez

Abstract readEditorial
In one paragraph

Article in Journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Impact of preoperative opioid use on patient-reported outcomes following primary total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Hepatitis C in pregnant American Indian and Alaska native women; 2003-2015.International journal of circumpolar health · 2019
    Article
  10. Article
  11. Observational
  12. Article
  13. Marijuana Tourism and Emergency Department Visits in Colorado.The New England journal of medicine · 2016
    Article
  14. Review
  15. 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

5 authors.

Andrew A MonteUniversity of Colorado Department of Emergency Medicine, Aurora, CO, USA; Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado, USA; Rocky Mountain Poison & Drug Center, Denver, Colorado, USA.
Kennon J Heard
Jason A Hoppe
Vasilis Vasiliou
Frank J Gonzalez

Funding

Molec. Mechanisms &Role of Corneal Aldehyde Dehydrogen.R01EY011490 · UNIVERSITY OF COLORADO DENVER · 2004 to 2005
$655k
NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR001082NEI NIH HHS R01 EY011490NEI NIH HHS R01 EY017963NEI NIH HHS R21 EY021688NIAAA NIH HHS R13 AA021659NIAAA NIH HHS R24 AA022057NIGMS NIH HHS K23 GM110516
6 · The paper itself

Abstract

Inaccuracies in self-reports may lead to duplication of therapy, failure to appreciate non-compliance leading to exacerbation of chronic medical conditions, or inaccurate research conclusions. Our objective is to determine the accuracy of self-reported drug ingestion histories in patients presenting to an urban academic emergency department (ED). We conducted a prospective cohort study in ED patients presenting for pain or nausea. We obtained a structured drug ingestion history including all prescription drugs, over-the-counter medication (OTC) drugs, and illicit drugs for the 48 hours prior to ED presentation. We obtained urine comprehensive drug screens (CDS) and determined self-report/CDS concordance. Fifty-five patients were enrolled. Self-reported drug ingestion histories were poor in these patients; only 17 (30.9%) of histories were concordant with the CDS. For the individual drug classes, prescription drug-CDS was concordant in 32 (58.2%), OTC-CDS was concordant in 33 (60%), and illicit drug-CDS was concordant in 45 (81.8%) of subjects. No demographic factors predicted an accurate self-reported drug history. Sixteen patients had drugs detected by CDS that were unreported by history. Nine of these 16 included an unreported opioid. In conclusion, self-reported drug ingestion histories are often inaccurate and resources are needed to confirm compliance and ensure unreported drugs are not overlooked.

Indexed as

Self ReportAdultDrug UtilizationEatingEmergency Service, HospitalFemaleHospitals, TeachingHumansIllicit DrugsMaleMedical History TakingMiddle AgedNonprescription DrugsPrescription DrugsProspective StudiesSubstance Abuse DetectionIllicit DrugsNonprescription DrugsPrescription Drugscompliancecomprehensive urine toxicology screenmedication reconciliationopioid abuse

Identifiers

PMID25052325
PMCPMC4276443

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.