Evidence map›Paper›PMID 23617861›Full record

ArticleThe American journal on addictions

Pain and associated substance use among opioid dependent individuals seeking office-based treatment with buprenorphine-naloxone: a needs assessment study.

Declan T Barry, Jonathan D Savant, Mark Beitel, Christopher J Cutter, Brent A Moore, Richard S Schottenfeld, David A Fiellin

Abstract read
In one paragraph

Article in The American journal on addictions. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 51 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

7 authors at 2 institutions in 1 country.

Declan T BarryYale University School of Medicine, New Haven, CT 06519, USA. declan.barry@yale.edu
Jonathan D Savant
Mark Beitel
Christopher J Cutter
Brent A Moore
Richard S Schottenfeld
David A Fiellin
Yale University · USAPT Foundation · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
Buprenorphine Maintenance vs. Detoxification in Prescription Opioid DependenceR01DA020576 · NIDA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2007 to 2011
$2.9M
Counseling for Primary Care Office-Based BuprenorphineR01DA019511 · NIDA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2005 to 2009
$2.8M
Pain and Opioid Dependence (POD)R01DA024695 · NIDA · YALE UNIVERSITY · PI SCHOTTENFELD, RICHARD S · 2009 to 2012
$1.4M
IMPROVING EFFICACY OF DRUG ABUSE TREATMENTK24DA000445 · NIDA · YALE UNIVERSITY · PI SCHOTTENFELD, RICHARD S · 2000 to 2009
$1.3M
Chronic Pain and Opioid Dependence Assessment and TreatmentK23DA024050 · NIDA · YALE UNIVERSITY · PI BARRY, DECLAN T. · 2008 to 2012
$901k
Computer-Based Treatment for Drug DependenceK01DA022398 · NIDA · YALE UNIVERSITY · PI MOORE, BRENT A. · 2008 to 2011
$725k
NIDA NIH HHS K01 DA022398NIDA NIH HHS K23 DA024050NIDA NIH HHS K24 DA000445NIDA NIH HHS R01 DA019511NIDA NIH HHS R01 DA020576NIDA NIH HHS R01 DA024695NIDA NIH HHS R01DA024695NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

BACKGROUND AND

objectivesA paucity of studies has examined the pain experiences of opioid dependent individuals seeking office-based buprenorphine-naloxone treatment (BNT). We set out to examine, among those seeking BNT: (a) the prevalence of pain types (i.e., recent pain, chronic pain), (b) the characteristics of pain (intensity, frequency, duration, interference, location, and genesis), and (c) substance use to alleviate pain.

methodWe surveyed 244 consecutive individuals seeking office-based BNT for opioid dependence about physical pain and associated substance use.

resultsThirty-six percent of respondents reported chronic pain (CP) (i.e., pain lasting at least 3 months) and 36% reported "some pain" (SP) (i.e., past week pain not meeting the threshold for CP). In comparison to SP respondents, those with CP were, on average, older; reported greater current pain intensity, pain frequency, typical pain duration, typical pain intensity, and typical pain interference; were more likely to report shoulder or pelvis and less likely to report stomach or arms as their most bothersome pain location; and were more likely to report accident or nerve damage and less likely to report opioid withdrawal as the genesis of their pain. Both pain subgroups reported similarly high rates of past-week substance use to alleviate pain. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: The high rates of pain and self-reported substance use to manage pain suggest the importance of assessing and addressing pain in BNT patients.

Indexed as

AdultAnalgesics, OpioidBuprenorphineFemaleHumansIllicit DrugsMaleMiddle AgedNaloxoneNarcotic AntagonistsNeeds AssessmentOpiate Substitution TreatmentOpioid-Related DisordersPainPrescription Drug MisusePrevalenceAnalgesics, OpioidBuprenorphineIllicit DrugsNaloxoneNarcotic Antagonists

Identifiers

PMID23617861
PMCPMC3641684
OpenAlexW1719756019

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.