Evidence map›Paper›PMID 31238952›Full record

ArticleSubstance abuse treatment, prevention, and policy2019

Age related medication for addiction treatment (MAT) use for opioid use disorder among Medicaid-insured patients in New York.

Charles J Neighbors, Sugy Choi, Shannon Healy, Rajeev Yerneni, Tong Sun, Liudmila Shapoval

Open access · goldAbstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  6. Trends in Geographic Proximity to Substance Use Disorder Treatment.American journal of preventive medicine · 2023
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  10. Opioid Use Disorder Stigma, Discrimination, and Policy Attitudes in a National Sample of U.S. Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 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

6 authors at 3 institutions in 1 country.

Charles J NeighborsCenter on Addiction, New York, NY, USA. cneighbors@centeronaddiction.org.ORCID 0000-0002-9163-8389
Sugy ChoiCenter on Addiction, New York, NY, USA.
Shannon HealyCenter on Addiction, New York, NY, USA.
Rajeev YerneniCenter on Addiction, New York, NY, USA.
Tong SunNew York State Office of Alcoholism and Substance Abuse Services (OASAS), Albany, NY, USA.
Liudmila ShapovalCenter on Addiction, New York, NY, USA.
National Center on Addiction and Substance Abuse at Columbia University · USBoston University · USNew York State Office of Alcoholism and Substance Abuse Services · US

Funding

Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
New York State Health Home Impact on HIV Treatment CascadeR01DA038193 · NIDA · PARTNERSHIP TO END ADDICTION · PI MORGENSTERN, JON · 2014 to 2018
$3.3M
The Impact of Health Homes in New York State on People with Substance Use DisordeR33DA035615 · NIDA · PARTNERSHIP TO END ADDICTION · PI MORGENSTERN, JON · 2014 to 2017
$2.3M
The Impact of Health Homes in New York State on People with Substance Use DisordeR21DA035615 · NIDA · PARTNERSHIP TO END ADDICTION · PI MORGENSTERN, JON · 2013 to 2013
$220k
NIDA NIH HHS 1T32DA041898NIDA NIH HHS R01 DA038193NIDA NIH HHS R01DA038193NIDA NIH HHS R21 DA035615NIDA NIH HHS R33 DA035615NIDA NIH HHS R33DA035615NIDA NIH HHS T32 DA041898
6 · The paper itself

Abstract

backgroundMedication for addiction treatment (MAT) has received much attention in recent years for treating individuals with opioid use disorders (OUD). However, these medications have been significantly underused among particular subgroups. In this paper, we describe the age distribution of treatment episodes for substance use disorder among Medicaid beneficiaries in New York and corresponding MAT use.

methodsUsing New York Medicaid claims, we identified individuals with OUD that received treatment for substance use disorder in 2015. The type of substance use treatment is the primary outcome measure, which includes methadone, buprenorphine, naltrexone or other non-medication treatment.

resultsA total of 88,637 individuals were diagnosed with OUD and received treatment for substance use disorder and 56,926 individuals received some type of MAT in 2015, with 40.2% receiving methadone, 21.9% receiving buprenorphine and 2.2% receiving naltrexone while 21.9% received non-medication based treatment. Young adults (ages 18-29) were a large proportion (25%) of individuals in treatment for OUD yet were the least likely to receive MAT. Relative to young adults, 30-39 year olds (adjusted odds ratio [AOR] = 1.62, 95% CI = 1.56-1.68), 40-49 year olds (AOR = 1.90, 95% CI = 1.82-1.99), 50-59 year olds (AOR = 2.65, 95% CI = 2.52-2.78), and 60-64 year olds (AOR = 5.03, 95% CI = 4.62-5.48) were more likely to receive MAT.

conclusionsThese preliminary findings highlight high numbers of young adults in treatment for OUD and low rates of MAT, which is not consistent with treatment guidelines. Significant differences exist in the type of medication prescribed across age. More attention is needed to address the treatment needs among individuals of different age, notably young adults.

Indexed as

AdolescentAdultAge FactorsBuprenorphineDrug UtilizationFemaleHumansMaleMedicaidMethadoneMiddle AgedNaltrexoneNew YorkOpiate Substitution TreatmentOpioid-Related DisordersUnited StatesBuprenorphineMethadoneNaltrexoneMATMedicaidMedication-assisted treatmentMedication for addiction treatmentOpioid use disorderSubstance use disorder

Identifiers

PMID31238952
PMCPMC6593566
OpenAlexW2954726217

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.