Evidence map›Paper›PMID 22105061›Full record

Trial reportJournal of addiction medicine2012

Comparison of buprenorphine treatment for opioid dependence in 3 settings.

Karen Miotto, Maureen Hillhouse, Roger Donovick, Jerry Cunningham-Rathner, Charlie Charuvastra, Matthew Torrington, Asher E Esagoff, Walter Ling

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of addiction medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 16% 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, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. How to Combat the Global Opioid Crisis.CPQ neurology and psychology · 2023
    Article
  11. Article
  12. Article
  13. Observational
  14. New Approaches in Drug Dependence: Opioids.Current addiction reports · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Canadian family physician Medecin de famille canadien · 2017
    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

8 authors at 3 institutions in 1 country.

Karen MiottoDepartment of Psychiatry, University of California at Los Angeles, CA, USA. kmiotto@mednet.ucla.edu
Maureen Hillhouse
Roger Donovick
Jerry Cunningham-Rathner
Charlie Charuvastra
Matthew Torrington
Asher E Esagoff
Walter Ling
University of California, Los Angeles · USWest Los Angeles College · USNational Institute on Drug Abuse · US

Funding

Rapid Screening of Methamphetamine PharmacotherapiesP50DA012755 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SHOPTAW, STEVEN · 1999 to 2003
$4.8M
RAPID EVALUATION OF COCAINE PHARMACOTHERAPIESP50DA009260 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI COMPTON, PEGGY · 1994 to 1998
–
NIDA NIH HHS 1 DA P-50 09260NIDA NIH HHS P50 DA009260NIDA NIH HHS P50 DA012755NIDA NIH HHS P-50 DA 12755
6 · The paper itself

Abstract

unlabelledAlthough use of buprenorphine in the treatment of opioid dependence is expected to continue to increase, little is known about the optimal setting for providing the medical and psychosocial care required with buprenorphine pharmacotherapy.

objectiveThis study compared buprenorphine therapy delivered in 3 distinct treatment settings: an opioid treatment program (OTP) offering individual counseling, a group counseling program utilizing the manualized Matrix Model (MMM) of cognitive-behavioral treatment, and a private clinic setting mirroring standard medical management for buprenorphine treatment provided specifically at a psychiatrist's private practice (primary care setting).

methodParticipants were inducted on buprenorphine and provided with treatment over a 52-week study duration. All participants were scheduled for weekly treatment visits for the first 6 study weeks and 2 sites reduced treatment to monthly visits for dispensing of medication and psychosocial counseling. Outcomes include opioid use, participant retention in treatment, and treatment participation.

resultsParticipants presenting for treatment at the sites differed only by race/ethnicity and opioid use did not differ by site. Retention differed by treatment site, with the number of participants who stayed in the study until the end of 20 weeks significantly associated with treatment site. The mean number of minutes spent in each individual counseling session also differed by site. Although no difference in opioid use by treatment site was found, results document a significant association between opioid use and buprenorphine dose. DISCUSSION: These results show some differences by treatment site, although the similarity and relative ease in which the sites were able to recruit participants for treatment with buprenorphine, and minor implementation problems reported suggests the feasibility of treatment with buprenorphine across various treatment settings.

conclusionSimilar rates of continued opioid use across study sites and few qualitative reports of problems indicates that treatment with buprenorphine and associated psychosocial counseling are safe and relatively easy to implement in a variety of treatment settings.

Indexed as

Opiate Substitution TreatmentAdultBehavior TherapyBuprenorphineBuprenorphine, Naloxone Drug CombinationCombined Modality TherapyDrug CombinationsFeasibility StudiesHumansMaleMiddle AgedNaloxoneNarcotic AntagonistsOpioid-Related DisordersPatient Education as TopicPrimary Health CareBuprenorphineBuprenorphine, Naloxone Drug CombinationDrug CombinationsNaloxoneNarcotic Antagonists

Identifiers

PMID22105061
PMCPMC3276753
OpenAlexW2048135932

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.