Evidence map›Paper›PMID 33964730›Full record

ArticleDrug and alcohol dependence2021

Shorter outpatient wait-times for buprenorphine are associated with linkage to care post-hospital discharge.

Payel J Roy, Ryan Price, Sugy Choi, Zoe M Weinstein, Edward Bernstein, Chinazo O Cunningham, Alexander Y Walley

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 30 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 3 institutions in 1 country.

Payel J RoyDepartment of Medicine, University of Pittsburgh School of Medicine, 200 Lothrop St, Pittsburgh, PA, 15213, USA. Electronic address: Payel.roy@pitt.edu.
Ryan PriceDepartment of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, Boston, MA, 02118, USA.
Sugy ChoiDepartment of Health Law, Policy, and Management, Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA.
Zoe M WeinsteinDepartment of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, Boston, MA, 02118, USA.
Edward BernsteinDepartment of Community Health Sciences, Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA; Department of Emergency Medicine, Boston University School of Medicine, 850 Harrison Ave, Boston, MA, 02118, USA.
Chinazo O CunninghamDepartment of Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
Alexander Y WalleyDepartment of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, Boston, MA, 02118, USA.
Boston University · USAlbert Einstein College of Medicine · USUniversity of Pittsburgh · US

Funding

MassHEAL - Reducing overdose deaths by 40% (2019-2023)UM1DA049412 · NIDA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2019 to 2023
$82.9M
Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Advancing Clinical Research Training within Addiction Residency ProgramsR25DA033211 · NIDA · BOSTON MEDICAL CENTER · PI Patrick O'Connor, JEFFREY H. SAMET · 2012 to 2026
$4.2M
Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
Mentoring researchers on drug abuse and HIVK24DA036955 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CUNNINGHAM, CHINAZO · 2014 to 2019
$911k
NCATS NIH HHS UL1 TR001430NIDA NIH HHS K24 DA036955NIDA NIH HHS R25 DA033211NIDA NIH HHS T32 DA041898NIDA NIH HHS UM1 DA049412
6 · The paper itself

Abstract

backgroundInpatient addiction consult services (ACS) lower barriers to accessing medications for opioid use disorder (MOUD), however not every patient recommended for MOUD links to outpatient care. We hypothesized that fewer days between discharge date and outpatient appointment date was associated with improved linkage to buprenorphine treatment among patients evaluated by an ACS.

methodsWe extracted appointment and demographic data from electronic medical records and conducted retrospective chart review of adults diagnosed with opioid use disorder (OUD) evaluated by an ACS in Boston, MA between July 2015 and August 2017. These patients were initiated on or recommended buprenorphine treatment on discharge and provided follow-up appointment at our hospital post-discharge. Multivariable logistic regression assessed whether arrival to the appointment post-discharge was associated with shorter wait-times (0-1 vs. 2+ days).

resultsIn total, 142 patients were included. Among patients who had wait-times of 0-1 day, 63 % arrived to their appointment compared to wait-times of 2 or more days (42 %). There were no significant differences between groups based on age, gender, distance of residence from the hospital, insurance status, co-occurring alcohol use disorder diagnosis, or discharge with buprenorphine prescription. After adjusting for covariates, patients with 0-1 day of wait-time had 2.6 times the odds of arriving to their appointment [95 % CI 1.3-5.5] compared to patients who had 2+ days of wait-time.

conclusionFor hospitalized patients with OUD evaluated for initiating MOUD, same- and next-day appointments are associated with increased odds of linkage to outpatient MOUD care post-discharge compared to waiting two or more days.

Indexed as

BuprenorphineOpioid-Related DisordersAdultAftercareHospitalsHumansOutpatientsPatient DischargeRetrospective StudiesWaiting ListsBuprenorphineAddictionBuprenorphineInpatientOpioids

Identifiers

PMID33964730
PMCPMC8180499
OpenAlexW3153137108

What OpenQuestion holds

Textmetadata
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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.