Evidence mapPaperPMID 29142478Full record

Observational studyWorld journal of gastroenterology2017

Chronic opioids in gastroparesis: Relationship with gastrointestinal symptoms, healthcare utilization and employment.

Asad Jehangir, Henry P Parkman

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.4field-weighted citation impact, top 4% of its field
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

17 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Scoping review: the social and emotional impacts of gastroparesis.Translational gastroenterology and hepatology · 2024
    Article
  5. Review
  6. Baseline Predictors of Longitudinal Changes in Symptom Severity and Quality of Life in Patients With Suspected Gastroparesis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Observational
  7. Article
  8. Article
  9. Article
  10. Gastroparesis: New insights into an old disease.World journal of gastroenterology · 2020
    Review
  11. Review
  12. Diabetic Gastroparesis.Endocrine reviews · 2019
    Review
  13. Review
  14. Gastroparesis.Nature reviews. Disease primers · 2018
    Review
  15. Observational
  16. Diabetic gastroparesis: current challenges and future prospects.Clinical and experimental gastroenterology · 2018
    Review
  17. 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

2 authors at 1 institution in 1 country.

Asad JehangirDepartment of Internal Medicine, Reading Health System, Spruce St/6 Ave, West Reading, PA 19611, United States.
Henry P ParkmanDepartment of Gastroenterology, Temple University Hospital, Philadelphia, PA 19140, United States. henry.parkman@tuhs.temple.edu.
Temple University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine the relationship of chronic scheduled opioid use on symptoms, healthcare utilization and employment in gastroparesis (Gp) patients.

methodsPatients referred to our tertiary care academic center from May 2016 to July 2017, with established diagnosis or symptoms suggestive of Gp filled out the Patient Assessment of Upper GI Symptoms, abdominal pain and demographics questionnaires, and underwent gastric emptying and blood tests. They were asked about taking pain medicines and the types, doses, and duration. We used Mann Whitney U test, Analysis of Variance, Student's t test and χ

resultsOf 223 patients with delayed gastric emptying, 158 (70.9%) patients were not taking opioids (GpNO), 22 (9.9%) were taking opioids only as needed, while 43 (19.3%) were on chronic (> 1 mo) scheduled opioids (GpCO), of which 18 were taking opioids for reasons that included gastroparesis and/or stomach pain. Median morphine equivalent use was 60 mg per day. GpCO reported higher severities of many gastrointestinal symptoms compared to GpNO including nausea (mean ± SE of mean of 4.09 ± 0.12

conclusionGpCO had a higher severity of many gastrointestinal symptoms, compared to GpNO. Hospitalization rates were more than 2-fold higher in GpCO than GpNO. GpCO also had lower employment rate and working hours, when compared to GpNO.

Indexed as

AdultAnalgesics, OpioidEmploymentFemaleGastric EmptyingGastrointestinal DiseasesGastroparesisHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareQuality of LifeRetrospective StudiesSurveys and QuestionnairesTime FactorsAnalgesics, OpioidEmploymentGastroparesisHospitalizationsOpioidSymptoms

Identifiers

PMID29142478
PMCPMC5677192
OpenAlexW2766371555

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.