Evidence map›Paper›PMID 33428284›Full record

Trial reportAddiction (Abingdon, England)2021

Buprenorphine physician-pharmacist collaboration in the management of patients with opioid use disorder: results from a multisite study of the National Drug Abuse Treatment Clinical Trials Network.

Li-Tzy Wu, William S John, Udi E Ghitza, Aimee Wahle, Abigail G Matthews, Mitra Lewis, Brett Hart, Zach Hubbard, Lynn A Bowlby, Lawrence H Greenblatt and 2 more

Registry-linked trialOpen access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03248947 (Buprenorphine Physician-Pharmacist Collaboration in the Management of Patients With Opioid Use Disorder), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT03248947 early_phase1completednot on this map

Buprenorphine Physician-Pharmacist Collaboration in the Management of Patients With Opioid Use Disorder: Clinical Trials Network 0075

TypeinterventionalSponsorDuke UniversityRan2018 to 2019Enrolled71ConditionsOpioid Use DisorderArmsbuprenorphine/naloxone, Pharmacist-administered buprenorphine/naloxone maintenance care
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  10. Delivering MOUD to the Underserved: How Can Pharmacies Really Help?Journal of studies on alcohol and drugs · 2024
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  13. Assessing suboxone access in community pharmacies: Secret shopper model.Exploratory research in clinical and social pharmacy · 2023
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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

12 authors at 3 institutions in 1 country.

Li-Tzy WuDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-5909-2259
William S JohnDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Udi E GhitzaNational Institute on Drug Abuse, Bethesda, MD, USA.ORCID 0000-0001-9964-8066
Aimee WahleThe Emmes Company, LLC, Rockville, MD, USA.
Abigail G MatthewsThe Emmes Company, LLC, Rockville, MD, USA.
Mitra LewisThe Emmes Company, LLC, Rockville, MD, USA.
Brett HartThe Emmes Company, LLC, Rockville, MD, USA.
Zach HubbardThe Emmes Company, LLC, Rockville, MD, USA.
Lynn A BowlbyDepartment of Medicine, Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA.
Lawrence H GreenblattDepartment of Medicine, Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA.
Paolo MannelliDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-7834-6138
Pharm-OUD-Care Collaborative Investigators
Duke University · USEmmes (United States) · USNational Institute on Drug Abuse · US

Funding

Project-003UG1DA040317 · NIDA · DUKE UNIVERSITY · PI WU, LI-TZY · 2015 to 2019
$9.0M
NIDA NIH HHS HHSN271201400028CNIDA NIH HHS HHSN271201500065CNIDA NIH HHS UG1 DA040317
6 · The paper itself

Abstract

BACKGROUND AND

aimsPhysician and pharmacist collaboration may help address the shortage of buprenorphine-waivered physicians and improve care for patients with opioid use disorder (OUD). This study investigated the feasibility and acceptability of a new collaborative care model involving buprenorphine-waivered physicians and community pharmacists.

designNonrandomized, single-arm, open-label feasibility trial.

settingThree office-based buprenorphine treatment (OBBT) clinics and three community pharmacies in the United States.

participantsSix physicians, six pharmacists, and 71 patients aged ≥18 years with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) OUD on buprenorphine maintenance.

interventionAfter screening, eligible patients' buprenorphine care was transferred from their OBBT physician to a community pharmacist for 6 months. MEASUREMENTS: Primary outcomes included recruitment, treatment retention and adherence, and opioid use. Secondary outcomes were intervention fidelity, pharmacists' use of prescription drug monitoring program (PDMP), participant safety, and satisfaction with treatment delivery.

findingsA high proportion (93.4%, 71/76) of eligible participants enrolled into the study. There were high rates of treatment retention (88.7%) and adherence (95.3%) at the end of the study. The proportion of opioid-positive urine drug screens (UDSs) among complete cases (i.e. those with all six UDSs collected during 6 months) at month 6 was (4.9%, 3/61). Intervention fidelity was excellent. Pharmacists used PDMP at 96.8% of visits. There were no opioid-related safety events. Over 90% of patients endorsed that they were "very satisfied with their experience and the quality of treatment offered," that "treatment transfer from physician's office to the pharmacy was not difficult at all," and that "holding buprenorphine visits at the same place the medication is dispensed was very or extremely useful/convenient." Similarly, positive ratings of satisfaction were found among physicians/pharmacists.

conclusionsA collaborative care model for people with opioid use disorder that involves buprenorphine-waivered physicians and community pharmacists appears to be feasible to operate in the United States and have high acceptability to patients.

Indexed as

BuprenorphineOpioid-Related DisordersPhysiciansHumansOpiate Substitution TreatmentPharmacistsUnited StatesBuprenorphineBuprenorphine collaborative careoffice-based buprenorphine treatmentopioid use disorderpharmacist-provided carepharmacy practiceprimary care

Identifiers

PMID33428284
PMCPMC8172420
OpenAlexW3119512592

What OpenQuestion holds

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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.