Evidence map›Paper›PMID 19519882›Full record

ArticleBMC family practice2009

Prevalence of problem alcohol use among patients attending primary care for methadone treatment.

Niamh Ryder, Walter Cullen, Joseph Barry, Gerard Bury, Eamon Keenan, Bobby P Smyth

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Alcohol use in opioid agonist treatment.Addiction science & clinical practice · 2016
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Predicting biopsychosocial outcomes for heroin users in primary care treatment: a prospective longitudinal cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Article
  18. Review
  19. There is no age limit for methadone: a retrospective cohort study.Substance abuse treatment, prevention, and policy · 2011
    Article
  20. Article
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

6 authors at 3 institutions in 1 country.

Niamh RyderUCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dublin, Ireland. niamh.ryder@ucd.ie
Walter Cullen
Joseph Barry
Gerard Bury
Eamon Keenan
Bobby P Smyth
Coombe Women & Infants University Hospital · IETrinity College Dublin · IEHealth Service Executive · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProblem alcohol use is associated with adverse health outcomes among current or former heroin users and primary care is providing methadone treatment for increasing numbers of this population. This study aimed to determine the prevalence of problem alcohol use among current or former heroin users attending primary care for methadone treatment and to describe the socio-demographic characteristics and health service utilisation characteristics associated with problem alcohol uses.

methodsWe conducted a cross sectional survey of patients sampled from a national database of patients attending general practice for methadone treatment. Participants were recruited by their general practitioner and data was collected using an interviewer-administered questionnaire, which included the Alcohol Use Disorders Identification Test ('AUDIT'), with a score of >7 considered abnormal (ie 'AUDIT positive cases') and socio-demographic, medical and substance use characteristics.

resultsWe interviewed 196 patients (71% of those invited, 31% of those sampled, 11% of the national database). The median age was 32 years, 55% were hepatitis C positive, 79% had used illicit drugs in the previous month and 68% were male. Sixty-eight 'AUDIT positive' cases were identified (prevalence of 35%, 95% CI = 28-41%) and these were more likely to have attended a local Emergency Department in the previous year (p < 0.05) and less likely to have attended a hospital clinic in the previous year (p < 0.05). Twenty-seven (14%) scored 20 or higher indicating possible alcohol dependence.

conclusionProblem alcohol use has a high prevalence among current or former heroin users attending primary care for methadone treatment and interventions that address this issue should be explored as a priority. Interventions that address problem alcohol use in this population should be considered as a priority, although the complex medical and psychological needs of this population may make this challenging.

Indexed as

AdultAlcoholismAnalgesics, OpioidCross-Sectional StudiesFemaleHepatitis CHeroin DependenceHIV SeropositivityHumansIrelandMaleMethadoneMiddle AgedPrevalencePrimary Health CareSocial ClassAnalgesics, OpioidMethadone

Identifiers

PMID19519882
PMCPMC2702277
OpenAlexW2057360728

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.