Evidence map›Paper›PMID 26056209›Full record

ArticleHealth affairs (Project Hope)2015

Growth In Buprenorphine Waivers For Physicians Increased Potential Access To Opioid Agonist Treatment, 2002-11.

Andrew W Dick, Rosalie L Pacula, Adam J Gordon, Mark Sorbero, Rachel M Burns, Douglas Leslie, Bradley D Stein

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 2 pooled it
13.2field-weighted citation impact, top 1% 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

101 citing papers in PubMed, 2 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
  2. Routes of non-traditional entry into buprenorphine treatment programs.Substance abuse treatment, prevention, and policy · 2020
    Pooled it
  3. Prescribers' satisfaction with delivering medications for opioid use disorder.Substance abuse treatment, prevention, and policy · 2021
    Trial
  4. Physicians' satisfaction with providing buprenorphine treatment.Addiction science & clinical practice · 2019
    Trial
  5. Article
  6. Article
  7. Article
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  9. Observational
  10. Article
  11. Article
  12. Article
  13. Shifting drug markets in North America - a global crisis in the making?International journal of mental health systems · 2023
    Article
  14. Article
  15. Trends in Geographic Proximity to Substance Use Disorder Treatment.American journal of preventive medicine · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Andrew W DickAndrew W. Dick is a senior economist at the RAND Corporation in Boston, Massachusetts.
Rosalie L PaculaRosalie L. Pacula is a senior economist at RAND in Santa Monica, California.
Adam J GordonAdam J. Gordon is an associate professor of medicine at the University of Pittsburgh School of Medicine and a staff physician in the Veterans Affairs Pittsburgh Healthcare System.
Mark SorberoMark Sorbero is a project associate at RAND in Pittsburgh.
Rachel M BurnsRachel M. Burns is a project associate at RAND in Pittsburgh.
Douglas LeslieDouglas Leslie is a professor of public health sciences and psychiatry at the Penn State College of Medicine.
Bradley D SteinBradley D. Stein (stein@rand.org) is a senior natural scientist at RAND in Pittsburgh and an adjunct professor of psychiatry at the University of Pittsburgh School of Medicine.
RAND Corporation · USDepartment of Public Health · MMUniversity of Pittsburgh at Bradford · USVA Pittsburgh Healthcare System · US

Funding

Opioid Agonist Treatment Expansion in Medicaid: The Role of BuprenorphineR01DA032881 · NIDA · RAND CORPORATION · PI STEIN, BRADLEY D · 2012 to 2014
$1.8M
NIDA NIH HHS 1R01DA032881-01A1NIDA NIH HHS R01 DA032881
6 · The paper itself

Abstract

Opioid use disorders are a significant public health problem, affecting two million people in the United States. Treatment with buprenorphine, methadone, or both is predominantly offered in methadone clinics, yet many people do not receive the treatment they need. In 2002 the Food and Drug Administration approved buprenorphine for prescription by physicians who completed a course and received a waiver from the Drug Enforcement Administration, exempting them from requirements in the Controlled Substances Act. To determine the waiver program's impact on the availability of opioid agonist treatment, we analyzed data for the period 2002-11 to identify counties with opioid treatment shortages. We found that the percentage of counties with a shortage of waivered physicians fell sharply, from 98.9 percent in 2002 to 46.8 percent in 2011. As a result, the percentage of the US population residing in what we classified as opioid treatment shortage counties declined from 48.6 percent in 2002 to 10.4 percent in 2011. These findings suggest that the increase in waivered physicians has dramatically increased potential access to opioid agonist treatment. Policy makers should focus their efforts on further increasing the number and geographical distribution of physicians, particularly in more rural counties, where prescription opioid misuse is rapidly growing.

Indexed as

Analgesics, OpioidBuprenorphineControlled SubstancesDrug and Narcotic ControlDrug PrescriptionsHumansMethadoneOpiate Substitution TreatmentOpioid-Related DisordersPhysiciansRural PopulationUnited StatesAnalgesics, OpioidBuprenorphineControlled SubstancesMethadoneAccess To CareMental Health/Substance AbusePhysiciansRural Health Care

Identifiers

PMID26056209
PMCPMC4743254
OpenAlexW1897609074

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.