Evidence map›Paper›PMID 34315284›Full record

ArticleThe American journal of psychiatry2021

Office-Based Methadone Treatment for Opioid Use Disorder and Pharmacy Dispensing: A Scoping Review.

Dennis McCarty, Christina Bougatsos, Brian Chan, Kim A Hoffman, Kelsey C Priest, Sara Grusing, Roger Chou

Abstract readScoping Review
In one paragraph

Article in The American journal of psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

  1. Trial
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  5. Review
  6. Article
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  11. Article
  12. Review
  13. Article
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  15. Informing evidence-based medicine for opioid use disorder using pharmacoeconomic studies.Expert review of pharmacoeconomics & outcomes research · 2024
    Review
  16. Review
  17. Article
  18. Envisioning Minimally Disruptive Opioid Use Disorder Care.Journal of general internal medicine · 2023
    Article
  19. Article
  20. 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

7 authors.

Dennis McCartyDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).
Christina BougatsosDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).
Brian ChanDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).
Kim A HoffmanDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).
Kelsey C PriestDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).
Sara GrusingDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).
Roger ChouDepartment of Medical Informatics and Clinical Epidemiology, Pacific Northwest Evidence-Based Practice Center, Oregon Health and Science University, Portland (McCarty, Bougatsos, Chan, Grusing, Chou); Portland State University School of Public Health, Oregon Health and Science University, Portland (McCarty, Hoffman); Department of Medicine, Oregon Health and Science University School of Medicine, Portland (Chan); and Department of Psychiatry, University of Pittsburg (Priest).

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials NetworkU10DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCARTY, DENNIS, SORENSEN, JAMES L · 2002 to 2015
$25.2M
Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Oregon HIV/Hepatitis and Opioid Prevention and Engagement (OR-HOPE) Study Cost ExtensionUH3DA044831 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2019 to 2022
$4.0M
Variation in the Use of Opioid Agonist Treatment in HospitalsF30DA044700 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI PRIEST, KELSEY CAROLINE · 2017 to 2020
$186k
NIDA NIH HHS F30 DA044700NIDA NIH HHS U10 DA015815NIDA NIH HHS UG1 DA015815NIDA NIH HHS UH3 DA044831
6 · The paper itself

Abstract

objectiveThe authors conducted a scoping review to survey the evidence landscape for studies that assessed outcomes of treating patients with opioid use disorder with methadone in office-based settings.

methodsOvid MEDLINE and the Cochrane Database of Systematic Reviews were searched, and reference lists were reviewed to identify additional studies. Studies were eligible if they focused on methadone treatment in office-based settings conducted in the United States or other highly developed countries and reported outcomes (e.g., retention in care). Randomized trials and controlled observational studies were prioritized; uncontrolled and descriptive studies were included when stronger evidence was unavailable. One investigator abstracted key information, and a second verified data. A scoping review approach broadly surveyed the evidence, and therefore study quality was not rated formally.

resultsEighteen studies of patients treated with office-based methadone were identified, including six trials, eight observational studies, and four additional articles discussing use of pharmacies to dispense methadone. Studies on office-based methadone treatment, including primary care-based dispensing, were limited but consistently found that stable methadone patients valued office-based care and remained in care with low rates of drug use; outcomes were similar compared with stable patients in regular care. Office-based methadone treatment was associated with higher treatment satisfaction and quality of life. Limitations included underpowered comparisons and small samples.

conclusionsLimited research suggests that office-based methadone treatment and pharmacy dispensing could enhance access to methadone treatment for patients with opioid use disorder without adversely affecting patient outcomes and, potentially, inform modifications to federal regulations. Research should assess the feasibility of office-based care for less stable patients.

Indexed as

Drug PrescriptionsHumansMethadoneNarcoticsOpioid-Related DisordersPharmaciesMethadoneNarcoticsMethadone TherapyOffice-Based MethadoneOpioid Use DisorderPharmacy Methadone Dispensing

Identifiers

PMID34315284
PMCPMC8440363

What OpenQuestion holds

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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.