Evidence map›Paper›PMID 25524751›Full record

Trial reportJournal of substance abuse treatment2015

The prescription of addiction medications after implementation of chronic care management for substance dependence in primary care.

Tae Woo Park, Jeffrey H Samet, Debbie M Cheng, Michael R Winter, Theresa W Kim, Anna Fitzgerald, Richard Saitz

Abstract readRandomized 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. The Role of Health Plans in Supporting Behavioral Health Integration.Administration and policy in mental health · 2017
    Article
  5. Review
  6. 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

7 authors at 2 institutions in 1 country.

Tae Woo ParkVA Boston Healthcare System, Boston, MA 02114, USA; Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA 02118, USA; Department of Psychiatry, Boston Medical Center, Boston, MA 02118, USA. Electronic address: tpark1@lifespan.org.
Jeffrey H SametClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA 02118, USA; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA 02118, USA.
Debbie M ChengClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA 02118, USA; Department of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA; Data Coordinating Center, Boston University School of Public Health, Boston, MA 02118, USA.
Michael R WinterData Coordinating Center, Boston University School of Public Health, Boston, MA 02118, USA.
Theresa W KimClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA 02118, USA.
Anna FitzgeraldDepartment of Psychiatry, Boston Medical Center, Boston, MA 02118, USA.
Richard SaitzClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA 02118, USA; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA 02118, USA.
Boston Medical Center · USBoston University · US

Funding

LINKAGE OF ALCOHOL ABUSERS TO PRIMARY CARER01AA010870 · NIAAA · BOSTON MEDICAL CENTER · PI SAITZ, RICHARD · 1996 to 2009
$4.5M
ENHANCED LINKAGE OF DRUG ABUSERS TO PRIMARY MEDICAL CARER01DA010019 · NIDA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 1996 to 2010
$3.9M
NIAAA NIH HHS R01 AA010870NIAAA NIH HHS R01S AA010870NIDA NIH HHS DA010019NIDA NIH HHS R01 DA010019
6 · The paper itself

Abstract

People with addictive disorders commonly do not receive efficacious medications. Chronic care management (CCM) is designed to facilitate delivery of effective therapies. Using data from the CCM group in a trial testing its effectiveness for addiction (N=282), we examined factors associated with the prescription of addiction medications. Among participants with alcohol dependence, 17% (95% CI 12.0-22.1%) were prescribed alcohol dependence medications. Among those with drug dependence, 9% (95% CI 5.5-12.6%) were prescribed drug dependence medications. Among those with opioids as a substance of choice, 15% (95% CI 9.3-20.9%) were prescribed opioid agonist therapy. In contrast, psychiatric medications were prescribed to 64% (95% CI 58.2-69.4%). Absence of co-morbid drug dependence was associated with prescription of alcohol dependence medications. Lower alcohol addiction severity and recent opioid use were associated with prescription of drug dependence medications. Better understanding of infrequent prescription of addiction medications, despite a supportive clinical setting, might inform optimal approaches to delivering addiction medications.

Indexed as

Primary Health CareAdultAlcohol DeterrentsAnalgesics, OpioidDisease ManagementFemaleHumansMaleMiddle AgedSubstance-Related DisordersTreatment OutcomeAlcohol DeterrentsAnalgesics, OpioidAcamprosateBuprenorphineChronic care managementMedicationsNaltrexoneSubstance abuse treatment

Identifiers

PMID25524751
PMCPMC4382414
OpenAlexW2064515111

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.