Evidence map›Paper›PMID 30370423›Full record

ArticleBiomedical journal of scientific & technical research2018

Promoting Precision Addiction Management (PAM) to Combat the Global Opioid Crisis.

Kenneth Blum, Edward J Modestino, Jennifer Neary, Marjorie C Gondré-Lewis, David Siwicki, Mark Moran, Mary Hauser, Eric R Braverman, David Baron, Bruce Steinberg and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Biomedical journal of scientific & technical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.3field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 68 citations in OpenAlex.

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  10. Reward Deficiency Syndrome (RDS): A Cytoarchitectural Common Neurobiological Trait of All Addictions.International journal of environmental research and public health · 2021
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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

12 authors at 1 institution in 1 country.

Kenneth BlumDepartment of Psychiatry, Wright State University, USA.
Edward J ModestinoDepartment of Psychology, Curry College, USA.
Jennifer NearyDepartment of Precision Medicine, Geneus Health LLC, USA.
Marjorie C Gondré-LewisNational Human Genome Center at Howard University, USA.
David SiwickiDepartment of Precision Medicine, Geneus Health LLC, USA.
Mark MoranDepartment of Precision Medicine, Geneus Health LLC, USA.
Mary HauserDivision of Applied Clinical Research & Education, Dominion Diagnostics, USA.
Eric R BravermanDepartment of Precision Medicine, Geneus Health LLC, USA.
David BaronDepartment of Psychiatry and Behavioral Sciences, Keck Medicine University of Southern California, USA.
Bruce SteinbergDepartment of Psychology, Curry College, USA.
Thomas Mc LaughlinCenter for Psychiatric Medicine, USA.
Rajendra D BadgaiyanDepartment of Psychiatry, Icahn School of Medicine, USA.
Florida College · US

Funding

Dopamine Neurotransmission in AddictionI01CX000479 · VA · VA WESTERN NEW YORK HEALTHCARE SYSTEM · PI BADGAIYAN, RAJENDRA D · 2013 to 2014
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CSRD VA I01 CX000479
6 · The paper itself

Abstract

It is universally agreed that dopamine is a major neurotransmitter in terms of reward dependence, however, there remains controversy regarding how to modulate its role clinically to treat and prevent relapse for both substance and non-substance-related addictive behaviors. It is also agreed by most that there is a need to provide early genetic identification possibly through a novel researched technology referred to Genetic Addiction Risk Score(GARS).™ The existing FDA-approved medications promote blocking dopamine, however, we argue that a more prudent paradigm shift should be biphasic-short-term blockade and long-term upregulation, enhancing functional connectivity of brain reward. It is critical to understand that the real phenotype is not any specific drug or non -drug addictive behavior, but instead is Reward Deficiency Syndrome (RDS). Thus the true phenotype of all addictive behaviors is indeed RDS. Finally, we are suggesting that one way to combat the current out of control Opioid /Alcohol crisis worldwide is to seriously reconsider treating RDS by simply supplying powerful narcotic agents (e.g. Buprenorphine). This type of treatment will only keep people addicted. A more reasonable solution involving genetic testing, urine drug screens using Comprehensive Analysis of Reported Drugs (CARD) and dopamine homeostasis we call " Precision Addiction Management" ™ seems parsonomiuos.

Indexed as

Genetic addiction risk scoreHypo dopaminergicPro-dopamine regulationReward deficiency syndrome

Identifiers

PMID30370423
PMCPMC6201280
OpenAlexW2787806522

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.