Evidence map›Paper›PMID 30729416›Full record

ReviewJournal of general internal medicine2019

Methadone Matters: What the United States Can Learn from the Global Effort to Treat Opioid Addiction.

S L Calcaterra, P Bach, A Chadi, N Chadi, S D Kimmel, K L Morford, P Roy, J H Samet

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
15.3field-weighted citation impact, top 1% 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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 144 citations in OpenAlex.

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10 more citing papers are in PubMed but not listed here.

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

8 authors at 7 institutions in 2 countries.

S L CalcaterraDivision of General Internal Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA. susan.calcaterra@ucdenver.edu.
P BachBritish Columbia Centre on Substance Use, University of British Columbia, Vancouver, Canada.
A ChadiFaculty of Pharmacy, Montreal University, Montreal, QC, Canada.
N ChadiDivision of Developmental Medicine, Department of Pediatrics, Harvard Medical School and Boston Children's Hospital, Boston, MA, USA.
S D KimmelSection of Infectious Diseases and General Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
K L MorfordSection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
P RoySection of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA.
J H SametSection of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA.
Boston University · USBoston Children's Hospital · USBoston Medical Center · USUniversité de Montréal · CAUniversity of British Columbia · CAUniversity of Colorado Anschutz Medical Campus · USYale University · US

Funding

BU Clinical HIV/AIDS Research Training Program (BU-CHART)T32AI052074 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Benjamin P. Linas · 2003 to 2026
$6.7M
Advancing Clinical Research Training within Addiction Residency ProgramsR25DA033211 · NIDA · BOSTON MEDICAL CENTER · PI Patrick O'Connor, JEFFREY H. SAMET · 2012 to 2026
$4.2M
NIAID NIH HHS T32 AI052074NIDA NIH HHS R25 DA033211
6 · The paper itself

Abstract

In the midst of an opioid epidemic, mortality related to opioid overdose continues to rise in the US. Medications to treat opioid use disorder, including methadone and buprenorphine, are highly effective in reducing the morbidity and mortality related to illicit opioid use. Despite the efficacy of these life-saving medications, the majority of people with an opioid use disorder lack access to treatment. This paper briefly reviews the evidence to support the use of medications to treat opioid use disorder with a specific focus on methadone. We discuss the current state of methadone therapy for the treatment of opioid use disorder in the US and present logistical barriers that limit its use. Next, we examine three international pharmacy-based models in which methadone dispensing to treat opioid use disorder occurs outside of an opioid treatment facility. We discuss current challenges and opportunities to incorporate similar methods of methadone dispensing for the treatment of opioid use disorder in the US. Finally, we present our vision to integrate pharmacy-based methadone dispensing into routine opioid use disorder treatment through collaboration between clinicians and pharmacies to improve local access to this life-saving medication.

Indexed as

Global HealthInternationalityAnalgesics, OpioidHumansMethadoneNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersUnited StatesAnalgesics, OpioidMethadoneNarcotic Antagonistsmethadoneopioidsopioid use disorder

Identifiers

PMID30729416
PMCPMC6544670
OpenAlexW2912757607

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.