Impact of Cannabis Use on Inpatient Inflammatory Bowel Disease Outcomes in 2 States Legalizing Recreational Cannabis

Pusateri, Antoinette; Anaizi, Ahmad; Nemer, Laura; Hinton, Alice; Lara, Luis F.; Afzali, Anita

doi:10.1093/crocol/otac015

Cited by 1 publication

(2 citation statements)

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“…57 The final study examining inflammatory bowel disease (IBD) outcomes in the U.S. found more cannabis users on total parenteral nutrition post-RCL (95% CI: 0.02, 0.89) and lower total hospital costs in users post-RCL (95% CI: −15 717, −1119). 58 No other IBD outcomes differed pre- to post-RCL (eg, mortality, length of stay, need for surgery, abscess incision and drainage).…”

Section: Resultsmentioning

confidence: 96%

“…A study based in Colorado and Washington, found that cannabis use rates in inflammatory bowel disease patients significantly increased from 107 users to 413 ( P ⩽ .001) pre to post-RCL. 58 A Canada-based study of women with moderate-to-severe pelvic pain found an increase in the prevalence of current cannabis use following RCL (13.3% to 21.5%; P ⩽ .001). 59 Another Canadian study showed an increase in the prevalence of current cannabis use after RCL among cancer patients (23.1% to 29.1%; P ⩽ .01).…”

Section: Resultsmentioning

confidence: 99%

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The Impact of Recreational Cannabis Legalization on Cannabis Use and Associated Outcomes: A Systematic Review

et al. 2023

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Background: Recreational cannabis legalization has become more prevalent over the past decade, increasing the need to understand its impact on downstream health-related outcomes. Although prior reviews have broadly summarized research on cannabis liberalization policies (including decriminalization and medical legalization), directed efforts are needed to synthesize the more recent research that focuses on recreational cannabis legalization specifically. Thus, the current review summarizes existing studies using longitudinal designs to evaluate impacts of recreational cannabis legalization on cannabis use and related outcomes. Method: A comprehensive bibliographic search strategy revealed 61 studies published from 2016 to 2022 that met criteria for inclusion. The studies were predominantly from the United States (66.2%) and primarily utilized self-report data (for cannabis use and attitudes) or administrative data (for health-related, driving, and crime outcomes). Results: Five main categories of outcomes were identified through the review: cannabis and other substance use, attitudes toward cannabis, health-care utilization, driving-related outcomes, and crime-related outcomes. The extant literature revealed mixed findings, including some evidence of negative consequences of legalization (such as increased young adult use, cannabis-related healthcare visits, and impaired driving) and some evidence for minimal impacts (such as little change in adolescent cannabis use rates, substance use rates, and mixed evidence for changes in cannabis-related attitudes). Conclusions: Overall, the existing literature reveals a number of negative consequences of legalization, although the findings are mixed and generally do not suggest large magnitude short-term impacts. The review highlights the need for more systematic investigation, particularly across a greater diversity of geographic regions.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%