Evidence map›Paper›PMID 20716305›Full record

Trial reportThe American journal on addictions

A randomized trial of oral naltrexone for treating opioid-dependent offenders.

Donna M Coviello, James W Cornish, Kevin G Lynch, Arthur I Alterman, Charles P O'Brien

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal on addictions. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 7 pooled it
3.2field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 7 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pharmacotherapy for opioid addiction in community corrections.International review of psychiatry (Abingdon, England) · 2018
    Pooled it
  5. Pooled it
  6. Pharmacological interventions for drug-using offenders.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Pharmacological therapies for maintenance treatments of opium dependence.The Cochrane database of systematic reviews · 2013
    Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Italian psychiatry.International review of psychiatry (Abingdon, England) · 2018
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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

5 authors at 2 institutions in 1 country.

Donna M CovielloDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. coviello d@mail.trc.upenn.edu
James W Cornish
Kevin G Lynch
Arthur I Alterman
Charles P O'Brien
University of Pennsylvania · USVeterans Health Administration · US

Funding

NALTREXONE TREATMENT OF OPIOID DEPENDENT PAROLEESR01DA012268 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI CORNISH, JAMES W. · 2000 to 2006
$2.4M
NIDA NIH HHS R01 DA012268NIDA NIH HHS R01-DA-012268
6 · The paper itself

Abstract

Offenders with a history of opioid dependence are a particularly difficult group to treat. A large proportion of offenders typically relapse shortly after release from prison, commit drug-related crimes, and then are arrested and eventually re-incarcerated. Previous research demonstrated that oral naltrexone was effective in reducing opioid use and preventing recidivism among offenders under federal supervision. The 111 opioid-dependent offenders in this study were under various levels of supervision that included county and federal probation/parole, a treatment court, an alternative disposition program, and an intermediate punishment program. Subjects were randomly assigned to receive 6 months of either 300 mg per week of oral naltrexone plus standard psychosocial treatment as usual (n = 56) or standard psychosocial treatment as usual (TAU) without naltrexone (n = 55). While the TAU subjects who remained in treatment used more opioids than the naltrexone subjects who remained, the high dropout rate for both groups made it difficult to assess the effectiveness of naltrexone. The study provides limited support for the use of oral naltrexone for offenders who are not closely monitored by the criminal justice system.

Indexed as

Administration, OralAdolescentAdultCriminalsFemaleHumansMaleMiddle AgedNaltrexoneNarcotic AntagonistsOpioid-Related DisordersPsychotherapyNaltrexoneNarcotic Antagonists

Identifiers

PMID20716305
PMCPMC3040635
OpenAlexW1954959185

What OpenQuestion holds

Textmetadata
LicenceTDM
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.