Evidence map›Paper›PMID 27745534›Full record

ArticlePsychiatric services (Washington, D.C.)2017

Integrating Buprenorphine Into an Opioid Treatment Program: Tailoring Care for Patients With Opioid Use Disorders.

Soteri Polydorou, Stephen Ross, Peter Coleman, Laura Duncan, Nichole Roxas, Anil Thomas, Sonia Mendoza, Helena Hansen

Open access · bronzeAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Soteri PolydorouDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Stephen RossDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Peter ColemanDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Laura DuncanDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Nichole RoxasDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Anil ThomasDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Sonia MendozaDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Helena HansenDr. Polydorou, Dr. Ross, Dr. Thomas, and Dr. Hansen are with the Department of Psychiatry, where Ms. Duncan was affiliated at the time of this study, Dr. Polydorou is also with the Department of Medicine, Dr. Hansen is also with the Nathan S. Kline Institute for Psychiatric Research, and Ms. Mendoza is with the Department of Psychiatry and Anthropology, where Ms. Roxas was affiliated at the time of this study, all at New York University, New York (e-mail: soteri.polydorou@nyumc.org ). Ms. Duncan is currently a medical student at the University of California San Francisco. Ms. Mendoza is currently a doctoral student at the Columbia University Mailman School of Public Health, New York. Ms. Roxas is currently a medical student at the University of Rochester School of Medicine and Dentistry, Rochester, New York. Mr. Coleman, who is retired, was with the Office of Behavioral Health, New York City Health and Hospitals, New York, at the time of this study.
Defence Research and Development Organisation · IN

Funding

Mainstreaming Opioid Maintenance Treatment into General Medicine: Effects on AddiK01DA032674 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HANSEN, HELENA BJERRING · 2012 to 2016
$903k
NIDA NIH HHS K01 DA032674
6 · The paper itself

Abstract

objectivesThis report identifies the institutional barriers to, and benefits of, buprenorphine maintenance treatment (BMT) integration in an established hospital-based opioid treatment program (OTP).

methodsThis case study presents the authors' experiences at the clinic, hospital, and corporation levels during efforts to integrate BMT into a hospital-based OTP in New York City and a descriptive quantitative analysis of the characteristics of hospital outpatients treated with buprenorphine from 2006 to 2013 (N=735).

resultsIntegration of BMT into an OTP offered patients the flexibility to transition between intensive structured care and primary care or outpatient psychiatry according to need. Main barriers encountered were regulations, clinical logistics of dispensing medications, internal cost and reimbursement issues, and professional and cultural resistance.

conclusionsBuprenorphine integration offers a model for other OTPs to facilitate partnerships among primary care and mental health clinics to better serve diverse patients with varying clinical needs and with varying levels of social support.

Indexed as

Mental Health ServicesAdultAnalgesics, OpioidBuprenorphineFemaleHumansMaleMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPrimary Health CareAnalgesics, OpioidBuprenorphineBuprenorphine treatmentDrug abusemethadone treatmentOpioid treatment program

Identifiers

PMID27745534
PMCPMC5540137
OpenAlexW2533206854

What OpenQuestion holds

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Registered trials

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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.