Evidence map›Paper›PMID 34580102›Full record

ArticleBMJ open2021

Facilitators of and barriers to buprenorphine initiation for people with opioid use disorder in the emergency department: protocol for a scoping review.

Nikki Bozinoff, Charlene Soobiah, Terri Rodak, Christine Bucago, Katie Kingston, Michelle Klaiman, Brittany Poynter, Glenna Samuels, Elizabeth Schoenfeld, Dominick Shelton and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 5 institutions in 3 countries.

Nikki BozinoffCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Charlene SoobiahInstitute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Terri RodakCAMH Library, Department of Education, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Christine BucagoDepartment of Emergency Medicine, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Katie KingstonYouth Advisory Group, Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health and the Child, Youth and Emerging Adult Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Michelle KlaimanDepartment of Emergency Medicine, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Brittany PoynterDepartment of Emergency Medicine, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Glenna SamuelsPatient/Family Research Advisory Network, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Elizabeth SchoenfeldDepartment of Emergency Medicine, University of Massachusetts Medical School - Baystate Campus, Springfield, Massachusetts, USA.
Dominick SheltonDepartment of Emergency Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Csilla KalocsaiSunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada csilla.kalocsai@sunnybrook.ca.ORCID 0000-0003-3639-2053
Centre for Addiction and Mental Health · CASunnybrook Health Science Centre · CABaystate Medical Center · USSt. Michael's Hospital · CAUniversity of Toronto · CA

Funding

Shared Decision-Making for the Promotion of Patient-Centered Imaging in the Emergency Department: Suspected Kidney StonesK08HS025701 · AHRQ · BAYSTATE MEDICAL CENTER, INC. · PI SCHOENFELD, ELIZABETH MAE · 2018 to 2022
$734k
AHRQ HHS K08 HS025701
6 · The paper itself

Abstract

introductionBuprenorphine-naloxone is recommended as a first-line agent for the treatment of opioid use disorder. Although initiation of buprenorphine in the emergency department (ED) is evidence based, barriers to implementation persist. A comprehensive review and critical analysis of both facilitators of and barriers to buprenorphine initiation in ED has yet to be published. Our objectives are (1) to map the implementation of buprenorphine induction pathway literature and synthesise what we know about buprenorphine pathways in EDs and (2) to identify gaps in this literature with respect to barriers and facilitators of implementation. METHODS AND ANALYSIS: We will conduct a scoping review to comprehensively search the literature, map the evidence and identify gaps in knowledge. The review will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols Extension for Scoping Reviews and guidance from the Joanna Briggs Institution for conduct of scoping reviews. We will search Medline, APA, PsycINFO, CINAHL, Embase and IBSS from 1995 to present and the search will be restricted to English and French language publications. Citations will be screened in Covidence by two trained reviewers. Discrepancies will be mediated by consensus. Data will be synthesised using a hybrid, inductive-deductive approach, informed by the Consolidated Framework for Implementation Research as well as critical theory to guide further interpretation. ETHICS AND DISSEMINATION: This review does not require ethics approval. A group of primary knowledge users, including clinicians and people with lived experience, will be involved in the dissemination of findings including publication in peer-reviewed journals. Results will inform future research, current quality improvement efforts in affiliated hospitals, and aide the creation of a more robust ED response to the escalating overdose crisis.

Indexed as

BuprenorphineOpioid-Related DisordersDelivery of Health CareDiagnostic Tests, RoutineEmergency Service, HospitalHumansResearch DesignScoping Reviews as TopicBuprenorphineaccident & emergency medicinehealth services administration & managementpublic healthqualitative researchsubstance misuse

Identifiers

PMID34580102
PMCPMC8477333
OpenAlexW3204306734

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.