Evidence mapPaperPMID 41284293Full record

ArticleJAMA network open2025

Cannabinoid Hyperemesis Syndrome, 2016 to 2022.

James A Swartz, Dana Franceschini

Abstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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.

James A SwartzJane Addams College of Social Work, University of Illinois Chicago, Chicago.
Dana FranceschiniJane Addams College of Social Work, University of Illinois Chicago, Chicago.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Cannabinoid hyperemesis syndrome (CHS), ie, recurrent emesis from chronic cannabis use, is increasingly observed in emergency departments (EDs), yet population-level estimates and sociodemographic correlates remain underexplored. Objective: To estimate CHS prevalence in US EDs, assess trends from 2016 to 2022, and examine sociodemographic associations. Design, Setting, and Participants: This cross-sectional study, using data from the Nationwide Emergency Department Sample (approximately 85% of annual US ED visits) examined patients aged 12 years and older. Patients with ED visits related to pregnancy, gastroparesis, or chemotherapy were excluded. Main Outcomes and Measures: ED visits were grouped into 4 categories. Primary outcome was comparative temporal trends between each of the 4 categories: (1) no cannabis use or cyclic vomiting syndrome (CVS); (2) cannabis-related condition only; (3) CVS only; and (4) both cannabis-related condition and CVS (CHS proxy). Restricted cubic splines modeled temporal trends; multinomial logistic regression identified sociodemographic factors associated with CHS. Results: The analytic sample included 188 610 906 unweighted visits (806 million weighted); 433 251 323 (54.4%) were female; mean (SD) age, 47.9 years (95% CI, 47.8-48.1 years). CHS increased from 4.4 per 100 000 visits, peaked at 33.1 in quarter 2 2020, and remained elevated at 22.3 in 2022; concurrently, CVS-only declined from 300 to 186 per 100 000 visits. Females had lower CHS risk (RRR, 0.92; 95% CI, 0.88-0.95) as did patients in the South vs Northeast (RRR, 0.46; 95% CI, 0.40-0.53); risk was highest at ages 18 to 25 years (RRR, 3.59; 95% CI, 3.38-3.81) and 26 to 35 years (RRR, 2.26; 95% CI, 2.14-2.40). Conclusions And Relevance: In this cross-sectional study of US ED visits, CHS prevalence increased sharply during the COVID-19 pandemic and remained elevated. The findings highlight the need for continued vigilance and refinements to the clinical recognition of CHS.

Indexed as

CannabinoidsEmergency Service, HospitalVomitingAdolescentAdultCannabinoid Hyperemesis SyndromeCross-Sectional StudiesFemaleHumansMaleMarijuana AbuseMiddle AgedPrevalenceSyndromeUnited StatesYoung AdultCannabinoids

Identifiers

PMID41284293
PMCPMC12645340

What Socratic holds

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Registered trials

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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 Socratic graph.