ArticleMedical care2012
The role of continuing care in 9-year cost trajectories of patients with intakes into an outpatient alcohol and drug treatment program.
Article in Medical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01671501 (Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients), which is not on this map. Cited by 15 papers.
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.
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.
Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients
Who cites it
15 citing papers in PubMed.
- Examination of the Effects of an Intervention Aiming to Link Patients Receiving Addiction Treatment With Health Care: The LINKAGE Clinical Trial.JAMA psychiatry · 2016Trial
- Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner.JAMA network open · 2022Article
- Multimorbidity classes indicate differential patterns of health care engagement among people who inject drugs.Journal of substance abuse treatment · 2022Article
- Predictors of early and sustained cessation of heavy drinking over 5 years among adult primary care patients.Addiction (Abingdon, England) · 2022Article
- Comparing narrative-informed occupational therapy in adult outpatient mental health to treatment as usual: A quasi-experimental feasibility study with preliminary treatment outcomes.Occupational therapy in mental health · 2021Article
- Cost trajectories as a measure of functional resilience after hospitalization in older adults.Aging clinical and experimental research · 2020Article
- Alcohol and Women: A Brief Overview.Alcoholism, clinical and experimental research · 2019Article
- Association of behavioral health factors and social determinants of health with high and persistently high healthcare costs.Preventive medicine reports · 2018Article
- Alcohol, marijuana, and opioid use disorders: 5-Year patterns and characteristics of emergency department encounters.Substance abuse · 2018Article
- The role of marijuana use disorder in predicting emergency department and inpatient encounters: A retrospective cohort study.Drug and alcohol dependence · 2017Article
- Trajectories of remission and mortality over 13 years after intake to substance use treatment.The American journal of drug and alcohol abuse · 2017Article
- Does age at first treatment episode make a difference in outcomes over 11 years?Journal of substance abuse treatment · 2014Article
- Explaining long-term outcomes among drug dependent mothers treated in women-only versus mixed-gender programs.Journal of substance abuse treatment · 2013Article
- Integrating substance abuse care with community diabetes care: implications for research and clinical practice.Substance abuse and rehabilitation · 2013Article
- Ten-year stability of remission in private alcohol and drug outpatient treatment: non-problem users versus abstainers.Drug and alcohol dependence · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundThe importance of a continuing care approach for substance use disorders (SUDs) is increasingly being recognized. Our prior research found that a Continuing Care model for SUDs that incorporates 3 components (regular primary care, and specialty SUD and psychiatric treatment as needed) is beneficial to long-term remission. The study builds on this work to examine the cost implications of this model.
objectivesTo examine associations between receiving Continuing Care and subsequent health care costs over 9 years among adults entering outpatient SUD treatment in a private nonprofit, integrated managed care health plan. We also compare the results to a similar analysis of a demographically matched control group without SUDs. STUDY
designLongitudinal observational study. MEASURES: Measures collected over 9 years include demographic characteristics, self-reported alcohol and drug use and Addiction Severity Index, and health care utilization and cost data from health plan databases.
resultsWithin the treatment sample, SUD patients receiving all components of Continuing Care had lower costs than those receiving fewer components. Compared with the demographically matched non-SUD controls, those not receiving Continuing Care had significantly higher inpatient costs (excess cost = $65.79/member-month; P < 0.01) over 9 years, whereas no difference was found between those receiving Continuing Care and controls.
conclusionsAlthough a causal link cannot be established between receiving Continuing Care and reduced long-term costs in this observational study, the findings reinforce the importance of access to health care and development of interventions that optimize patients receiving those services and that may reduce costs to health systems.
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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.