Evidence map›Paper›PMID 28869859›Full record

ArticleDrug and alcohol dependence2017

Maternal buprenorphine treatment and infant outcome.

Lauren M Jansson, Martha L Velez, Krystle McConnell, Nancy Spencer, Michelle Tuten, Hendree Jones, Rebeca Rios, Van L King, Neeraj Gandotra, Lorraine Millio and 1 more

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.5field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Rates of substance and polysubstance use through universal maternal testing at the time of delivery.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  7. Article
  8. Article
  9. Neonatal Outcomes after Combined Opioid and Nicotine Exposure in Utero: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Opioid Use in Pregnancy.Current psychiatry reports · 2019
    Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
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

11 authors at 4 institutions in 1 country.

Lauren M JanssonJohns Hopkins University School of Medicine, Baltimore, MD, United States. Electronic address: ljansson@jhmi.edu.
Martha L VelezJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Krystle McConnellJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Nancy SpencerJohns Hopkins Bayview Medical Center, Baltimore, MD, United States.
Michelle TutenUniversity of Maryland, School of Social Work, MD, United States.
Hendree JonesUniversity of North Carolina Chapel Hill, Chapel Hill, NC, United States.
Rebeca RiosJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Van L KingJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Neeraj GandotraJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Lorraine MillioJohns Hopkins University School of Medicine, Baltimore, MD, United States.
Janet A DiPietroJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Johns Hopkins Medicine · USJohns Hopkins University · USJohns Hopkins Bayview Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

Fetal and Infant Neurobehavioral Effects of Maternal Buprenorphine TreatmentR01DA031689 · NIDA · JOHNS HOPKINS UNIVERSITY · PI JANSSON, LAUREN M · 2011 to 2015
$2.7M
NIDA NIH HHS R01 DA031689
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMaternal buprenorphine maintenance predisposes the infant to exhibit neonatal abstinence syndrome (NAS), but there is insufficient published information regarding the nature of NAS and factors that contribute to its severity in buprenorphine-exposed infants.

methodsThe present study evaluated forty-one infants of buprenorphine-maintained women in comprehensive substance use disorder treatment who participated in an open-label study examining the effects of maternal buprenorphine maintenance on infant outcomes. Modifiers of the infant outcomes, including maternal treatment and substance use disorder parameters, were also evaluated.

resultsFifty-nine percent of offspring exhibited NAS that required pharmacologic management. Both maternal buprenorphine dose as well as prenatal polysubstance exposure to illicit substance use/licit substance misuse were independently associated with NAS expression. Polysubstance exposure was associated with more severe NAS expression after controlling for the effects of buprenorphine dose. Other exposures, including cigarette smoking and SRI use, were not related to outcomes. Maternal buprenorphine dose was positively associated with lower birth weight and length.

conclusionsPolysubstance exposure was the most potent predictor of NAS severity in this sample of buprenorphine-exposed neonates. This finding suggests the need for interventions that reduce maternal polysubstance use during medication assisted treatment for opioid use disorder, and highlights the necessity of a comprehensive approach, beyond buprenorphine treatment alone, for the optimal care for pregnant women with opioid use disorders.

Indexed as

BuprenorphineFemaleHumansInfant, NewbornMethadoneNeonatal Abstinence SyndromeOpiate Substitution TreatmentOpioid-Related DisordersPregnancyPregnancy ComplicationsBuprenorphineMethadoneBuprenorphineMaternal opioid use disorderMedication assisted treatment during pregnancyNeonatal abstinence syndromeOpioid exposed neonatePerinatal substance use disorder treatmentSubstance exposed neonate

Identifiers

PMID28869859
PMCPMC5788458
OpenAlexW2752381490

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.