Evidence map›Paper›PMID 29718715›Full record

Trial reportThe American journal of drug and alcohol abuse2018

Treatment outcomes among a cohort of African American buprenorphine patients: Follow-up at 12 months.

Laura B Monico, Jan Gryczynski, Robert P Schwartz, Jerome H Jaffe, Kevin E O'Grady, Shannon Gwin Mitchell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

6 authors at 2 institutions in 1 country.

Laura B Monicoa Friends Research Institute , Baltimore , MD, USA.
Jan Gryczynskia Friends Research Institute , Baltimore , MD, USA.
Robert P Schwartza Friends Research Institute , Baltimore , MD, USA.
Jerome H Jaffea Friends Research Institute , Baltimore , MD, USA.
Kevin E O'Gradyb Department of Psychology, University of Maryland , College Park, MD, USA.
Shannon Gwin Mitchella Friends Research Institute , Baltimore , MD, USA.
Friends Research Institute · USUniversity of Maryland, College Park · US

Funding

Intensive Outpatient v. Outpatient Treatment with Buprenorphine among African AmeRC1DA028407 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI MITCHELL, SHANNON GWIN · 2009 to 2010
$990k
NIDA NIH HHS RC1 DA028407
6 · The paper itself

Abstract

backgroundAlthough buprenorphine/naloxone (bup/nal) is well-established as a safe and effective treatment for opioid use disorders (OUDs), there are few studies reporting 12-month outcomes of patients receiving bup/nal in formerly drug-free outpatient programs.

objectivesTo examine 12-month outcomes by bup/nal treatment enrollment status among a cohort of African American patients enrolled in a clinical trial.

methodsThis analysis builds upon a randomized trial of 300 opioid-dependent African American bup/nal patients in two outpatient programs in Baltimore, MD. A subset of participants (N = 133, n = 47 female) were tracked for a 12-month follow-up interview.

resultsThe participants receiving bup/nal at 12 months had significantly fewer opioid-positive urine screens (44% v. 73%) and days of self-reported heroin use (M [SE] = 1.13 [.34] v. 7.12 [1.44]) than the out-of-bup/nal-treatment group (both ps ≤ .001). Similarly, those receiving bup/nal reported significantly fewer days of cocaine use (M [SE] = 0.85 [0.23] v. 2.88[0.75]) and alcohol use (M [SE] = 1.44 [0.38] v. 3.69 [1.04]; both ps<.05). There were no significant differences related to criminal activity, quality of life, and most ASI composite scores. Models adjusting for the baseline value, prior treatment experience, and assigned study condition largely confirmed these findings, except that participants in treatment had fewer days of crime and higher psychological quality of life scores compared to those out-of-treatment.

conclusionsThose receiving bup/nal at 12 months had significantly lower rates of illicit opioid use than those who were not. Approaches to improve bup/nal treatment retention and reengagement of patients with OUD are needed.

Indexed as

Black or African AmericanAlcohol DrinkingAnalgesics, OpioidBuprenorphine, Naloxone Drug CombinationCocaineCrimeFemaleFollow-Up StudiesHumansMaleMiddle AgedOpioid-Related DisordersQuality of LifeTreatment OutcomeAnalgesics, OpioidBuprenorphine, Naloxone Drug CombinationCocaineBuprenorphinemedication-assisted treatmentopioid use disorderpharmacotherapy

Identifiers

PMID29718715
PMCPMC6179150
OpenAlexW2802691517

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.