Evidence map›Paper›PMID 21317592›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2011

Drug treatment outcomes among HIV-infected opioid-dependent patients receiving buprenorphine/naloxone.

David A Fiellin, Linda Weiss, Michael Botsko, James E Egan, Frederick L Altice, Lauri B Bazerman, Amina Chaudhry, Chinazo O Cunningham, Marc N Gourevitch, Paula J Lum and 4 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00263458 (Integrating Buprenorphine Into the SFGH AIDS Program), which is not on this map. Cited by 57 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 4 pooled it
7.2field-weighted citation impact, top 3% 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.

NCT00263458 phase4completednot on this map

Integrating Buprenorphine Into the SFGH AIDS Program (Patient Evaluation Study)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2005 to 2009Enrolled37ConditionsHIV, Buprenorphine, Opioid DependenceArmsIntegrated office-based buprenorphine treatment for opioid dependence in an HIV primary care setting
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

14 authors at 9 institutions in 1 country.

David A FiellinDepartments of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8093, USA. david.fiellin@yale.edu
Linda Weiss
Michael Botsko
James E Egan
Frederick L Altice
Lauri B Bazerman
Amina Chaudhry
Chinazo O Cunningham
Marc N Gourevitch
Paula J Lum
Lynn E Sullivan
Richard S Schottenfeld
Patrick G O'Connor
BHIVES Collaborative
Albert Einstein College of Medicine · USMontefiore Medical Center · USColumbia University Irving Medical Center · USJohns Hopkins University · USMiriam Hospital · USNew York Academy of Medicine · USNew York University · USSan Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

Immunology/Pathology CoreP30AI051519 · NIAID · YESHIVA UNIVERSITY · PI CHAN, JOHN R. · 2003 to 2013
$18.6M
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
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
IMPROVING EFFICACY OF DRUG ABUSE TREATMENTK24DA000445 · NIDA · YALE UNIVERSITY · PI SCHOTTENFELD, RICHARD S · 2000 to 2009
$1.3M
NIAID NIH HHS AI-51519NIAID NIH HHS P30 AI051519NIDA NIH HHS K24 DA000445NIDA NIH HHS K24 DA017072NIDA NIH HHS R25 DA023021NIDA NIH HHS R25DA023021
6 · The paper itself

Abstract

backgroundBuprenorphine/naloxone allows the integration of opioid dependence and HIV treatment.

methodsWe conducted a prospective study in HIV-infected opioid-dependent patients to investigate the impact of buprenorphine/naloxone treatment on drug use. Self-report and chart review assessments were conducted every 3 months (quarters 1-4) for 1 year. Outcomes were buprenorphine/naloxone treatment retention, drug use, and addiction treatment processes.

resultsAmong 303 patients enrolled between July 2005 and December 2007, retention in buprenorphine/naloxone treatment was 74%, 67%, 59%, and 49% during Quarters 1, 2, 3, and 4, respectively. Past 30-day illicit opioid use decreased from 84% of patients at baseline to 42% in retained patients over the year. Patients were 52% less likely to use illicit opioids for each quarter in treatment (Odds ratio = 0.66; 95% CI: 0.61 to 0.72). Buprenorphine/naloxone doses and office visits approximated guidelines published by the United States Department of Health and Human Services. Urine toxicology monitoring was less frequent than recommended.

conclusionsBuprenorphine/naloxone provided in HIV treatment settings can decrease opioid use. Strategies are needed to improve retention and address ongoing drug use in this treatment population.

Indexed as

BuprenorphineBuprenorphine, Naloxone Drug CombinationFemaleHIV InfectionsHumansMaleNaloxoneNarcotic AntagonistsOdds RatioOpiate Substitution TreatmentOpioid-Related DisordersProspective StudiesTreatment OutcomeBuprenorphineBuprenorphine, Naloxone Drug CombinationNaloxoneNarcotic Antagonists

Identifiers

PMID21317592
PMCPMC3863630
OpenAlexW1984324957

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.