Evidence map›Paper›PMID 25189089›Full record

Trial reportJournal of substance abuse treatment2015

The multi-site prescription opioid addiction treatment study: 18-month outcomes.

Jennifer Sharpe Potter, Jessica A Dreifuss, Elise N Marino, Scott E Provost, Dorian R Dodd, Lindsay S Rice, Garrett M Fitzmaurice, Margaret L Griffin, Roger D Weiss

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.2field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors at 3 institutions in 1 country.

Jennifer Sharpe PotterUniversity of Texas Health Science Center at San Antonio, 7526 Louis Pasteur Drive, San Antonio, TX 78229, USA; McLean Hospital, 115 Mill St, Belmont, MA 02478, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Jessica A DreifussMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Elise N MarinoUniversity of Texas Health Science Center at San Antonio, 7526 Louis Pasteur Drive, San Antonio, TX 78229, USA.
Scott E ProvostMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA.
Dorian R DoddMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA.
Lindsay S RiceMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA.
Garrett M FitzmauriceMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA; Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA.
Margaret L GriffinMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Roger D WeissMcLean Hospital, 115 Mill St, Belmont, MA 02478, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA. Electronic address: rweiss@mclean.harvard.edu.
McLean Hospital · USHarvard University · USThe University of Texas Health Science Center at San Antonio · US

Funding

Project-004UG1DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI Steven J Shoptaw, MADHUKAR H. TRIVEDI · 2015 to 2026
$71.6M
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
Concept ProjectU10DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2005 to 2015
$22.6M
Mentoring in Drug Abuse and Dual Diagnosis ResearchK24DA022288 · NIDA · MCLEAN HOSPITAL · PI WEISS, ROGER D. · 2007 to 2016
$1.8M
BENZODIAZEPINES &OPIATES IN NEURONAL CELL CULTURESR01DA002297 · NIDA · GEORGETOWN UNIVERSITY · PI NEALE, JOSEPH H · 1985 to 1999
–
NIDA NIH HHS K23 DA02297NIDA NIH HHS K24 DA022288NIDA NIH HHS U10 DA015831NIDA NIH HHS U10 DA020024NIDA NIH HHS U10 DA15831NIDA NIH HHS UG1 DA020024
6 · The paper itself

Abstract

Despite the high prevalence of prescription opioid dependence in the U.S., little is known about the course of this disorder and long-term response to treatment. We therefore examined 18-month post-randomization outcomes of participants in the Prescription Opioid Addiction Treatment Study, a multi-site, randomized controlled trial examining varying durations of buprenorphine-naloxone treatment and different intensities of counseling for prescription opioid dependence. Thus the current follow-up study provides a unique contribution to the field by reporting longer-term outcomes of a well-characterized population of treatment-seeking prescription opioid dependent patients. Participants from the treatment trial (N=252/653) completed an 18-month follow-up telephone assessment. Multivariable analyses examined associations between participant characteristics and key indicators of month-18 status: opioid abstinence, DSM-IV opioid dependence, and opioid agonist treatment. Overall, participants showed improvement from baseline to month 18: 49.6% were abstinent in the previous 30 days, with only 16.3% opioid-dependent. Some participants, however, had initiated past-year heroin use (n=9) or opioid injection (n=17). Most participants (65.9%) engaged in substance use disorder treatment during the past year, most commonly opioid agonist therapy (48.8%). Of particular interest in this population, multivariable analysis showed that greater pain severity at baseline was associated with opioid dependence at 18 months. In conclusion, although opioid use outcomes during the treatment trial were poor immediately following a buprenorphine-naloxone taper compared to those during 12 weeks of buprenorphine-naloxone stabilization, opioid use outcomes at 18-month follow-up showed substantial improvement over baseline and were comparable to the rate of successful outcomes during buprenorphine-naloxone stabilization in the treatment trial.

Indexed as

Outcome Assessment, Health CareAdultBuprenorphineCounselingFemaleFollow-Up StudiesHumansMaleMiddle AgedNaloxoneNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersPrescription Drug MisuseTime FactorsBuprenorphineNaloxoneNarcotic AntagonistsBuprenorphineClinical trialFollow-upPrescription opioidsSubstance use disorderTreatment

Identifiers

PMID25189089
PMCPMC4250351
OpenAlexW2072357541

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.