Evidence map›Paper›PMID 20177974›Full record

Trial reportJournal of urban health : bulletin of the New York Academy of Medicine2010

Improved HIV and substance abuse treatment outcomes for released HIV-infected prisoners: the impact of buprenorphine treatment.

Sandra Ann Springer, Shu Chen, Frederick L Altice

Registry-linked trialOpen access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of urban health : bulletin of the New York Academy of Medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00786396 (Directly Observed Therapy for Community-Released HIV+ Prisoners), which is not on this map. Cited by 88 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 9 pooled it
17.4field-weighted citation impact, top 1% 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.

NCT00786396 nacompletednot on this map

Directly Observed Therapy for Community-Released HIV+ Prisoners

TypeinterventionalSponsorYale UniversityRan2004 to 2010Enrolled151ConditionsHIV/AIDS, Substance AbuseArmsDirectly administered antiretroviral therapy
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 9 syntheses or guidelines pooled it, 118 citations in OpenAlex.

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28 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

3 authors at 1 institution in 1 country.

Sandra Ann SpringerYale AIDS Program, 135 College Street, Suite 323, New Haven, CT 06510, USA. Sandra.springer@yale.edu
Shu Chen
Frederick L Altice
Yale University · US

Funding

Direct/Observed Therapy/Community-Released HIV+PrisonersR01DA017059 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2004 to 2008
$3.3M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Opiate Dependence, HIV and Adherence InterventionsK23DA019381 · NIDA · YALE UNIVERSITY · PI SPRINGER, SANDRA ANN · 2005 to 2009
$874k
Improving Health Outcomes for Released HIV+ PrisonersR21DA019843 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2006 to 2007
$405k
NIDA NIH HHS K23 DA019381NIDA NIH HHS K24 DA017072NIDA NIH HHS R01 DA017059NIDA NIH HHS R21 DA019843
6 · The paper itself

Abstract

HIV-infected prisoners fare poorly after release. Though rarely available, opioid agonist therapy (OAT) may be one way to improve HIV and substance abuse treatment outcomes after release. Of the 69 HIV-infected prisoners enrolled in a randomized controlled trial of directly administered antiretroviral therapy, 48 (70%) met DSM-IV criteria for opioid dependence. Of these, 30 (62.5%) selected OAT, either as methadone (N = 7, 14.5%) or buprenorphine/naloxone (BPN/NLX; N = 23, 48.0%). Twelve-week HIV and substance abuse treatment outcomes are reported as a sub-study for those selecting BPN/NLX. Retention was high: 21 (91%) completed BPN/NLX induction and 17 (74%) remained on BPN/NLX after 12 weeks. Compared with baseline, the proportion with a non-detectable viral load (61% vs 63% log(10) copies/mL) and mean CD4 count (367 vs 344 cells/mL) was unchanged at 12 weeks. Opiate-negative urine testing remained 83% for the 21 who completed induction. Using means from 10-point Likert scales, opioid craving was reduced from 6.0 to 1.8 within 3 days of BPN/NLX induction and satisfaction remained high at 9.5 throughout the 12 weeks. Adverse events were few and mild. BPN/NLX therapy was acceptable, safe and effective for both HIV and opioid treatment outcomes among released HIV-infected prisoners. Future randomized controlled trials are needed to affirm its benefit in this highly vulnerable population.

Indexed as

PrisonersAnti-Retroviral AgentsBuprenorphineBuprenorphine, Naloxone Drug CombinationCD4 Lymphocyte CountFemaleHIV InfectionsHumansMaleMental DisordersMethadoneMiddle AgedNaloxoneNarcotic AntagonistsNarcoticsSubstance-Related DisordersAnti-Retroviral AgentsBuprenorphineBuprenorphine, Naloxone Drug CombinationMethadoneNaloxoneNarcotic AntagonistsNarcotics

Identifiers

PMID20177974
PMCPMC2900572
OpenAlexW2008827169

What OpenQuestion holds

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LicenceCC BY-NC
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.