Evidence map›Paper›PMID 34176686›Full record

ArticleThe Journal of emergency medicine2021

Retention in Treatment after Emergency Department-Initiated Buprenorphine.

Lindsey K Jennings, Suzanne Lane, Jenna McCauley, Angela Moreland, Karen Hartwell, Louise Haynes, Kelly S Barth, Sarah S Gainey, Kathleen T Brady

Open access · greenAbstract read
In one paragraph

Article in The Journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Navigating Substance Use Care in the Emergency Department: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026
    Review
  5. Article
  6. Article
  7. Peer support for patients with opioid use disorder in the emergency department: A narrative review.Journal of the American College of Emergency Physicians open · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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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

9 authors at 1 institution in 1 country.

Lindsey K JenningsDepartment of Emergency Medicine.
Suzanne LaneDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Jenna McCauleyDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Angela MorelandDepartment of Psychiatry and Behavioral Science, Medical University of South Carolina, Charleston, South Carolina.
Karen HartwellDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Louise HaynesDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Kelly S BarthDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Sarah S GaineyDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Kathleen T BradyDepartment of Psychiatry and Behavioral Science, Addiction Sciences Division.
Medical University of South Carolina · US

Funding

Southern Consortium Node of the Clinical Trials Network (Varenicline)UG1DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Kelly S. Barth · 2015 to 2026
$24.8M
NIDA NIH HHS UG1 DA013727
6 · The paper itself

Abstract

backgroundEmergency department-initiated buprenorphine (EDIB) has been shown to be effective in connecting patients with opioid use disorder (OUD) to outpatient treatment. Five diverse emergency departments (EDs) have successfully implemented EDIB programs.

objectives1) To measure attendance at the first referral appointment and 30-day retention in treatment rates for patients receiving EDIB; 2) To describe demographic and opioid use characteristics of patients receiving EDIB; and 3) To determine average length of time in treatment after EDIB at the five participating EDs.

methodsAll patients receiving EDIB at the participating EDs (n = 522) were seen by a peer recovery specialist in the ED and demographic and opioid use characteristics were recorded. Patients were followed prospectively. The referral site was contacted and information regarding attendance at the first referral appointment and 30-day retention in treatment was obtained. All patients still in treatment at 30 days were continually followed at subsequent 30-day intervals until the referral site indicated the patient had ended treatment at their facility.

resultsThe rate of attendance at the first referral appointment was 77.0% for patients receiving EDIB. At 30-day follow-up, 43.1% of patients were retained in treatment. The mean age of patient enrollment was 36.7 years, 58% of enrollees were male, 90.5% were white, and 73.4% had no medical insurance. Seventy-seven percent reported no substance use other than opioids. The mean time in treatment was 158 days.

conclusionsEDIB programs across diverse ED settings are effective at promoting attendance at the first referral appointment for OUD treatment; however, additional work is warranted to increase 30-day treatment retention rates, particularly among patients with nonprescription-only use profiles.

Indexed as

BuprenorphineOpioid-Related DisordersAdultEmergency Service, HospitalHumansMaleOpiate Substitution TreatmentReferral and ConsultationBuprenorphineemergency department-initiated buprenorphinemedication for opioid use disorder (MOUD)opioid use disorder

Identifiers

PMID34176686
PMCPMC8628549
OpenAlexW3176525203

What OpenQuestion holds

Textmetadata
LicenceTDM
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.