Evidence map›Paper›PMID 23566446›Full record

Trial reportJournal of substance abuse treatment2013

Retention in methadone and buprenorphine treatment among African Americans.

Jan Gryczynski, Shannon Gwin Mitchell, Jerome H Jaffe, Sharon M Kelly, C Patrick Myers, Kevin E O'Grady, Yngvild K Olsen, Robert P Schwartz

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 19% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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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 4 institutions in 1 country.

Jan GryczynskiFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD 21201, USA. jgrycz1@umbc.edu
Shannon Gwin Mitchell
Jerome H Jaffe
Sharon M Kelly
C Patrick Myers
Kevin E O'Grady
Yngvild K Olsen
Robert P Schwartz
Friends Research Institute · USRealistic Education in Action Coalition to Foster Health · USUniversity of Maryland, Baltimore · USUniversity of Maryland, College Park · US

Funding

Services Research on Interim Opioid MaintenanceR01DA013636 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2001 to 2010
$3.1M
Intensive Outpatient v. Outpatient Treatment with Buprenorphine among African AmeRC1DA028407 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI MITCHELL, SHANNON GWIN · 2009 to 2010
$990k
NIDA NIH HHS R01 DA013636NIDA NIH HHS RC1 DA028407NIDA NIH HHS RC1DA028407PHS HHS R0113636
6 · The paper itself

Abstract

Methadone has been the most commonly used pharmacotherapy for the treatment of opioid dependence in U.S. public sector treatment, but availability of buprenorphine as an alternative medication continues to increase. Drawing data from two community-based clinical trials that were conducted nearly contemporaneously, this study examined retention in methadone versus buprenorphine treatment over 6 months among urban African Americans receiving treatment in one of four publicly-funded programs (N=478; 178 methadone; 300 buprenorphine). Adjusting for confounds related to medication selection, survival analysis revealed that buprenorphine patients are at substantially higher risk of dropout compared to methadone patients (HR=2.43; p<.001). Buprenorphine's retention disadvantage appears to be concentrated in the earlier phases of treatment (approximately the first 50 days), after which risk of subsequent dropout becomes similar for the two medications. These findings confirm a retention disparity between methadone and buprenorphine in this population, and suggest potential avenues for future research to enhance retention in buprenorphine treatment.

Indexed as

AdultBlack or African AmericanBuprenorphineFemaleHumansMaleMethadoneMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPatient CompliancePatient DropoutsSubstance Abuse Treatment CentersUnited StatesUrban PopulationBuprenorphineMethadoneAfrican AmericansBuprenorphineDropoutMethadoneRetention

Identifiers

PMID23566446
PMCPMC3714350
OpenAlexW2003884991

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.