Evidence map›Paper›PMID 18715741›Full record

ArticleJournal of substance abuse treatment2009

Factors affecting willingness to provide buprenorphine treatment.

Julie Netherland, Michael Botsko, James E Egan, Andrew J Saxon, Chinazo O Cunningham, Ruth Finkelstein, Mark N Gourevitch, John A Renner, Nancy Sohler, Lynn E Sullivan and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04650386 (Enhancing Office-based Buprenorphine Treatment), which is not on this map. Cited by 89 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 2% 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.

NCT04650386 nacompletednot on this mapstarted 2020, after this paper: background citation

Enhancing Office-based Buprenorphine Treatment: An Adaptive Psychosocial Approach

TypeinterventionalSponsorPublic Health Management CorporationRan2020 to 2024Enrolled125ConditionsOpioid-use DisorderArmsPsychosocial support determined by adaptive treatment algorithm
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 4 syntheses or guidelines pooled it, 182 citations in OpenAlex.

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  15. Primary care professionals' perspectives on tailoring buprenorphine training for rural practice.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
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29 more citing papers are in PubMed but not listed here.

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

13 authors at 8 institutions in 1 country.

Julie NetherlandThe New York Academy of Medicine, Division of Health Policy, New York, NY 10029, USA. jnetherland@nyam.org
Michael Botsko
James E Egan
Andrew J Saxon
Chinazo O Cunningham
Ruth Finkelstein
Mark N Gourevitch
John A Renner
Nancy Sohler
Lynn E Sullivan
Linda Weiss
David A Fiellin
BHIVES Collaborative
New York Academy of Medicine · USYale University · USAlbert Einstein College of Medicine · USCity College of New York · USNew York Academy of Sciences · USNew York University · USVA Boston Healthcare System · USVA Puget Sound Health Care System · US

Funding

HIV and Substance Abuse Clinical Addiction Research and Education (CARE) ProgramR25DA023021 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ARNSTEN, JULIA H. · 2007 to 2014
$2.7M
NIDA NIH HHS R25 DA023021PHS HHS H97HA03795
6 · The paper itself

Abstract

Buprenorphine is an effective long-term opioid agonist treatment. As the only pharmacological treatment for opioid dependence readily available in office-based settings, buprenorphine may facilitate a historic shift in addiction treatment from treatment facilities to general medical practices. Although many patients have benefited from the availability of buprenorphine in the United States, almost half of current prescribers are addiction specialists suggesting that buprenorphine treatment has not yet fully penetrated general practice settings. We examined factors affecting willingness to offer buprenorphine treatment among physicians with different levels of prescribing experience. Based on their prescribing practices, physicians were classified as experienced, novice, or as a nonprescriber and asked to assess the extent to which a list of factors impacted their prescription of buprenorphine. Several factors affected willingness to prescribe buprenorphine for all physicians: staff training; access to counseling and alternate treatment; visit time; buprenorphine availability; and pain medications concerns. Compared with other physicians, experienced prescribers were less concerned about induction logistics and access to expert consultation, clinical guidelines, and mental health services. They were more concerned with reimbursement. These data provide important insight into physician concerns about buprenorphine and have implications for practice, education, and policy change that may effectively support widespread adoption of buprenorphine.

Indexed as

PhysiciansAdultBuprenorphineDrug UtilizationFemaleHealth Care SurveysHIV InfectionsHumansMaleNarcotic AntagonistsOpioid-Related DisordersPrescriptionsSocioeconomic FactorsSpecializationBuprenorphineNarcotic Antagonists

Identifiers

PMID18715741
PMCPMC2866292
OpenAlexW2088789920

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.