Evidence map›Paper›PMID 26498740›Full record

ArticleAddiction (Abingdon, England)2016

Measuring benefits of opioid misuse treatment for economic evaluation: health-related quality of life of opioid-dependent individuals and their spouses as assessed by a sample of the US population.

Eve Wittenberg, Jeremy W Bray, Brandon Aden, Achamyeleh Gebremariam, Bohdan Nosyk, Bruce R Schackman

Open access · greenAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  9. Clinical- and Cost-Effectiveness of Liver Disease Staging in Hepatitis C Virus Infection: A Microsimulation Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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  12. Analyzing quality of life among people with opioid use disorder from the National Institute on Drug Abuse Data Share initiative: implications for decision making.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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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

6 authors at 4 institutions in 2 countries.

Eve WittenbergCenter for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Jeremy W BrayDepartment of Economics, University of North Carolina at Greensboro, Greensboro, NC, USA.
Brandon AdenDepartment of Healthcare Policy and Research and Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Achamyeleh GebremariamCH Mott Children's Hospital, University of Michigan, Ann Arbor, MI, USA.
Bohdan NosykBC Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Bruce R SchackmanDepartment of Healthcare Policy and Research and Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Cornell University · USSimon Fraser University · CAUniversity of Michigan–Ann Arbor · USUniversity of North Carolina at Greensboro · US

Funding

Quality of Life Outcomes in Prescription and Injection Opioid DependenceR01DA033424 · NIDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SCHACKMAN, BRUCE R · 2012 to 2014
$1.6M
NIDA NIH HHS R01 DA033424
6 · The paper itself

Abstract

aimsTo understand how the general public views the quality of life effects of opioid misuse and opioid use disorder on an individual and his/her spouse, measured in terms used in economic evaluations.

designCross-sectional internet survey of a US population-representative respondent panel conducted December 2013-January 2014.

settingUnited States.

participantsA total of 2054 randomly selected adults; 51.1% male (before weighting). MEASUREMENTS: Mean (95% confidence interval) and median health 'utility' for six opioid misuse and treatment outcomes: active injection misuse; active prescription misuse; methadone maintenance therapy at initiation and when stabilized in treatment; and buprenorphine therapy at initiation and when stabilized. Utility is a numerical representation of health-related quality of life used in economic evaluations to 'adjust' estimated survival to include peoples' preferences for health states. Utilities are determined by surveying the general population to estimate the value they assign to particular health states on a scale where 0 = the value of being dead and 1.0 = the value of being in perfect health. Spouse spillover utility is assigned to a spouse of an individual who is in a particular health state.

findingsMean individual utility ranged from 0.574 [95% confidence interval (CI) = 0.538, 0.611] for active injection opioid misuse to 0.766 for stabilized buprenorphine therapy (95% CI = 0.738, 0.795), with other states in between. Female respondents assigned higher utility to the active prescription misuse and buprenorphine therapy at initiation states than did males (P < 0.05); all other states did not differ by respondent gender. Mean spousal utilities were significantly lower than 1.0 but mostly higher than individual utility, and were similar between male and female respondents.

conclusionsIn the opinion of the US public, injection opioid misuse results in worse health-related quality of life than prescription misuse, and methadone therapy results in worse health-related quality of life than buprenorphine therapy. Spouses are negatively affected by their partner's opioid misuse and early treatment.

Indexed as

Quality of LifeAdolescentAdultAgedAttitude to HealthCost-Benefit AnalysisCross-Sectional StudiesFemaleHumansMaleMiddle AgedOpioid-Related DisordersSpousesSurveys and QuestionnairesUnited StatesYoung AdultEconomic evaluationhealth-related quality of lifeopioid misusespillover effectsutilities

Identifiers

PMID26498740
PMCPMC5034732
OpenAlexW1831354172

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.