Evidence map›Paper›PMID 33338285›Full record

ArticleAddiction (Abingdon, England)2020

Adapting treatment length to opioid-dependent individuals' needs and preferences: A 2-year follow-up to a 1-year study of extended-release naltrexone.

Kristin Klemmetsby Solli, Arild Opheim, Zill-E-Huma Latif, Peter Krajci, Jūratė Šaltytė Benth, Nikolaj Kunoe, Lars Tanum

Open access · hybridAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 6 institutions in 4 countries.

Kristin Klemmetsby SolliDept. of R&D in Mental Health, Akershus University Hospital, 1478 Loerenskog, Norway.ORCID https://orcid.org/0000-0003-4622-2947
Arild OpheimDept. of Addiction Medicine, Haukeland University Hospital, 5020, Bergen, Norway.
Zill-E-Huma LatifGroruddalen Outpatient Department, Akershus University Hospital, 0963, Oslo, Norway.ORCID https://orcid.org/0000-0001-5997-3817
Peter KrajciDept. of Addiction Medicine, Oslo University Hospital, 0450, Oslo, Norway.
Jūratė Šaltytė BenthUniversity of Oslo, Institute of Clinical Medicine, Campus Ahus, 0318 Blindern, Norway.
Nikolaj KunoeLovisenberg Diaconal Hospital, P.O. Box 4970, 0440, Oslo, Norway.ORCID https://orcid.org/0000-0003-4530-2021
Lars TanumDept. of R&D in Mental Health, Akershus University Hospital, 1478 Loerenskog, Norway.
University of Oslo · NOAkershus University Hospital · NOHaukeland University Hospital · NOLovisenberg Diakonale Høgskole · NOOsloMet – Oslo Metropolitan University · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimExtended-release naltrexone (XR-NTX) is an underused treatment option for opioid dependence, today only available in a few countries in the world. Although effective, safe and feasible in short-term treatment, long-term data are scarce and there is no recommendation for required treatment length. The aims of the study were to determine the perceived need of long-term XR-NTX treatment and to examine long-term treatment outcomes.

designIn this prospective cohort study, following a parent 1-year study of XR-NTX, participants received treatment with XR-NTX at their own discretion for a maximum of 104 weeks.

settingFive urban, outpatient addiction clinics in Norway.

participantsOpioid-dependent adults 18-60 years old (n=50) already participating in the parent study.

interventionXR-NTX administrated as intra-muscular injections (380 mg) every 4 weeks. MEASUREMENTS: Time in the study, use of opioids and other illicit substances, opioid craving, and treatment satisfaction reported every 4 weeks.

findingsAmong 58 participants who completed the 1-year parent study, 50 chose to continue the treatment with XR-NTX. Median prolonged treatment time was 44.0 weeks (95% CI: 25.5-62.5), ranging from 8 to 104 weeks. Most participants (35, 70%) reported no relapse to opioid use during treatment while a subgroup (15, 30%) reported relapses to opioids during the study. Scores for mean treatment satisfaction and recommending treatment to others were very high (>9) and mean opioid craving score was very low (<1) on a scale ranging from 0 to 10.

conclusionsExtended-release naltrexone (XR-NTX) was well tolerated in long-term treatment of opioid dependent individuals in Norway already in XR-NTX treatment. On average, the participants chose to continue treatment for almost 1 year beyond the initial 9 to 12 months of treatment. Participants reported high treatment satisfaction and 70% showed no relapse to opioids during the treatment period.

Indexed as

antagonist treatmentExtended-release naltrexonelong-term treatmentopioid userecoverytreatment durationtreatment of opioid dependence

Identifiers

PMID33338285
PMCPMC8359292
OpenAlexW3115673164

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.