Evidence map›Paper›PMID 26117831›Full record

ArticleAddiction science & clinical practice2015

The management of opiate use disorders in France: results of an observational survey of general practitioners.

Pierre Poloméni, Claude Bronner, Fréderic Fry, Bruno Ravoninjatovo, Mélina Fatseas

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Pierre PoloméniHôpitaux Universitaires Paris Seine St Denis, Site René Muret, Avenue du Dr Schaeffner, Sevran, 93270, France. pierre.polomeni@rmb.aphp.fr.
Claude Bronner, 2 rue de Haslach, 67200, Strasbourg, France. dr.cbronner@wanadoo.fr.
Fréderic FryCSAPA Dune, Parvis de la préfecture, Immeuble les Oreades, 95000, Cergy, France. frederick.fry@centre-dune.fr.
Bruno Ravoninjatovo, 151 Bis rue de Courcelles, 51100, Reims, France. bruno.ravoninjatovo@orange.fr.
Mélina FatseasLaboratoire de psychiatrie, Département d'addictologie, Centre hospitalier Charles Perrens, 146 bis, rue Léo Saignat, Bordeaux, 33076, France. melina.fatseas@u-bordeaux2.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen opioid-agonist treatments were approved in France in 1995, opiate use disorders began to be managed and treated by general practitioners (GPs), who have since then been encouraged to treat substance use disorders (SUDs) for heroin and other illegal substances. The objective of this study was to describe rates of: 1) SUDs in general practices in France; 2) characteristics of GPs treating SUDs; and 3) clinical practices surrounding SUDs. To place these data in the context of SUD treatment, we also gathered information from practicing SUD specialists.

methodsBetween December 2011 and January 2012, a nationally representative sample of GPs and SUD specialists were interviewed by phone, using a 12-item questionnaire that covered number of SUD patients, types of SUDs, and treatments. Data collected were confidential, and analysis was blinded with regard to physician identity.

resultsForty-four percent of GPs and 68 % of specialists were included in the analysis. The mean number of patients estimated to have been seen at least once in the previous year was 3036 for GPs and 920 for specialists. Ninety-six percent of GPs reported having patients with SUDs. Tobacco, alcohol, and psychoactive drugs were the SUDs most frequently encountered by GPs, whereas tobacco, alcohol, heroin, and cannabis were most frequently encountered by specialists. Forty-three percent of GPs saw at least one patient with a heroin use disorder (HUD), and 82 % of GPs treating patients with HUDs had prescribed an opioid-agonist treatment during the previous 12 months.

conclusionsThe results of this study suggest that a large number of GPs now treat patients with opiate use disorders and that doctors appear to be convinced of the benefits of opioid-agonist therapy and have overcome their initial concerns. This represents a significant change in practice patterns since the introduction of opioid-agonist treatments in France.

Indexed as

AdultFemaleFranceGeneral PractitionersHeroin DependenceHumansMaleMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPilot ProjectsPractice Patterns, Physicians'Substance-Related Disorders

Identifiers

PMID26117831
PMCPMC4636898

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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.