Evidence map›Paper›PMID 34320954›Full record

ArticleBMC public health2021

Opioid use disorder treatment disruptions during the early COVID-19 pandemic and other emergent disasters: a scoping review addressing dual public health emergencies.

Rita Henderson, Ashley McInnes, Leslee Mackey, Myles Bruised Head, Lindsay Crowshoe, Jessica Hann, Jake Hayward, Brian R Holroyd, Eddy Lang, Bonnie Larson and 8 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. The relationship between COVID-19 and opioid-related emergency department visits in Alberta, Canada: an interrupted time series analysis.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Article
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  16. Article
  17. Article
  18. COVID-19 economic impact payments and opioid overdose deaths.The International journal on drug policy · 2022
    Observational
  19. Article
  20. Opioids in COVID-19: Two Sides of a Coin.Frontiers in pharmacology · 2021
    Review
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

18 authors at 4 institutions in 1 country.

Rita HendersonDepartment of Family Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada. rihender@ucalgary.ca.ORCID 0000-0001-5633-8498
Ashley McInnesDepartment of Family Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
Leslee MackeyDepartment of Emergency Medicine, University of Alberta, 8440 112 St. NW, Edmonton, AB, T6G 2R7, Canada.
Myles Bruised HeadBlood Tribe, Stand Off, Canada.
Lindsay CrowshoeDepartment of Family Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
Jessica HannDepartment of Emergency Medicine, University of Alberta, 8440 112 St. NW, Edmonton, AB, T6G 2R7, Canada.
Jake HaywardDepartment of Emergency Medicine, University of Alberta, 8440 112 St. NW, Edmonton, AB, T6G 2R7, Canada.
Brian R HolroydDepartment of Emergency Medicine, University of Alberta, 8440 112 St. NW, Edmonton, AB, T6G 2R7, Canada.
Eddy LangEmergency Strategic Clinical Network, Alberta Health Services, 10030 - 107 St NW, Edmonton, AB, T5J 3E4, Canada.
Bonnie LarsonDepartment of Family Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
Ashley Jane LeonardKnowledge Resource Service, Alberta Health Services, 10030 - 107 St NW, Edmonton, AB, T5J 3E4, Canada.
Steven PersaudDepartment of Family Medicine, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
Khalil RaghavjiMetro City Medical Clinic, 150 - 909 5 Ave SW, Calgary, AB, T2P 3G5, Canada.
Chris SarinIndigenous Services Canada, Suite 730, 9700 Jasper Avenue, Edmonton, AB, T5J 4C3, Canada.
Hakique ViraniMetro City Medical Clinic, 150 - 909 5 Ave SW, Calgary, AB, T2P 3G5, Canada.
Iskotoahka William WadsworthBlood Tribe, Stand Off, Canada.
Stacey WhitmanAddiction and Mental Health, Alberta Health Services, 10030 - 107 St NW, Edmonton, AB, T5J 3E4, Canada.
Patrick McLaneDepartment of Emergency Medicine, University of Alberta, 8440 112 St. NW, Edmonton, AB, T6G 2R7, Canada.
University of Calgary · CAUniversity of Alberta · CAAlberta Health Services · CAPetro-Canada · CA

Funding

CIHR COVID-19 MH and SU MS4 173111Health Canada SUAP 1819-HQ-000053
6 · The paper itself

Abstract

backgroundDuring public health emergencies, people with opioid use disorder (PWOUD) may be particularly impacted. Emergent disasters such as the COVID-19 pandemic disrupt already-strained harm reduction efforts and treatment availability. This study aims to answer three research questions. How do public health emergencies impact PWOUD? How can health systems respond to novel public health emergencies to serve PWOUD? How can the results of this scoping review be contextualized to the province of Alberta to inform local stakeholder responses to the pandemic?

methodsWe conducted a scoping review using the 6-stage Arksey and O'Malley framework to analyse early-pandemic and pre-pandemic disaster literature. The results of the scoping review were contextualized to the local pandemic response, through a Nominal Group Technique (NGT) process with frontline providers and stakeholders in Alberta, Canada.

resultsSixty one scientific journal articles and 72 grey literature resources were included after full-text screening. Forty sources pertained to early COVID-19 responses, and 21 focused on OUD treatment during other disasters. PWOUD may be more impacted than the general population by common COVID-19 stressors including loss of income, isolation, lack of rewarding activities, housing instability, as well as fear and anxiety. They may also face unique challenges including threats to drug supplies, stigma, difficulty accessing clean substance use supplies, and closure of substance use treatment centres. All of these impacts put PWOUD at risk of negative outcomes including fatal overdose. Two NGT groups were held. One group (n = 7) represented voices from urban services, and the other (n = 4) Indigenous contexts. Stakeholders suggested that simultaneous attention to multiple crises, with adequate resources to allow attention to both social and health systems issues, can prepare a system to serve PWOUD during disasters.

conclusionThis scoping review and NGT study uncovers how disasters impact PWOUD and offers suggestions for better serving PWOUD.

Indexed as

COVID-19DisastersOpioid-Related DisordersAlbertaEmergenciesHumansPandemicsPublic HealthSARS-CoV-2CoronavirusDisaster planningEmergencyHealth servicesMedication assisted treatmentOpioid agonist treatmentOpioid epidemicReview

Identifiers

PMID34320954
PMCPMC8318046
OpenAlexW3133311149

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.