Evidence map›Paper›PMID 28728641›Full record

ArticleJournal of studies on alcohol and drugs2017

Association Between Process-Based Quality Indicators and Mortality for Patients With Substance Use Disorders.

Susan M Paddock, Kimberly A Hepner, Teresa Hudson, Songthip Ounpraseuth, Amy M Schrader, Greer Sullivan, Katherine E Watkins

Abstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

7 authors.

Susan M PaddockRAND Corporation, Santa Monica, California.
Kimberly A HepnerRAND Corporation, Santa Monica, California.
Teresa HudsonUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas.
Songthip OunpraseuthUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas.
Amy M SchraderUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas.
Greer SullivanUniversity of California Riverside School of Medicine, Riverside, California.
Katherine E WatkinsRAND Corporation, Santa Monica, California.

Funding

Identifying Quality Indicators for Substance Use DisordersR01DA033953 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI HUDSON, TERESA JO, WATKINS, KATHERINE E · 2012 to 2015
$840k
NIDA NIH HHS R01 DA033953
6 · The paper itself

Abstract

objectiveSubstance use disorders (SUDs) are associated with elevated rates of mortality. Little is known about whether receiving appropriate care is associated with lower mortality for patients with SUDs. This study examined the association between the receipt of care for SUDs and subsequent 12- and 24-month mortality.

methodThis was a retrospective cohort study of veterans who received care for SUDs paid for by the Veterans Health Administration during October 2006- September 2007 (n = 339,966). Logistic regressions were used to examine the association between quality indicators measuring receipt of care and mortality while controlling for patient characteristics and facility service area.

resultsThere were four quality indicators: SUD treatment initiation, SUD treatment engagement, SUD-related psychosocial treatment, and SUD-related psychotherapy. Outcomes measured were mortality 12 and 24 months after the end of the observation period, through September 2009. Receipt of indicated care ranged from 26.5% to 58.6%, and 12- and 24-month mortality rates were 3% and 6%, respectively. Adjusted odds ratios [95% CI] of 12-month mortality by indicator were: initiation, 0.86 [0.79, 0.93]; engagement, 0.65 [0.58, 0.74]; psychosocial treatment, 0.88 [0.84, 0.92]; and psychotherapy, 0.84 [0.79, 0.89]. For the 24-month mortality outcome, adjusted odds ratios were: initiation, 0.88 [0.84, 0.93]; engagement, 0.78 [0.71, 0.85]; psychosocial treatment, 0.91 [0.88, 0.94]; and psychotherapy, 0.87 [0.83, 0.91]. Results were similar when controlling for facility service area.

conclusionsReceiving appropriate care is associated with lower mortality for patients with SUDs. Significant overall and within-facility service area associations of quality indicators and mortality support their use in encouraging providers to deliver the indicated care. These indicators should be prioritized above others lacking comparably strong process-outcome associations.

Indexed as

Quality Indicators, Health CareAdultAgedFemaleHumansLogistic ModelsMaleMiddle AgedPsychotherapyRetrospective StudiesSubstance-Related Disorders

Identifiers

PMID28728641
PMCPMC5551663

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.