Evidence map›Paper›PMID 29449263›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Patterns of methadone maintenance treatment provision in Ontario: Policy success or pendulum excess?

Paul Kurdyak, Binu Jacob, Juveria Zaheer, Benedikt Fischer

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2018. 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
1.6field-weighted citation impact, top 17% 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

4 authors at 1 institution in 1 country.

Paul KurdyakDirector of Health Outcomes and Performance Evaluation at the Centre for Addiction and Mental Health in Toronto, Ont, Lead of the Mental Health Program at the Institute for Clinical Evaluative Sciences in Toronto, and Assistant Professor in the Department of Psychiatry and in the Institute of Health Policy, Management and Evaluation at the University of Toronto. paul.kurdyak@camh.ca.
Binu JacobResearch analyst at the Centre for Addiction and Mental Health.
Juveria ZaheerClinician Scientist at the Centre for Addiction and Mental Health and Assistant Professor in the Department of Psychiatry at the University of Toronto.
Benedikt FischerSenior Scientist at the Centre for Addiction and Mental Health and Professor in the Department of Psychiatry, the Institute of Medical Science, and the Centre for Criminology and Sociolegal Studies at the University of Toronto.
Centre for Addiction and Mental Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe recent trends and patterns in methadone maintenance treatment (MMT) practice regionally and over time in the province of Ontario.

designPopulation-based descriptive study using health administrative data between September 1, 2011, and December 31, 2014.

settingOntario.

participantsAll active MMT-prescribing physicians and patients receiving MMT in the study period.

main outcome measuresCharacteristics of MMT-prescribing physicians, including age, sex, specialty type, practice region, and practice volume; characteristics of patients receiving MMT, including age, sex, neighbourhood income, and region of residence.

resultsBetween September 1, 2011, and December 31, 2014, the number of MMT-prescribing physicians and patients who received MMT increased by 26% and 42%, respectively. In 2014, there was a total of 312 MMT-prescribing physicians and 49 703 patients receiving MMT. In 2014 and on a per capita basis, patients receiving MMT were more prevalent in rural regions; and within rural regions, there were disproportionately large numbers of young female MMT patients residing in low-income neighbourhoods.

conclusionThe number of physicians prescribing MMT and patients receiving MMT has increased substantially between 2011 and 2014, with the largest per capita distribution occurring in rural regions and involving young adults. While availability of and access to MMT has improved considerably from before 2000 to levels of high use, these developments are likely influenced by recent trends in the proliferation of prescription opioid misuse across general populations.

Indexed as

AdultDemographyFemaleGeneral PractitionersHealth PolicyHumansMaleMethadoneMiddle AgedOntarioOpiate Substitution TreatmentOpioid-Related DisordersPatient Acceptance of Health CarePractice Patterns, Physicians'Socioeconomic FactorsMethadone

Identifiers

PMID29449263
PMCPMC5964406
OpenAlexW2788387647

What OpenQuestion holds

Textmetadata
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.