Evidence map›Paper›PMID 41884676›Full record

ArticleJournal of pain research2026

Adverse Drug Events Associated with Opioid Treatment for Pain After Motor Vehicle Crash.

Andrew R Zullo, Steven Balog, Marzan A Khan, Melissa R Pfeiffer, Melissa R Riester, Allison E Curry, Francesca L Beaudoin, Arman Oganisian, Brandon D L Marshall, Patience M Dow and 2 more

Abstract read
In one paragraph

Article in Journal of pain research, 2026. 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

12 authors.

Andrew R ZulloDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Steven BalogDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Marzan A KhanDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Melissa R PfeifferCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Melissa R RiesterDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Allison E CurryCenter for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Francesca L BeaudoinDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Arman OganisianDepartment of Biostatistics, Brown University School of Public Health, Providence, RI, USA.
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.ORCID 0000-0002-0134-7052
Patience M DowCenter for Gerontology and Healthcare Research, Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Beth A DanaCenter for Gerontology and Healthcare Research, Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA.
Nina R JoyceDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.ORCID 0000-0001-7611-5494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Thousands of motor vehicle crash (MVC) related deaths and injuries occur among older adults every year in the United States. Injuries from MVC may cause acute or chronic pain resulting in functional decline and disability. Opioid treatment poses risk of adverse drug events (ADEs) including dependency, overdose, respiratory problems, and other complications. Our objective was to evaluate the comparative risks of ADEs associated with three opioid prescribing strategies: 1) greater versus lesser days' supply (≥6 days versus ≤5 days), 2) higher versus lower doses (≥30 MME versus <30 MME), and 3) tramadol versus other opioids over 45 days of follow-up. Methods: The study utilized Medicare claims linked to New Jersey drivers' licensing and police-reported crashes to emulate three target trials for each pairwise treatment comparison from May 1, 2007-November 16, 2017. The study included Medicare beneficiaries aged >67 years who initiated opioids within 10 days after MVC. Results: Among 510 beneficiaries, the mean (standard deviation) age was 76.1 (6.6) years, with 59.8% females and 90.4% White race. For the intention-to-treat estimand, risk ratios (RRs) [95% confidence limits (CLs)] were 1.64 (0.64, 4.57), 0.83 (0.45, 1.76), and 0.54 (0.21, 4.01) for days' supply, dose, and tramadol treatment strategies, respectively. There were no significant differences in ADE risk for any of the pairwise treatment comparisons in the intention-to-treat or per-protocol analyses. However, there was a considerable amount of uncertainty surrounding our effect measures. Conclusion: Physicians must continue to exercise caution while considering prescribing opioids for pain management in older adults.

Indexed as

dosepharmacoepidemiologyprescribingsupplytramadol

Identifiers

PMID41884676
PMCPMC13008597

What Socratic holds

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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.