Evidence map›Paper›PMID 33334959›Full record

ArticleCanadian family physician Medecin de famille canadien2020

Long-term treatment outcomes in a First Nations high school population with opioid use disorder.

Anita Srivastava, Meldon Mayer Kahan, Mae Katt, Tammy Patriquin, Henry Becker, Alison McAndrew, Colleen McCreery, Claudette Chase

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

8 authors at 6 institutions in 3 countries.

Anita SrivastavaAssociate Professor and Family and Addiction Medicine physician at Women's College Hospital and St Joseph's Health Centre in the Department of Community and Family Medicine at the University of Toronto in Ontario. anita.srivastava@utoronto.ca.
Meldon Mayer KahanMedical Director of the Substance Use Service at Women's College Hospital and Associate Professor in the Department of Family and Community Medicine at the University of Toronto.
Mae KattPrimary health care nurse practitioner in Thunder Bay, Ont.
Tammy PatriquinAddictions and community service worker at Dennis Franklin Cromarty High School in Thunder Bay.
Henry BeckerEmergency physician at Northumberland Hills Hospital in Cobourg, Ont..
Alison McAndrewResearch assistant at Women's College Hospital at the time of the study.
Colleen McCreeryNurse at Dennis Franklin Cromarty High School and the Northern Nishnawbe Education Council.
Claudette ChaseFamily physician with the Sioux Lookout Northern Physician Group in Ontario.
Women's College Hospital · CABayer (United States) · USCollege of Family Physicians of Canada · CAMuseums Northumberland · USOnderwijsraad · NLThunder Bay Regional Health Sciences Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess for long-term positive effects of buprenorphine treatment (BT) on opioid use disorder (OUD) at a Nishnawbe Aski Nation high school clinic.

designPostgraduation telephone survey of high school students between March 2017 and January 2018.

settingDennis Franklin Cromarty High School in Thunder Bay, Ont.

participantsAll 44 students who had received BT in the high school clinic during its operation from 2011 to 2013 were eligible to participate.

main outcome measuresCurrent substance use, BT status, and social and employment status.

resultsThirty-eight of the 44 students who had received BT in the high school clinic were located and approached; 32 consented to participate in the survey. A descriptive analysis of the surveyed indicators was undertaken. Almost two-thirds (n = 20, 62.5%) of the cohort had graduated from high school, more than one-third (n = 12, 37.5%) were employed full time, and most (n = 29, 90.6%) rated their health as "good" or "OK." A greater percentage of participants who continued taking BT after high school (n = 19, 61.3%) were employed full time (n = 8, 42.1% vs n = 4, 33.3%) and were abstinent from alcohol (n = 12, 63.2% vs n = 4, 33.3%). Participants still taking BT were significantly more likely to have obtained addiction counseling in the past year than those participants not in treatment (n = 9, 47.4% vs n = 1, 8.3%;

conclusionThe study results suggest that offering OUD treatment to youth in the form of BT in a high school clinic might be an effective strategy for promoting positive long-term health and social outcomes. Clinical treatment guidelines currently recommend long-term opioid agonist treatment as the treatment of choice for OUD in the general population; they should consider adding youth to the population that might also benefit.

Indexed as

AdolescentBuprenorphineChildCounselingFemaleHumansIndigenous CanadiansMaleOpioid-Related DisordersProgram EvaluationSchoolsStudentsTreatment OutcomeBuprenorphine

Identifiers

PMID33334959
PMCPMC7745942
OpenAlexW3112467973

What OpenQuestion holds

Textmetadata
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.