Evidence map›Paper›PMID 29473258›Full record

ArticleThe American journal on addictions2018

Treating women with opioid use disorder during pregnancy in Appalachia: Initial neonatal outcomes following buprenorphine + naloxone exposure.

Linda Nguyen, Laura R Lander, Kevin E O'Grady, Patrick J Marshalek, Adrienne Schmidt, Audra K Kelly, Hendrée E Jones

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal on addictions, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03740243 (Comparison of Buprenorphine vs Buprenorphine/Naloxone on the Effects of Maternal Symptomatology), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.4field-weighted citation impact, top 5% 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.

NCT03740243 phase4withdrawnnot on this map

Comparison of Buprenorphine vs Buprenorphine/Naloxone on the Effects of Maternal Symptomatology

TypeinterventionalSponsorStony Brook UniversityRan2018 to 2020Enrolled0ConditionsOpioid-use DisorderArmsBuprenorphine/naloxone, Buprenorphine
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Safety and Efficacy of Buprenorphine-Naloxone in Pregnancy: A Systematic Review of the Literature.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Opioid use disorder in pregnancy.The mental health clinician · 2019
    Article
  10. 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

7 authors at 4 institutions in 1 country.

Linda NguyenDepartments of Neurosciences and Pediatrics, University of California, San Diego, San Diego, California.
Laura R LanderDepartment of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown, West Virginia.
Kevin E O'GradyDepartment of Psychology, University of Maryland, College Park, College Park, Maryland.
Patrick J MarshalekDepartment of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown, West Virginia.ORCID 0000-0002-9775-2975
Adrienne SchmidtUNC Horizons and Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Audra K KellySchool of Medicine West Virginia University, Morgantown, West Virginia.
Hendrée E JonesUNC Horizons and Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
West Virginia University · USUniversity of North Carolina at Chapel Hill · USUniversity of California San Diego · USUniversity of Maryland, College Park · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRising concerns regarding diversion and misuse of mono-buprenorphine for treatment of pregnant women with opioid use disorders have sparked interest in the use of buprenorphine + naloxone to reduce misuse and diversion rates. Examined the relationship of prenatal buprenorphine + naloxone exposure to neonatal outcomes.

methodsThis is a retrospective chart review of 26 mother infant dyads in comprehensive medication-assisted treatment with buprenorphine + naloxone during pregnancy.

resultsAll neonatal birth outcome parameters were within normal ranges, albeit on the lower side of normal for gestational age and birth weight. Only 19% of neonates required morphine pharmacology for NAS.

conclusionsUse of buprenorphine + naloxone shows relative safety in pregnancy. SCIENTIFIC SIGNIFICANCE: These findings can help better guide prescribing practices for pregnant patients at risk for misuse or diversion of buprenorphine. (Am J Addict 2018;27:92-96).

Indexed as

Buprenorphine, Naloxone Drug CombinationNeonatal Abstinence SyndromeOpioid-Related DisordersPregnancy ComplicationsAdultAppalachian RegionBirth WeightFemaleHumansInfant, NewbornMethadoneOpiate Substitution TreatmentPregnancyPregnant PeopleRetrospective StudiesRisk AdjustmentBuprenorphine, Naloxone Drug CombinationMethadone

Identifiers

PMID29473258
PMCPMC5929133
OpenAlexW2789844120

What OpenQuestion holds

Textmetadata
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Registered trials

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.