Evidence map›Paper›PMID 21402963›Full record

ReviewCanadian family physician Medecin de famille canadien2011

Buprenorphine: new treatment of opioid addiction in primary care.

Meldon Kahan, Anita Srivastava, Alice Ordean, Sharon Cirone

Open access · greenAbstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Article
  6. Article
  7. A Facility-Wide Plan to Increase Access to Medication for Opioid Use Disorder in Primary Care and General Mental Health Settings.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Can you vaccinate against substance abuse?Expert opinion on biological therapy · 2013
    Review
  15. A morphine conjugate vaccine attenuates the behavioral effects of morphine in rats.Progress in neuro-psychopharmacology & biological psychiatry · 2013
    Article
  16. Article
  17. Nicotine vaccines to treat tobacco dependence.Human vaccines & immunotherapeutics · 2013
    Review
  18. Article
  19. Update on the clinical use of buprenorphine: in opioid-related disorders.Canadian family physician Medecin de famille canadien · 2012
    Review
  20. Vaccines against drug abuse.Clinical pharmacology and therapeutics · 2012
    Review
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

4 authors at 1 institution in 1 country.

Meldon KahanDepartment of Family Medicine, St Joseph's Health Centre, Toronto, ON M6R 1B5, Canada. kahanm@stjoe.on.ca
Anita Srivastava
Alice Ordean
Sharon Cirone
St Joseph's Health Centre · CA

Funding

Maternal Opioid Treatment: Human Experimental ResearchR01DA015741 · NIDA · ST. JOSEPH'S HEALTH CENTRE · PI SELBY, PETER L · 2004 to 2008
$643k
NIDA NIH HHS R01 DA015741
6 · The paper itself

Abstract

objectiveTo review the use of buprenorphine for opioid-addicted patients in primary care. QUALITY OF EVIDENCE: The MEDLINE database was searched for literature on buprenorphine from 1980 to 2009. Controlled trials, meta-analyses, and large observational studies were reviewed. MAIN MESSAGE: Buprenorphine is a partial opioid agonist that relieves opioid withdrawal symptoms and cravings for 24 hours or longer. Buprenorphine has a much lower risk of overdose than methadone and is preferred for patients at high risk of methadone toxicity, those who might need shorter-term maintenance therapy, and those with limited access to methadone treatment. The initial dose should be given only after the patient is in withdrawal. The therapeutic dose range for most patients is 8 to 16 mg daily. It should be dispensed daily by the pharmacist with gradual introduction of take-home doses. Take-home doses should be introduced more slowly for patients at higher risk of abuse and diversion (eg, injection drug users). Patients who fail buprenorphine treatment should be referred for methadone- or abstinence-based treatment.

conclusionBuprenorphine is an effective treatment of opioid addiction and can be safely prescribed by primary care physicians.

Indexed as

Primary Health CareBuprenorphineHumansOpioid-Related DisordersBuprenorphine

Identifiers

PMID21402963
PMCPMC3056674
OpenAlexW2147057496

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.