Evidence map›Paper›PMID 27981691›Full record

ArticleAddiction (Abingdon, England)2017

The costs of crime during and after publicly funded treatment for opioid use disorders: a population-level study for the state of California.

Emanuel Krebs, Darren Urada, Elizabeth Evans, David Huang, Yih-Ing Hser, Bohdan Nosyk

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Costs attributable to criminal justice involvement in injuries: a systematic review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023
    Pooled it
  2. Economic Evaluations of Pharmacologic Treatment for Opioid Use Disorder: A Systematic Literature Review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2021
    Pooled it
  3. Review
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  10. Patient motivators to use opioids for acute pain after emergency care.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
  11. Article
  12. Patient Pain Experiences and the Emergency Department Encounter: A Qualitative Analysis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022
    Article
  13. Women-Reported Barriers and Facilitators of Continued Engagement with Medications for Opioid Use Disorder.International journal of environmental research and public health · 2022
    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

6 authors at 3 institutions in 2 countries.

Emanuel KrebsBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Darren UradaUCLA Integrated Substance Abuse Program, Los Angeles, CA, USA.
Elizabeth EvansUCLA Integrated Substance Abuse Program, Los Angeles, CA, USA.
David HuangUCLA Integrated Substance Abuse Program, Los Angeles, CA, USA.
Yih-Ing HserUCLA Integrated Substance Abuse Program, Los Angeles, CA, USA.
Bohdan NosykBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
OASIS Clinic · USAIDS Vancouver · CASimon Fraser University · CA

Funding

STATISTICAL SUPPORT/DATA MANAGEMENT COREP30DA016383 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HSER, YIH-ING · 2005 to 2015
$8.6M
A Comparison of Methadone Treatment Systems in California and British ColumbiaR01DA031727 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NOSYK, BOHDAN · 2011 to 2013
$512k
An empirical investigation into recovery from illicit drug abuse using recurrentR01DA032551 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MONTANER, JULIO SERGIO GONZALEZ, NOSYK, BOHDAN · 2012 to 2014
$500k
NIDA NIH HHS P30 DA016383NIDA NIH HHS R01 DA031727NIDA NIH HHS R01 DA032551
6 · The paper itself

Abstract

BACKGROUND AND

aimsTreatment for opioid use disorders (OUD) reduces the risk of mortality and infectious disease transmission; however, opportunities to quantify the potential economic benefits of associated decreases in drug-related crime are scarce. This paper aimed to estimate the costs of crime during and after periods of engagement in publicly funded treatment for OUD to compare total costs of crime during a hypothetical 6-month period following initiation of opioid agonist treatment (OAT) versus detoxification.

designRetrospective, administrative data-based cohort study with comprehensive information on drug treatment and criminal justice systems interactions.

settingPublicly funded drug treatment facilities in California, USA (2006-10).

participantsA total of 31 659 individuals admitted for the first time to treatment for OUD, and who were linked with criminal justice and mortality data, were followed during a median 2.3 years. Median age at first treatment admission was 32, 35.8% were women and 37.1% primarily used prescription opioids. MEASUREMENTS: Daily costs of crime (US$2014) were calculated from a societal perspective and were composed of the costs of policing, court, corrections and criminal victimization. We estimated the average marginal effect of treatment engagement in OAT or detoxification adjusting for potential fixed and time-varying confounders, including drug use and criminal justice system involvement prior to treatment initiation.

findingsDaily costs of crime during treatment compared with after treatment were $126 lower for OAT [95% confidence interval (CI) = $116, $136] and $144 lower for detoxification (95% CI = $135, $154). Summing the costs of crime during and after treatment over a hypothetical 6-month period using the observed median durations of OAT (161 days) and detoxification (19 days), we estimated that enrolling an individual in OAT as opposed to detoxification would save $17 550 ($16 840, $18 383).

conclusionsIn publicly funded drug treatment facilities in California, USA, engagement in treatment for opioid use disorders is associated with lower costs of crime in the 6 months following initiation of treatment, and the economic benefits were far greater for individuals receiving time-unlimited treatment.

Indexed as

Financing, GovernmentOpiate Substitution TreatmentAdolescentAdultCaliforniaCohort StudiesCrimeCrime VictimsCriminal LawFemaleHumansLaw EnforcementMaleMiddle AgedOpioid-Related DisordersPrisonsCaliforniacosts of crimeheroinopioid agonist treatmentopioid use disorderprescription opioids

Identifiers

PMID27981691
PMCPMC5382102
OpenAlexW2566284233

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.