ArticleThe mental health clinician2019
Treatment outcomes of long-acting injectable naltrexone versus oral naltrexone in alcohol use disorder in veterans.
Article in The mental health clinician, 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.
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
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Extended-release naltrexone versus oral naltrexone for substance use disorders: A systematic review and meta-analysis.Drug and alcohol dependence · 2025Pooled it
- Reduced emergency department use among insured individuals receiving extended-release buprenorphine in a health system setting.Drug and alcohol dependence reports · 2024Article
- A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder.Brain sciences · 2024Review
- The life and times of endogenous opioid peptides: Updated understanding of synthesis, spatiotemporal dynamics, and the clinical impact in alcohol use disorder.Neuropharmacology · 2023Review
- Medications for the Treatment of Alcohol Dependence-Current State of Knowledge and Future Perspectives from a Public Health Perspective.International journal of environmental research and public health · 2023Review
- Trends in the Use of Naltrexone for Addiction Treatment among Alcohol Use Disorder Admissions in U.S. Substance Use Treatment Facilities.International journal of environmental research and public health · 2021Article
- Pharmacotherapies and personalized medicine for alcohol use disorder: a review.Pharmacogenomics · 2020Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn veterans, the prevalence of 12-month and lifetime alcohol use disorder (AUD) is 14.8% and 42.2%, respectively. Alcohol use disorder treatment is often plagued by medication discontinuation with relapse rates being as high as 39% in patients who sought treatment. One proposed benefit of long-acting injectable (LAI) medications is improved adherence. The purpose of this trial was to compare the difference in time to relapse between patients on oral and LAI naltrexone.
methodsThis study was a retrospective electronic chart review of patients with AUD who were treated with oral or LAI naltrexone at a Veteran's Affairs Medical Center from August 1, 2016, to July 31, 2018. The primary outcome assessed was time to relapse. Secondary outcomes for this study included medication possession ratio (MPR), comorbid mental health diagnosis, substance use, past pharmacological treatment, liver and kidney function, and enrollment in addiction-focused psychosocial therapy.
resultsThirty-two patients met inclusion criteria. The median time to relapse was longer for those treated with LAI naltrexone versus oral naltrexone (150.5 days vs 50.5 days, DISCUSSION: Results suggest that LAI naltrexone is associated with increased time to relapse and should be considered as a first-line option for patients. Given the retrospective nature and small sample size of this study, larger, randomized, controlled trials comparing LAI and oral naltrexone head to head would help determine most appropriate treatment for these patients.
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Registered trials
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