Evidence map›Paper›PMID 34606426›Full record

ArticleSubstance abuse2021

Research priorities for expanding access to methadone treatment for opioid use disorder in the United States: A National Institute on Drug Abuse Center for Clinical Trials Network Task Force report.

Paul J Joudrey, Gavin Bart, Robert K Brooner, Lawrence Brown, Julie Dickson-Gomez, Adam Gordon, Sarah S Kawasaki, Jane M Liebschutz, Edward Nunes, Dennis McCarty and 7 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Substance abuse, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 1 country.

Paul J JoudreyProgram in Addiction Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-6448-1526
Gavin BartDepartment of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.
Robert K BroonerDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland, USA.
Lawrence BrownSTART Treatment and Recovery Centers, Brooklyn, New York, USA.
Julie Dickson-GomezDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Adam GordonDepartment of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-2453-8871
Sarah S KawasakiDepartment of Psychiatry and Behavioral Health, Penn State University, State College, Pennsylvania, USA.
Jane M LiebschutzCenter for Research on Health Care, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Edward NunesDepartment of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0002-2055-3425
Dennis McCartyDepartment of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0001-9014-2894
Robert P SchwartzFriends Research Institute, Baltimore, MD, USA.
José SzapocnikDepartment of Public Health Sciences, University of Miami, Coral Gables, Florida, USA.
Madhukar TrivediDivision of Mood Disorders, Department of Psychiatry, UT Southwestern Medical Center, Dallas, Texas, USA.
Judith I TsuiDivision of General Internal Medicine, Department of Internal Medicine, University of Washington, Seattle, Washington, USA.
Arthur WilliamsDivision on Substance Use Disorders, Department of Psychiatry, Columbia University, New York, New York, USA.
Li-Tzy WuDepartment of Medicine and Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
David A FiellinProgram in Addiction Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Yale University · USColumbia University · USColumbia University Irving Medical Center · USDuke University · USFriends Research Institute · USHennepin Healthcare Research Institute · USJohns Hopkins University · USMedical College of Wisconsin · USOregon Health & Science University · USPennsylvania State University · USSouthwestern Medical Center · USStart Treatment & Recovery Centers · USUniversity of Miami · USUniversity of Pittsburgh · USUniversity of Utah · USUniversity of Washington · US

Funding

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
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
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
Clinical Trials Network: Mid-Atlantic Integrated Care Research CollaborativeUG1DA013034 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BIGELOW, GEORGE, SCHWARTZ, ROBERT P · 2015 to 2019
$11.0M
Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
NIDA NIH HHS K12 DA033312NIDA NIH HHS L30 DA052056NIDA NIH HHS UG1 DA013034NIDA NIH HHS UG1 DA013714NIDA NIH HHS UG1 DA015815NIDA NIH HHS UG1 DA040316
6 · The paper itself

Abstract

In the US, methadone treatment can only be provided to patients with opioid use disorder (OUD) through federal and state-regulated opioid treatment programs (OTPs). There is a shortage of OTPs, and racial and geographic inequities exist in access to methadone treatment. The National Institute on Drug Abuse Center for Clinical Trials Network convened the Methadone Access Research Task Force to develop a research agenda to expand and create more equitable access to methadone treatment for OUD. This research agenda included mechanisms that are available within and outside the current regulations. The task force identified 6 areas where research is needed: (1) access to methadone in general medical and other outpatient settings; (2) the impact of methadone treatment setting on patient outcomes; (3) impact of treatment structure on outcomes in patients receiving methadone; (4) comparative effectiveness of different medications to treat OUD; (5) optimal educational and support structure for provision of methadone by medical providers; and (6) benefits and harms of expanded methadone access. In addition to outlining these research priorities, the task force identified important cross-cutting issues, including the impact of patient characteristics, treatment, and treatment system characteristics such as methadone formulation and dose, concurrent behavioral treatment, frequency of dispensing, urine or oral fluid testing, and methods of measuring clinical outcomes. Together, the research priorities and cross-cutting issues represent a compelling research agenda to expand access to methadone in the US.

Indexed as

BuprenorphineOpioid-Related DisordersAnalgesics, OpioidHumansMethadoneNational Institute on Drug Abuse (U.S.)Opiate Substitution TreatmentResearchUnited StatesAnalgesics, OpioidBuprenorphineMethadoneAccessmethadoneopioid use disorder

Identifiers

PMID34606426
PMCPMC8790761
OpenAlexW3201889943

What OpenQuestion holds

Textmetadata
LicenceTDM
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.