Evidence map›Paper›PMID 20737811›Full record

Trial reportCanadian journal of public health = Revue canadienne de sante publique

Characteristics and response to treatment among Aboriginal people receiving heroin-assisted treatment.

Eugenia Oviedo-Joekes, Daphne Guh, David C Marsh, Suzanne Brissette, Bohdan Nosyk, Michael Krausz, Aslam Anis, Wayne M Christian, Patricia Spittal, Martin T Schechter

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

10 authors at 5 institutions in 1 country.

Eugenia Oviedo-JoekesSchool of Population and Public Health, University of British Columbia, Vancouver, BC. eugenia@mail.cheos.ubc.ca
Daphne Guh
David C Marsh
Suzanne Brissette
Bohdan Nosyk
Michael Krausz
Aslam Anis
Wayne M Christian
Patricia Spittal
Martin T Schechter
Centre for Advancing Health Outcomes · CAProvidence Health Care · CACentre Hospitalier de l’Université de Montréal · CAUniversity of British Columbia · CAUniversity of Victoria · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundMedically prescribed diacetylmorphine, the active ingredient of heroin, has been shown to be effective for the treatment of severe opioid addiction. However, there are no data regarding its effectiveness among Aboriginal heroin injectors.

methodsThe present analyses were performed using data from the NAOMI study (North American Opiate Maintenance Initiative), an open-label randomized controlled trial that compared the effectiveness of injectable diacetylmorphine (45.8%) and hydromorphone (10%) vs. oral methadone (44.2%) among long-term treatment-refractory opioid-dependent individuals. Rates of retention and response to treatment were analyzed among participants from the Vancouver site (n = 192).

resultsBaseline profiles were similar among Aboriginal (n = 60) and non-Aboriginal (n = 132) participants except for higher HIV positive rates among Aboriginal people (23.3% vs. 8.3%). Among Aboriginal participants in the injection and methadone groups, retention rates at 12 months were 84.4% vs. 57.1% and response rates were 68.8% vs. 53.4%, respectively. Aboriginal and non-Aboriginal rates were not significantly different. DISCUSSION: Offering treatment assisted with medically prescribed diacetylmorphine or hydromorphone to long-term treatment-refractory opioid-dependent Aboriginal people could be an effective way to attract them into and retain them in treatment as well as dramatically reduce the risk of HIV infection.

Indexed as

AdultBritish ColumbiaFemaleHeroinHeroin DependenceHumansHydromorphoneIndians, North AmericanInuitMaleMethadoneNarcoticsTreatment OutcomeHeroinHydromorphoneMethadoneNarcotics

Identifiers

PMID20737811
PMCPMC6973743
OpenAlexW2157906844

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.