Evidence map›Paper›PMID 31008694›Full record

ArticleSubstance abuse2019

Demystifying buprenorphine misuse: Has fear of diversion gotten in the way of addressing the opioid crisis?

Molly Doernberg, Noa Krawczyk, Deborah Agus, Michael Fingerhood

Open access · greenAbstract read
In one paragraph

Article in Substance abuse, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
8.4field-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

36 citing papers in PubMed, 72 citations in OpenAlex.

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  15. Eliminate the buprenorphine DEA X waiver: Justification using a policy analysis approach.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023
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  16. Article
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  18. Characterization of Unintentional Deaths Among Buprenorphine Users.Journal of studies on alcohol and drugs · 2023
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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

4 authors at 2 institutions in 1 country.

Molly DoernbergYale University School of Public Health , New Haven , Connecticut , USA.
Noa KrawczykJohns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Deborah AgusJohns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Michael FingerhoodJohns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Johns Hopkins University · USYale University · US

Funding

Assessing the relationship between opioid agonist therapy and risk of overdose and criminal justice involvement in Maryland: a population-based approachF31DA047021 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KRAWCZYK, NOA · 2018 to 2018
$45k
NIDA NIH HHS F31 DA047021
6 · The paper itself

Abstract

Buprenorphine is considered one of the most effective treatments for opioid use disorder and significantly reduces risk of overdose death. However, concerns about its diversion and misuse have often taken center stage in public discourse and in the design of practices and policies regarding its use. This has been to the detriment of many vulnerable patient populations, especially those involved in the criminal justice system. Policies that restrict access to buprenorphine in criminal justice and other settings due to concerns of diversion do not accurately reflect the relative risks and safety profile associated with it, creating unnecessary barriers that drive an illicit market of this much-needed medication. Although proper regulation of all controlled medications should be a priority, in most instances the benefits of buprenorphine highly outweigh its risks. In the midst of a national crisis, efforts should be focused on expanding, and not restricting, access to this lifesaving treatment.

Indexed as

Opioid EpidemicPrescription Drug DiversionAnalgesics, OpioidBuprenorphineDrug and Narcotic ControlFearHumansOpioid-Related DisordersPractice Patterns, Physicians'Prescription Drug MisusePublic HealthUnited StatesAnalgesics, OpioidBuprenorphineAddictionbuprenorphinecriminal justicediversionopioidsubstance use

Identifiers

PMID31008694
PMCPMC6800751
OpenAlexW2941498941

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.