Evidence map›Paper›PMID 18193922›Full record

ReviewCNS drugs2008

Office-based maintenance treatment of opioid dependence: how does it compare with traditional approaches?

Erik W Gunderson, David A Fiellin

Abstract readReview
PubMed Publisher
In one paragraph

Review in CNS drugs, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.4field-weighted citation impact, top 5% of its field
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

17 citing papers in PubMed, 48 citations in OpenAlex.

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  12. Improving public health through access to and utilization of medication assisted treatment.International journal of environmental research and public health · 2011
    Review
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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

2 authors at 2 institutions in 1 country.

Erik W GundersonColumbia University College of Physicians and Surgeons, New York, New York, USA. eg2009@columbia.edu
David A Fiellin
Columbia University · USYale University · US

Funding

Buprenorphine for Opioid Dependence in Primary CareK23DA020000 · NIDA · UNIVERSITY OF VIRGINIA · PI GUNDERSON, ERIK W · 2005 to 2009
$884k
NIDA NIH HHS K23 DA020000NIDA NIH HHS L30 DA018521PHS HHS K23 020000
6 · The paper itself

Abstract

The increasing global public health burden of heroin dependence and prescription opioid dependence warrants further expansion of treatment models. The most effective intervention for opioid dependence remains maintenance with methadone, a full mu-opioid receptor agonist, or buprenorphine, a partial mu-opioid receptor agonist.A growing body of evidence supports the use of opioid receptor agonist maintenance in office-based settings. Office-based opioid treatment (OBOT) can expand treatment access in a less stigmatized environment, which enables integrated care of co-morbid conditions. The current review primarily examines OBOT in the US, although a comparison with the British and French models is provided, given that the public health impact and implementation of OBOT will likely vary between countries because of policy and logistical differences. The comparative effectiveness of maintenance treatment in office-based and traditional programme-based models of care requires further study. Clinical and practical considerations when providing treatment for opioid dependence in traditional versus office-based settings include patient selection and monitoring, health economics, management of co-morbid conditions, and access to ancillary psychosocial treatment. OBOT is not a replacement for more structured, traditional models of care, but provides an additional opportunity to help address the tremendous public health impact of opioid dependence.

Indexed as

Office VisitsPrimary Health CareAnalgesics, OpioidBuprenorphineHumansMethadoneOpioid-Related DisordersAnalgesics, OpioidBuprenorphineMethadone

Identifiers

PMID18193922
OpenAlexW1970071038

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.