Evidence map›Paper›PMID 32448551›Full record

ArticleAmerican journal of preventive medicine2020

Opioid Use Disorder Treatment Facilities With Programs for Special Populations.

Scott E Hadland, Victoria A Jent, Rachel H Alinsky, Brandon D L Marshall, Pia M Mauro, Magdalena Cerdá

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  4. Observational
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  11. Medications for Alcohol Use Disorder and Retention in Care in Medicaid-Enrolled Youth, 2014-2019.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  12. Article
  13. Methadone Maintenance Treatment Discontinuation Among Young People who use Opioids in Vancouver, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  14. Article
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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 5 institutions in 1 country.

Scott E HadlandDepartment of Pediatrics/Grayken Center for Addiction, Boston Medical Center, Boston, Massachusetts; Division of General Pediatrics, Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts. Electronic address: scott.hadland@bmc.org.
Victoria A JentCenter for Opioid Epidemiology and Policy, Department of Population Health, New York University School of Medicine, New York, New York.
Rachel H AlinskyDivision of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island.
Pia M MauroDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Magdalena CerdáCenter for Opioid Epidemiology and Policy, Department of Population Health, New York University School of Medicine, New York, New York.
New York University · USBoston University · USBrown University · USColumbia University · USJohns Hopkins University · US

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Brandon David Lewis Marshall · 2018 to 2026
$23.4M
Prescription Drug Monitoring Programs and Opioid-Related HarmR01DA039962 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CERDA, MAGDALENA · 2016 to 2018
$1.3M
Collaborative Care Office-Based Opioid Treatment for Adolescents and Young AdultsK23DA045085 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI HADLAND, SCOTT EVAN · 2018 to 2022
$1.1M
Multi-level associations between medical marijuana laws and substance use disorder treatmentK01DA045224 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURO, PIA M. · 2018 to 2022
$878k
NIDA NIH HHS K01 DA045224NIDA NIH HHS K23 DA045085NIDA NIH HHS L30 DA042436NIDA NIH HHS L40 DA042434NIDA NIH HHS R01 DA039962NIGMS NIH HHS P20 GM125507
6 · The paper itself

Abstract

introductionSpecial populations, including veterans, pregnant and postpartum women, and adolescents, benefit from opioid use disorder treatment tailored to their specific needs, but access to such services is poorly described. This study identifies the availability of opioid use disorder treatment facilities that use medications and have special programming and contextualizes facilities amid counties' opioid-related overdose mortality.

methodsData were compiled on 15,945 U.S. treatment facilities using medications for opioid use disorder listed in the Behavioral Health Services Treatment Locator in 2018. Facilities with programs tailored to special populations (veterans, pregnant and postpartum women, and adolescents) were identified and geocoded. Counties with such facilities were characterized. Cold spots (county clusters with poor treatment availability) were identified using Getis-Ord Gi* statistics. Data were extracted in October 2018 and analyzed from October 2018 to May 2019.

resultsOf all 3,142 U.S. counties, 1,889 (60.1%) had opioid use disorder treatment facilities. Facilities with tailored programs for veterans, pregnant and postpartum women, and adolescents were located in 701 (22.3%), 918 (29.2%), and 1,062 (33.8%) of the counties, respectively. Specific medications provided for opioid use disorder varied, with only a minority of facilities offering methadone (among facilities with tailored programs for veterans, 6.0%; pregnant and postpartum women, 13.2%; adolescents, 1.3%). Many counties reporting opioid-related overdose deaths lacked programs for special populations (veterans, 72.6%; pregnant and postpartum women, 54.8%; adolescents, 30.6%). Cold spots were located throughout the Midwest, U.S. Southeast, and portions of Texas.

conclusionsFacilities using medications for opioid use disorder with tailored programs for veterans, pregnant and postpartum women, and adolescents are limited. There is a need for improved access to evidence-based programs that address the unique treatment needs of special populations.

Indexed as

Opioid-Related DisordersVeteransAdolescentAdultDepression, PostpartumFemaleHumansInfant, NewbornMaleMethadoneMiddle AgedPostpartum PeriodPregnancyPregnant PeopleTexasTreatment OutcomeMethadone

Identifiers

PMID32448551
PMCPMC7484197
OpenAlexW3028155779

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.