Evidence map›Paper›PMID 30920187›Full record

ArticleThe Journal of clinical psychiatry2019

Correlates of Opioid Abstinence in a 42-Month Posttreatment Naturalistic Follow-Up Study of Prescription Opioid Dependence.

Roger D Weiss, Margaret L Griffin, David E Marcovitz, Blake T Hilton, Garrett M Fitzmaurice, R Kathryn McHugh, Kathleen M Carroll

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of clinical psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00316277 (A Two-Phase Randomized Controlled Clinical Trial of Buprenorphine/Naloxone Treatment Plus Standard Medical Management or Enhanced Medical Management for Opioid Analgesic Dependence), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT00316277 phase3completednot on this map

A Two-Phase Randomized Controlled Clinical Trial of Buprenorphine/Naloxone Treatment Plus Standard Medical Management or Enhanced Medical Management for Opioid Analgesic Dependence

TypeinterventionalSponsorMclean HospitalRan2006 to 2013Enrolled653ConditionsOpiate Dependence, Substance-related Disorders, Opioid-related DisordersArmsStandard Medical Management (SMM) of Prescription Opiate Abuse, Enhanced Medical Management (EMM) of Prescription Opiate Abuse
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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

7 authors at 4 institutions in 1 country.

Roger D WeissMcLean Hospital, 115 Mill St, Belmont, MA 02478. rweiss@mclean.harvard.edu.
Margaret L GriffinDivision of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts, USA.
David E MarcovitzDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Blake T HiltonDivision of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts, USA.
Garrett M FitzmauriceDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
R Kathryn McHughDivision of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts, USA.
Kathleen M CarrollDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Harvard University · USMcLean Hospital · USVanderbilt University Medical Center · USYale University · US

Funding

The National Drug Abuse Treatment Clinical Trials NetworkUG1DA015831 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Roger D. Weiss · 2015 to 2026
$110.8M
The National Drug Abuse Treatment Clinical Trials Network (U10)U10DA015831 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI CARROLL, KATHLEEN M., WEISS, ROGER D. · 2002 to 2015
$28.8M
Mentoring in Drug Abuse and Dual Diagnosis ResearchK24DA022288 · NIDA · MCLEAN HOSPITAL · PI WEISS, ROGER D. · 2007 to 2016
$1.8M
GENDER DIFFERENCES IN MECHANISMS OF RECOVERY FROM OPIOID USE DISORDER AND ANXIETYK23DA035297 · NIDA · MCLEAN HOSPITAL · PI MCHUGH, REBECCA KATHRYN · 2014 to 2018
$959k
NIDA NIH HHS K23 DA035297NIDA NIH HHS K24 DA022288NIDA NIH HHS U10 DA015831NIDA NIH HHS UG1 DA015831
6 · The paper itself

Abstract

objectiveThe natural course of prescription opioid use disorder has not been examined in longitudinal studies. The current study examined correlates of opioid abstinence over time after completion of a treatment trial for prescription opioid dependence.

methodsThe multisite Prescription Opioid Addiction Treatment Study examined different durations of buprenorphine-naloxone treatment and different intensities of counseling to treat prescription opioid dependence, as assessed by DSM-IV; following the clinical trial, a longitudinal study was conducted from March 2009-January 2013. At 18, 30, and 42 months after treatment entry, telephone interviews were conducted (N = 375). In this exploratory, naturalistic study, logistic regression analyses examined the association between treatment modality (including formal treatment and mutual help) and opioid abstinence rates at the follow-up assessments.

resultsAt the 3 follow-up assessments, approximately half of the participants reported engaging in current substance use disorder treatment (47%-50%). The most common treatments were buprenorphine maintenance (27%-35%) and mutual-help group attendance (27%-30%), followed by outpatient counseling (18%-23%) and methadone maintenance (4%). In adjusted analyses, current opioid agonist treatment showed the strongest association with current opioid abstinence (odds ratios [ORs] = 5.4, 4.6, and 2.8 at the 3 assessments), followed by current mutual-help attendance (ORs = 2.2, 2.7, and 1.9); current outpatient counseling was not significantly associated with abstinence in the adjusted models.

conclusionsWhile opioid agonist treatment was most strongly associated with opioid abstinence among patients with prescription opioid dependence over time, mutual-help group attendance was independently associated with opioid abstinence. Clinicians should consider recommending both of these interventions to patients with opioid use disorder.

trial registrationClinicalTrials.gov identifier: NCT00316277​.

Indexed as

Treatment OutcomeBuprenorphine, Naloxone Drug CombinationFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleOpiate Substitution TreatmentOpioid-Related DisordersPrescription Drug MisuseRandomized Controlled Trials as TopicBuprenorphine, Naloxone Drug Combination

Identifiers

PMID30920187
PMCPMC6842303
OpenAlexW2925135579

What OpenQuestion holds

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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.