Evidence map›Paper›PMID 34233750›Full record

ArticleAddiction science & clinical practice2021

Receipt of medications for opioid use disorder among youth engaged in primary care: data from 6 health systems.

Sarah M Bagley, Laura Chavez, Jordan M Braciszewski, Mary Akolsile, Denise M Boudreau, Gwen Lapham, Cynthia I Campbell, Gavin Bart, Bobbi Jo H Yarborough, Jeffrey H Samet and 7 more

Open access · goldAbstract read
In one paragraph

Article in Addiction science & clinical practice, 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
3.7field-weighted citation impact, top 7% 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, 27 citations in OpenAlex.

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  8. Medications for Opioid Use Disorder for Youth: Patient, Caregiver, and Clinician Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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

17 authors at 9 institutions in 1 country.

Sarah M BagleyBoston Medical Center, Boston University, Boston, USA. sarah.bagley@bmc.org.ORCID 0000-0002-7524-0178
Laura ChavezNationwide Children's Hospital, Abigail Wexner Research Institute, Columbus, USA.
Jordan M BraciszewskiCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, USA.
Mary AkolsileKaiser Permanente Washington Health Research Institute, Seattle, USA.
Denise M BoudreauKaiser Permanente Washington Health Research Institute, Seattle, USA.
Gwen LaphamNationwide Children's Hospital, Abigail Wexner Research Institute, Columbus, USA.
Cynthia I CampbellDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Gavin BartUniversity of Minnesota Medical School/Hennepin Healthcare, Minneapolis, USA.
Bobbi Jo H YarboroughKaiser Permanente Northwest Center for Health Research, Portland, USA.
Jeffrey H SametBoston Medical Center, Boston University, Boston, USA.
Andrew J SaxonCenter of Excellence in Substance Addiction Treatment and Education, VA Puget Sound Health Care System/University of Washington School of Medicine, Seattle, USA.
Rebecca C RossomHealth Partners Institute/University of Minnesota, Minneapolis, USA.
Ingrid A BinswangerColorado Permanente Medical Group, Kaiser Permanente Colorado, The University of Colorado School of Medicine and The Kaiser Permanente Bernard J. Tyson School of Medicine, Aurora, USA.
Mark T MurphyMultiCare Institute for Research and Innovation, MultiCare Health System WA, Tacoma, USA.
Joseph E GlassKaiser Permanente Washington Health Research Institute, Seattle, USA.
Katharine A BradleyKaiser Permanente Washington Health Research Institute, Seattle, USA.
PROUD Collaborative
Kaiser Permanente Washington Health Research Institute · USBoston University · USKaiser Permanente · USNationwide Children's Hospital · USUniversity of Minnesota · USHenry Ford Health System · USKaiser Permanente Center for Health Research · USMultiCare Health System · USUniversity of Washington · US

Funding

The Florida Node Alliance of the National Drug Abuse Treatment Clinical Trials NetworkUG1DA013720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel J Feaster, Viviana Elizabeth Horigian · 2015 to 2026
$50.6M
Suicide Prediction and Prevention for People at Risk for Opioid Use DisorderUG1DA040316 · NIDA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI GAVIN BART · 2015 to 2026
$42.2M
Project-002UG1DA040314 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ingrid A Binswanger, CYNTHIA I CAMPBELL · 2015 to 2026
$34.9M
CLINICAL TRIALS NETWORK: PACIFIC NORTHWEST NODEU10DA013714 · NIDA · UNIVERSITY OF WASHINGTON · PI DONOVAN, DENNIS MICHAEL, ROLL, JOHN M. · 2001 to 2015
$25.5M
Clinical Trials Network: Pacific Northwest Node (CTN-0082, -0131, -0139 and dissemination library)UG1DA013714 · NIDA · UNIVERSITY OF WASHINGTON · PI Mary Akiko Hatch, John M. Roll · 2015 to 2026
$19.8M
Project-008UG1DA049436 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jane M. Liebschutz, Erin L Winstanley · 2019 to 2026
$10.5M
Training Program on HIV and Substance Use in the Criminal Justice SystemT32DA037801 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Nabila El-Bassel, Lisa R Metsch · 2014 to 2026
$5.7M
A Behavioral Intervention to Engage Emerging Adults in Addiction Treatment after a Non-fatal Opioid OverdoseK23DA044324 · NIDA · BOSTON MEDICAL CENTER · PI BAGLEY, SARAH M · 2017 to 2021
$938k
Decreasing the Engagement Gap for Addiction Treatment in Primary CareK01AA023859 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI GLASS, JOSEPH EDWIN · 2017 to 2021
$931k
NIAAA NIH HHS K01 AA023859NIAAA NIH HHS K01AA023859NIDA NIH HHS 5 UG1 DA013714-18NIDA NIH HHS 5 UG1 DA049436-03NIDA NIH HHS K23 DA044324NIDA NIH HHS K23DA044324NIDA NIH HHS T32 DA037801NIDA NIH HHS U10 DA013714NIDA NIH HHS UG1 DA013714NIDA NIH HHS UG1 DA013720NIDA NIH HHS UG1DA013720NIDA NIH HHS UG1 DA040314NIDA NIH HHS UG1DA040314NIDA NIH HHS UG1 DA040316NIDA NIH HHS UG1DA040316NIDA NIH HHS UG1 DA049436
6 · The paper itself

Abstract

purposeLittle is known about prevalence and treatment of OUD among youth engaged in primary care (PC). Medications are the recommended treatment of opioid use disorder (OUD) for adolescents and young adults (youth). This study describes the prevalence of OUD, the prevalence of medication treatment for OUD, and patient characteristics associated with OUD treatment among youth engaged in PC.

methodsThis cross-sectional study includes youth aged 16-25 years engaged in PC. Eligible patients had ≥ 1 PC visit during fiscal years (FY) 2014-2016 in one of 6 health systems across 6 states. Data from electronic health records and insurance claims were used to identify OUD diagnoses, office-based OUD medication treatment, and patient demographic and clinical characteristics in the FY of the first PC visit during the study period. Descriptive analyses were conducted in all youth, and stratified by age (16-17, 18-21, 22-25 years).

resultsAmong 303,262 eligible youth, 2131 (0.7%) had a documented OUD diagnosis. The prevalence of OUD increased by ascending age groups. About half of youth with OUD had documented depression or anxiety and one third had co-occurring substance use disorders. Receipt of medication for OUD was lowest among youth 16-17 years old (14%) and highest among those aged 22-25 (39%).

conclusionsIn this study of youth engaged in 6 health systems across 6 states, there was low receipt of medication treatment, and high prevalence of other substance use disorders and mental health disorders. These findings indicate an urgent need to increase medication treatment for OUD and to integrate treatment for other substance use and mental health disorders.

Indexed as

BuprenorphineOpioid-Related DisordersAdolescentAnalgesics, OpioidCross-Sectional StudiesHumansOpiate Substitution TreatmentPrimary Health CareUnited StatesYoung AdultAnalgesics, OpioidBuprenorphineAdolescentsBuprenorphineMedication for opioid use disorderNaltrexoneOpioid use disorderYoung adults

Identifiers

PMID34233750
PMCPMC8262000
OpenAlexW3181870458

What OpenQuestion holds

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LicenceCC BY
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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.