ArticleDrug and alcohol dependence2019
Monitoring opioid addiction and treatment: Do you know if your population is engaged?
Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- Real-Time Expert Support for Addiction Care Across General Medical Settings: Evaluation of a Chat-Based Intervention.Substance use & addiction journal · 2026Article
- A learning health system model for addressing substance use: Denver Health Center for Addiction Medicine.Learning health systems · 2025Article
- Using 42 CFR part 2 revisions to integrate substance use disorder treatment information into electronic health records at a safety net health system.Addiction science & clinical practice · 2024Article
- Application of an opioid use disorder cascade of care in a large public health system.The American journal of drug and alcohol abuse · 2024Article
- No health without access: using a retrospective cohort to model a care continuum for people released from prison at an urban, safety net health system.Health & justice · 2023Article
- Strategies to support substance use disorder care transitions from acute-care to community-based settings: a scoping review and typology.Addiction science & clinical practice · 2023Article
- Application of an Opioid Use Disorder Cascade of Care in a Large Public Health System.medRxiv : the preprint server for health sciences · 2023Article
- Total cost of care associated with opioid use disorder treatment.Preventive medicine · 2023Article
- Rewarding recovery: the time is now for contingency management for opioid use disorder.Annals of medicine · 2022Article
- Opioid use disorder Cascade of care framework design: A roadmap.Substance abuse · 2022Article
- Treatment for opioid use disorder in the Florida medicaid population: Using a cascade of care model to evaluate quality.The American journal of drug and alcohol abuse · 2021Article
- The Detection of Opioid Misuse and Heroin Use From Paramedic Response Documentation: Machine Learning for Improved Surveillance.Journal of medical Internet research · 2020Article
- Barriers to Engagement in Opioid Use Disorder Treatment After Buprenorphine Induction.Journal of addiction medicineArticle
- Utilizing the Practical Robust, Implementation and Sustainability Model to Explore the Primary Care Setting Contextual Determinants of Implementing Patient-Reported Outcomes Measures to Support Opioid Use Disorder Care.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAssessment of people affected by opioid-related problems and those receiving care is challenging due to lack of common definitions and scattered information. We sought to fill this gap by demonstrating a method to describe a continuum of opioid addiction care in a large, public safety-net institution.
methodsUsing 2017 clinical and administrative data from Denver Health (DH), we created operational definitions for opioid use disorder (OUD), opioid misuse (OM), and opioid poisoning (OP). Six stages along a continuum of patient engagement in opioid addiction care were developed, and operational definitions assigned patients to stages for a specific time point of analysis. National data was used to estimate the Denver population affected by OUD, OM and OP.
resultsIn 2017, an estimated 6688 people aged ≥12 years were affected by OUD, OM, or OP in Denver; 48.4% (3238/6688) were medically diagnosed in DH. Of those, 32.5% (1051/3238) were in the medication assisted treatment stage, and, of those, 59.8% (629/1051) in the adhered to treatment stage. Among that latter group, 78.4% (493/629) adhered at least 90 days and 52.3% (329/629) for more than one year. Among patients who received medication assisted treatment, less than one third (31.3%, 329/1051) were adherent for more than one year.
conclusionsA health-system level view of the continuum of opioid addiction care identified improvement opportunities to better monitor accuracy of diagnosis, treatment capacity, and effectiveness of patient engagement. Applied longitudinally at local, state and national levels, the model could better synergize responses to the opioid crisis.
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What OpenQuestion holds
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.