Evidence map›Paper›PMID 28673528›Full record

ArticleJournal of substance abuse treatment2017

Benefit-cost analysis of SBIRT interventions for substance using patients in emergency departments.

Brady P Horn, Cameron Crandall, Alyssa Forcehimes, Michael T French, Michael Bogenschutz

Abstract read
In one paragraph

Article in Journal of substance abuse treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  7. Review
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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.

Brady P HornDepartment of Economics, University of New Mexico, Albuquerque, NM 87131, USA; Center on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque, NM 87106, USA. Electronic address: bhorn@unm.edu.
Cameron CrandallDepartment of Emergency Medicine, University of New Mexico, Albuquerque, NM 87131, USA. Electronic address: CCrandall@salud.unm.edu.
Alyssa ForcehimesCenter on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque, NM 87106, USA.
Michael T FrenchDepartments of Sociology and Health Sector Management and Policy, University of Miami, Coral Gables, FL 33124-2030, USA. Electronic address: mfrench@miami.edu.
Michael BogenschutzCenter on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque, NM 87106, USA; Department of Psychiatry, New York University School of Medicine, New York, NY 10016, USA. Electronic address: michael.bogenschutz@nyumc.org.

Funding

Clinical Trials Network: Southwest NodeU10DA015833 · NIDA · UNIVERSITY OF NEW MEXICO · PI MCCRADY, BARBARA S · 2002 to 2014
$19.9M
NIDA NIH HHS U10 DA015833
6 · The paper itself

Abstract

Screening, brief intervention, and referral to treatment (SBIRT) has been widely implemented as a method to address substance use disorders in general medical settings, and some evidence suggests that its use is associated with decreased societal costs. In this paper, we investigated the economic impact of SBIRT using data from Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED), a multisite, randomized controlled trial. Utilizing self-reported information on medical status, health services utilization, employment, and crime, we conduct a benefit-cost analysis. Findings indicate that neither of the SMART-ED interventions resulted in any significant changes to the main economic outcomes, nor had any significant impact on total economic benefit. Thus, while SBIRT interventions for substance abuse in Emergency Departments may be appealing from a clinical perspective, evidence from this economic study suggests resources could be better utilized supporting other health interventions.

Indexed as

Referral and ConsultationAdultCost-Benefit AnalysisEmergency Service, HospitalFemaleHumansMaleMass ScreeningMiddle AgedRandomized Controlled Trials as TopicSubstance-Related DisordersBenefit-cost analysisEconomic evaluationSBIRTSubstance abuse

Identifiers

PMID28673528
PMCPMC5538788

What OpenQuestion holds

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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.