2019 July JAMIA Journal Club Webinar

July 11, 2019
Free for AMIA members; $50 for non-members.
Meredith C.B. Adams, MD, MS, FASA

Unclassified drug overdose deaths in the opioid crisis: emerging patterns of inequity

Author Meredith C. B. Adams will discuss this month's JAMIA Journal Club selection:

Boslett AJ, Denham A, Hill EL, Adams MCB. Unclassified drug overdose deaths in the opioid crisis: emerging patterns of inequity. J Am Med Inform Assoc. 2019 Apr 29. pii: ocz050. doi: 10.1093/jamia/ocz050. [Epub ahead of print] [Abstract]


Meredith CB Adams, MD, MS, FASA
Assistant Professor, Anesthesiology
Department of Anesthesiology
Wake Forest Baptist Health
Winston-Salem, NC

Meredith C. B. Adams, M.D., M.S., FASA, is an Assistant Professor of Anesthesiology at Wake Forest Health and is board certified in Anesthesiology, Pain Medicine, and Clinical Informatics. She is currently funded by the NIH National Institute of Biomedical Imaging and Bioengineering (K08) to study opioid response phenotypes for people with low back pain through the Mentored Clinician Scientist program. Dr. Adams is a member of Dr. Jim Eisenach's Pain Mechanisms Lab at Wake Forest. Dr. Adams teaches and practices clinical pain medicine at Wake Forest Health. Her research interests are pain informatics novel approaches to pain education and. Her previous funding is in educational app development for pain medicine through FAER/SAAA and the Faye McBeath Foundations.


  • 35-minute discussion between the authors and the JAMIA Student Editorial Board moderators including salient features of the published study and its potential impact on practice.
  • 25-minute discussion of questions submitted by listeners via the webinar tools and moderated by JAMIA Student Editorial Board members


JAMIA Journal Club managers and monthly moderators are JAMIA Student Editorial Board members:

Kelson Zawack, PhD, Postdoctoral Fellow, Biostatistics Department, Yale University, New Haven, CT
Manager and Moderator

Tiffany J. Callahan, MPH, PhD Candidate, Computational Bioscience Program at the University of Colorado Denver Anschutz Medical Campus, Aurora, CO





The PubMed citation for the paper under discussion is:

Boslett AJ, Denham A, Hill EL, Adams MCB. Unclassified drug overdose deaths in the opioid crisis: emerging patterns of inequity. J Am Med Inform Assoc. 2019 Apr 29. pii: ocz050. doi: 10.1093/jamia/ocz050. [Epub ahead of print] [Abstract]

Student Access

Students who are not AMIA members, but whose academic institutions are members of the Academic Forum, are eligible for a complimentary JAMIA Journal Club registration. Please contact Susanne Arnold at susanne@amia.org for the discount code. In the email, please include: full name, Academic Department, and the primary Academic Forum representative of that Academic Department. Note that AMIA Student memberships are $50, which allow access to JAMIA, all JAMIA Journal Clubs, and other webinars of interest to the biomedical informatics community. 

Statement of Purpose

The opioid crisis has impacted affected individuals and families across geographic and economic demographics. One challenge of the opioid crisis is that resource support is driven by opioid-related death reporting. Opioid overdose deaths have a significant missing data problem undermining large-scale data automated analysis and monitoring. The health equity implication of opioid crisis missing data is a subsequent disparity in resource support. Prior work has focused on system issues regarding overdose reporting, and this work shifts to individual factors associated with the decedent.

The goal of this work was to evaluate whether individual, geographic, and economic factors influence missing data in overdose mortality reporting. In this study, we combined mortality data sources to evaluate the association of individual, geographic, and economic factors with unidentified drug overdose data. Combining economic data with individual and geographic data, we identified consistently significant variables for unidentified drug poisoning deaths.

Target Audience

The target audience for this activity is professionals and students interested in biomedical and health informatics.

Learning Objectives

The general learning objective for all of the JAMIA Journal Club webinars is that participants will

  • Use a critical appraisal process to assess article validity and to gauge article findings' relevance to practice

After this live activity, the participant should be better able to:

  •  Identify factors associated with missing data in overdose data.
  •  Describe limitations regarding overdose data
  •  Interpret findings regarding overdose data presented in this manuscript

This JAMIA Journal Club does not offer continuing education credit.

In our dedication to providing unbiased education even when no CE credit is associated with it, we provide planners’ and presenters’ disclosure of relevant financial relationships with commercial interests that has the potential to introduce bias in the presentation: 

Disclosures for this Activity

These faculty, planners, and staff who are in a position to control the content of this activity disclose that they and their life partners have no relevant financial relationships with commercial interests: 

JAMIA Journal Club planners: Michael Chiang, Kelson Zawack, Tiffany J. Callahan
AMIA staff: Susanne Arnold, Pesha Rubinstein
JAMIA Journal Club presenter Meredith C. B. Adams discloses that her spouse has received fellowship educational grant support from Medtronic.

Contact Info

For questions about webinar access, email Susanne@amia.org.