Evidence map›Paper›PMID 34080546›Full record

ArticleJournal of substance abuse treatment2021

Increased utilization of buprenorphine and methadone in 2018 compared to 2015 among Seattle-area persons who inject drugs.

Elisabeth Poorman, Sara N Glick, Jonathan K D Hiser, Elenore Bhatraju, Judith I Tsui

Abstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
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

5 authors.

Elisabeth PoormanUniversity of Washington, Division of General Internal Medicine, Department of Medicine, 325 9th Avenue, Seattle, WA 98104, USA.
Sara N GlickPublic Health-Seattle & King County, HIV/STD Program, 401 Fifth Ave, Suite 1250, Seattle, WA 98104, USA; University of Washington, Division of Allergy and Infectious Diseases, Department of Medicine, 325 9th Avenue, Box 359777, Seattle, WA 98104, USA. Electronic address: snglick@uw.edu.
Jonathan K D HiserUniversity of Washington, Division of General Internal Medicine, Department of Medicine, 325 9th Avenue, Seattle, WA 98104, USA.
Elenore BhatrajuUniversity of Washington, Division of General Internal Medicine, Department of Medicine, 325 9th Avenue, Seattle, WA 98104, USA.
Judith I TsuiUniversity of Washington, Division of General Internal Medicine, Department of Medicine, 325 9th Avenue, Seattle, WA 98104, USA.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
National HIV Behavioral Surveillance SystemU1BPS003250 · PS · WASHINGTON STATE DEPARTMENT OF HEALTH · PI JAENICKE, TOM · 2011 to 2015
$2.4M
Washington State National HIV Behavioral Surveillance (NHBS)U62PS005094 · PS · WASHINGTON STATE DEPARTMENT OF HEALTH · PI JAENICKE, THOMAS HENEAGE · 2016 to 2016
$108k
NCHHSTP CDC HHS U1B PS003250NCHHSTP CDC HHS U62 PS005094NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

objectiveTo describe utilization patterns of methadone and buprenorphine among persons who inject drugs (PWID) in the Seattle area in 2018, compared to 2015.

methodsData from the 2018 National HIV Behavioral Surveillance (NHBS) system were used to compare the proportions of PWID reporting treatment with buprenorphine or methadone to survey responses in 2015. Temporal trends were assessed by calculating adjusted prevalence ratios (aPR) using Poisson regression.

resultsThe sample included 498 PWID, of whom 39.2% (95% CI: 34.8-43.6%) reported past-year treatment with methadone and 21.9% (95% CI: 18.3-25.8%) reported buprenorphine. Participants in 2018 were significantly more likely to report past year receipt of buprenorphine (aPR = 4.43, 95% CI: 2.81-7.01) or methadone (aPR = 1.38, 95% CI: 1.02-1.87) compared to 2015. Most buprenorphine treated participants (67.6%) reported that they had received buprenorphine through low-barrier, community, or nonprofit programs.

conclusionsAmong PWID who use opioids in the Seattle area, methadone use increased 38%, and buprenorphine use more than quadrupled from 2015 to 2018. Approximately half of surveyed PWID who use opioids still reported no treatment with either medication, highlighting remaining treatment gaps.

Indexed as

BuprenorphineDrug UsersOpioid-Related DisordersPharmaceutical PreparationsSubstance Abuse, IntravenousHumansMethadoneOpiate Substitution TreatmentBuprenorphineMethadonePharmaceutical PreparationsInjection drug useMedication for opioid use disorderPublic health surveillance

Identifiers

PMID34080546
PMCPMC8380633

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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.