Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners1999
Methadone treatment practices and outcome for opiate addicts treated in drug clinics and in general practice: results from the National Treatment Outcome Research Study.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.
- Primary care models for treating opioid use disorders: What actually works? A systematic review.PloS one · 2017Pooled it
- Oral substitution treatment of injecting opioid users for prevention of HIV infection.The Cochrane database of systematic reviews · 2011Pooled it
- Interim versus standard methadone treatment: a benefit-cost analysis.Journal of substance abuse treatment · 2014Trial
- Methadone induction in primary care (ANRS-Methaville): a phase III randomized intervention trial.BMC public health · 2012Trial
- Impact of methadone with versus without drug abuse counseling on HIV risk: 4- and 12-month findings from a clinical trial.Journal of addiction medicine · 2012Trial
- Interim methadone treatment: impact on arrests.Drug and alcohol dependence · 2009Trial
- Comparison of outcomes after 3-month methadone maintenance treatment between heroin users with and without HIV infection: a 3-month follow-up study.Harm reduction journal · 2015Article
- Physicians' attitudes towards office-based delivery of methadone maintenance therapy: results from a cross-sectional survey of Nova Scotia primary-care physicians.Harm reduction journal · 2012Article
- Just call it "treatment".Addiction science & clinical practice · 2012Article
- New approaches to dealing with opioid drug dependence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Scaling-up interim methadone maintenance: treatment for 1,000 heroin-addicted individuals.Journal of substance abuse treatment · 2009Article
- Dropout from outpatient mental health care in the United States.Psychiatric services (Washington, D.C.) · 2009Article
- Prevalence of problem alcohol use among patients attending primary care for methadone treatment.BMC family practice · 2009Article
- Chronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care.BMC family practice · 2009Article
- Factors affecting willingness to provide buprenorphine treatment.Journal of substance abuse treatment · 2009Article
- Office-based maintenance treatment of opioid dependence: how does it compare with traditional approaches?CNS drugs · 2008Review
- [Medical quality circles for drug replacement therapy].Wiener medizinische Wochenschrift (1946) · 2006Article
- Methadone vs buprenorphine.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Does methadone maintenance treatment based on the new national guidelines work in a primary care setting?The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- Experience of heroin overdose among drug users attending general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practitioners (GPs) are increasingly urged to become more involved in the care and treatment of drug misusers. Little information is available about the effectiveness of treatments delivered in primary health care or specialist settings. The impact of treatment setting is investigated as part of the National Treatment Outcome Research Study (NTORS). This is the largest study of treatment outcome for drug misusers ever conducted in the United Kingdom (UK).
aimThis paper presents six-month treatment outcomes for patients who received community-based methadone treatment in either a specialist drug clinic or a general practice setting.
methodA prospective, multisite follow-up study of treatment outcome was conducted with 452 opiate addicts who had been given methadone treatment in primary health care and specialist clinic settings. Outcome data are presented for substance use behaviours, health, and crime.
resultsImprovements at follow-up were found among both the GP and the clinic-treated groups in drug-related problems, health, and social functioning. Problems at intake were broadly comparable among the clinic-based and the GP patients. Similar levels and types of improvement were found for both groups at six-month follow-up.
conclusionsResults demonstrate the feasibility of treating opiate addicts using methadone in primary health care settings, and show that treatment outcomes for such patients can be as satisfactory as for patients in specialist drug clinics. The GPs in our study are unrepresentative in their willingness to be actively involved with problem drug users; moreover, several services treated relatively large numbers of drug users. Issues surrounding the growth of 'GP specialists' are discussed.
Indexed as
Identifiers
10622013PMC1313314W2164997274What OpenQuestion holds
Registered trials
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 OpenQuestion graph.