{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T05:27:28Z","timestamp":1775626048151,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01\u2010DA050771"],"award-info":[{"award-number":["K01\u2010DA050771"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["CDA 19\u2010233"],"award-info":[{"award-number":["CDA 19\u2010233"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["IIR 15\u2010095"],"award-info":[{"award-number":["IIR 15\u2010095"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Public health surveillance for overdose sometimes depends on nonfatal drug overdoses recorded in health records. However, the proportion of total overdoses identified through health record systems is unclear. Comparison of overdoses from health records to those that are self\u2010reported may provide insight on the proportion of nonfatal overdoses that are not identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cohort study linking survey data on overdose from a national survey of Veterans to United States Department of Veterans Affairs (VA) health records, including community care paid for by VA. Self\u2010reported overdose in the prior 3 years was compared to diagnostic codes for overdoses and substance use disorders in the same time period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sensitivity of diagnostic codes for overdose, compared to self\u2010report as a reference standard for this analysis, varied by substance: 28.1% for alcohol, 23.1% for sedatives, 12.0% for opioids, and 5.5% for cocaine. There was a notable concordance between substance use disorder diagnoses and self\u2010reported overdose (sensitivity range 17.9%\u201390.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Diagnostic codes in health records may not identify a substantial proportion of drug overdoses. A health record diagnosis of substance use disorder may offer a stronger inference regarding the size of the population at risk. Alternatively, screening for self\u2010reported overdose in routine clinical care could enhance overdose surveillance and targeted intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>This study suggests that diagnostic codes for overdose are insensitive. These findings support consideration of alternative approaches to overdose surveillance in public health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13327","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T07:44:58Z","timestamp":1661327098000},"page":"517-522","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Sensitivity of health records for self\u2010reported nonfatal drug and alcohol overdose"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0015-5809","authenticated-orcid":false,"given":"Kevin R.","family":"Riggs","sequence":"first","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham School of Medicine Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aerin J.","family":"DeRussy","sequence":"additional","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Leisch","sequence":"additional","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham School of Medicine Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chelsea L.","family":"Shover","sequence":"additional","affiliation":[{"name":"University of California David Geffen School of Medicine Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy S. B.","family":"Bohnert","sequence":"additional","affiliation":[{"name":"Michigan Medicine Department of Anesthesiology Ann Arbor Michigan USA"},{"name":"VA Center for Clinical Management Research Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"April E.","family":"Hoge","sequence":"additional","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann E.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham School of Public Health Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allyson L.","family":"Varley","sequence":"additional","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham School of Medicine Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey L.","family":"Jones","sequence":"additional","affiliation":[{"name":"VA Salt Lake City Health Care System Salt Lake City Utah USA"},{"name":"University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam J.","family":"Gordon","sequence":"additional","affiliation":[{"name":"VA Salt Lake City Health Care System Salt Lake City Utah USA"},{"name":"University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan G.","family":"Kertesz","sequence":"additional","affiliation":[{"name":"Birmingham VA Health Care System Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham School of Medicine Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6911a4"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0033354920904087"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2021.103725"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000099"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2019-043521"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-2-201001190-00006"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.8071"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.11013"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1185-x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-016-0075-4"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.4157"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2018.1546263"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.4886"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13121"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.4772"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14878"},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","unstructured":"deRussyAJ JonesAL AustinEL et al.Insights for conducting large\u2010scale surveys with veterans who have experienced homelessness.J Soc Distress Homelessness.2021:1\u201012. 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