Evidence map›Paper›PMID 34478448›Full record

ArticlePloS one2021

Use of pharmacotherapy for alcohol use disorder in Manitoba, Canada: A whole-population cohort study.

Geoffrey Konrad, Christine Leong, James M Bolton, Heather J Prior, Michael T Paillé, Josh Nepon, Deepa Singal, Okechukwu Ekuma, Jennifer E Enns, Nathan C Nickel

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Canadian guideline for the clinical management of high-risk drinking and alcohol use disorder.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Guideline
  2. Trial
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  8. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    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

10 authors at 2 institutions in 1 country.

Geoffrey KonradDepartment of Psychiatry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Christine LeongDepartment of Psychiatry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
James M BoltonDepartment of Psychiatry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Heather J PriorManitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Michael T PailléManitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Josh NeponDepartment of Psychiatry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Deepa SingalManitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Okechukwu EkumaManitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Jennifer E EnnsManitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.ORCID 0000-0001-7805-7582
Nathan C NickelManitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Manitoba Health · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUpdate the evidence on use of pharmacotherapy for alcohol use disorder in a Canadian population.

methodsUsing whole-population administrative data from Manitoba, Canada, we identified all residents age 12+ who were first diagnosed with alcohol use disorder between April 1, 1996 and March 31, 2015, and compared characteristics of those who filled a prescription for naltrexone, acamprosate or disulfiram at least once during that period to those who did not fill a prescription for an alcohol use disorder medication.

resultsOnly 1.3% of individuals with alcohol use disorder received pharmacotherapy (62.3% of prescriptions were for naltrexone, 39.4% for acamprosate, 7.5% for disulfiram). Most prescriptions came from family physicians in urban alcohol use disorder (53.6%) and psychiatrists (22.3%). Individuals were more likely to fill a prescription for alcohol use disorder medication if they lived in an urban vs rural environment (OR 2.25; 95% CI 1.83-2.77) or had a mood/anxiety disorder diagnosis vs no diagnosis (OR 2.40, 95% CI 1.98-2.90) in the five years before being diagnosed with alcohol use disorder.

conclusionDespite established evidence for the effectiveness of pharmacotherapy for alcohol use disorder, these medications continue to be profoundly underutilized in Canada.

Indexed as

AlcoholismAcetaldehyde Dehydrogenase InhibitorsAdolescentAdultAgedAlcohol DeterrentsCanadaChildCohort StudiesFemaleHumansMaleMiddle AgedNarcotic AntagonistsYoung AdultAcetaldehyde Dehydrogenase InhibitorsAlcohol DeterrentsNarcotic Antagonists

Identifiers

PMID34478448
PMCPMC8415582
OpenAlexW3196536298

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.