Evidence map›Paper›PMID 23528523›Full record

Trial reportDrug and alcohol dependence2013

Association of cannabis use with opioid outcomes among opioid-dependent youth.

Kevin P Hill, Heather E Bennett, Margaret L Griffin, Hilary S Connery, Garrett M Fitzmaurice, Geetha Subramaniam, George E Woody, Roger D Weiss

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Buprenorphine for managing opioid withdrawal.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Maintenance treatments for opiate -dependent adolescents.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Detoxification treatments for opiate dependent adolescents.The Cochrane database of systematic reviews · 2014
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Medicinal versus Recreational Cannabis Use among Returning Veterans.Translational issues in psychological science · 2018
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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.

Kevin P HillDivision of Alcohol and Drug Abuse, McLean Hospital, Belmont, MA 02478, United States. khill@mclean.harvard.edu
Heather E Bennett
Margaret L Griffin
Hilary S Connery
Garrett M Fitzmaurice
Geetha Subramaniam
George E Woody
Roger D Weiss

Funding

The National Drug Abuse Treatment Clinical Trials Network (U10)U10DA015831 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI CARROLL, KATHLEEN M., WEISS, ROGER D. · 2002 to 2015
$28.8M
Delaware Valley Node of the Clinical Trials NetworkU10DA013043 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI WOODY, GEORGE EDWARD · 1999 to 2015
$25.8M
Mentoring in Drug Abuse and Dual Diagnosis ResearchK24DA022288 · NIDA · MCLEAN HOSPITAL · PI WEISS, ROGER D. · 2007 to 2016
$1.8M
Nabilone for Cannabis Dependence: Imaging and Neuropsychological PerformanceR00DA029115 · NIDA · MCLEAN HOSPITAL · PI HILL, KEVIN P. · 2013 to 2015
$819k
Nabilone for Cannabis Dependence: Imaging and Neuropsychological PerformanceK99DA029115 · NIDA · MCLEAN HOSPITAL · PI HILL, KEVIN P. · 2011 to 2012
$359k
NIDA NIH HHS CTN U10 DA15831NIDA NIH HHS K24 DA022288NIDA NIH HHS K99 DA029115NIDA NIH HHS K99/R00 DA029115NIDA NIH HHS R00 DA029115NIDA NIH HHS U10 DA013043NIDA NIH HHS U10 DA015831
6 · The paper itself

Abstract

objectiveCannabis use is common among opioid-dependent patients, but studies of its association with treatment outcome are mixed. In this secondary analysis, the association of cannabis use with opioid treatment outcome is assessed.

methodsIn the main study, participants (n=152) aged 15-21 years were randomized to receive psychosocial treatments and either a 12-week course of buprenorphine-naloxone with a dose taper to zero in weeks 9-12, or a 2-week detoxification with buprenorphine-naloxone. Drug use was assessed by self-report and urine drug screen at baseline and during study weeks 1-12. The association between cannabis and opioid use at weeks 4, 8, and 12 was examined using logistic regression models.

resultsParticipants reported a median of 3.0 days (range=0-30) cannabis use in the past month; half (50.3%; n=77) reported occasional use, one-third reported no use (33.1%; n=50), and one-sixth reported daily cannabis use (16.6%; n=25). Median lifetime cannabis use was 4.0 years (range=0-11) and median age of initiation of use was 15.0 years (range 9-21). Neither past cannabis use (age of initiation and use in the month prior to baseline) nor concurrent use was associated with level of opioid use.

conclusionsOverall, cannabis use had no association with opioid use over 12 weeks in this sample of opioid-dependent youth. While cannabis use remains potentially harmful, it was not a predictor of poor opioid treatment outcome.

Indexed as

AdultBuprenorphineData Interpretation, StatisticalFemaleHumansLogistic ModelsMaleMarijuana AbuseNaloxoneNarcotic AntagonistsNarcoticsOpioid-Related DisordersSubstance Abuse DetectionTreatment OutcomeYoung AdultBuprenorphineNaloxoneNarcotic AntagonistsNarcoticsAdolescent substance abuseBuprenorphineCannabis useOpioid dependence

Identifiers

PMID23528523
PMCPMC3724203

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.