Evidence map›Paper›PMID 31185852›Full record

ArticlePsychiatric services (Washington, D.C.)2019

Perspectives and Practice in the Identification and Treatment of Opioid Use, Alcohol Use, and Depressive Disorders.

Courtney Benjamin Wolk, Chyke A Doubeni, Heather A Klusaritz, Andrea Bilger, Emily Paterson, David W Oslin

Open access · bronzeAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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 1 institution in 1 country.

Courtney Benjamin WolkDepartment of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).
Chyke A DoubeniDepartment of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).
Heather A KlusaritzDepartment of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).
Andrea BilgerDepartment of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).
Emily PatersonDepartment of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).
David W OslinDepartment of Psychiatry, Perelman School of Medicine (Wolk, Oslin), Department of Family Medicine and Community Health (Doubeni, Klusaritz, Bilger, Paterson), and Center for Public Health Initiatives (Klusaritz), all at the University of Pennsylvania, Philadelphia; Mental Illness Research, Education and Clinical Center, Cpl. Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia (Oslin).
Philadelphia VA Medical Center · US

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

objectiveLittle research has focused on the treatment of adults with substance use disorders in primary care despite the high occurrence, morbidity, and mortality associated with these disorders.

methodsAn electronic survey was administered to primary care providers in a large health system to assess screening and treatment practices and comfort managing opioid use, alcohol use, and depressive disorders. A total of 146 providers completed the survey (32%).

resultsProviders were significantly less likely to screen for or treat opioid use disorders and alcohol use disorders, compared with depression. Providers reported feeling significantly less confident, less prepared, less expected to treat, less sure of the appropriateness of treating, and less able to navigate community resources in the treatment of opioid and alcohol use disorders, compared with depression.

conclusionsGiven the preponderance of substance use disorders in primary care, increased attention to equipping primary care providers to treat these conditions is warranted.

Indexed as

Attitude of Health PersonnelPrimary Health CareAdultAlcoholismDepressive DisorderFemaleHumansMaleMass ScreeningMid-Atlantic RegionMiddle AgedOpioid-Related DisordersSurveys and QuestionnairesAlcohol and drug abuseintegrated behavioral healthPrimary care

Identifiers

PMID31185852
PMCPMC6773501
OpenAlexW2953055440

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.