Evidence map›Paper›PMID 34729848›Full record

ArticleAddiction (Abingdon, England)2022

Opioid agonist treatment uptake within provincial correctional facilities in British Columbia, Canada.

Megan Kurz, Laura M Dale, Jeong Eun Min, Natt Hongdilokkul, Leigh Greiner, Maureen Olley, Katherine E McLeod, Amanda Slaunwhite, Bohdan Nosyk

Open access · greenAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Medication Utilization at a Provincial Remand Centre.The Canadian journal of hospital pharmacy · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. 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

9 authors at 4 institutions in 2 countries.

Megan KurzCentre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada.
Laura M DaleCentre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada.
Jeong Eun MinCentre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada.
Natt HongdilokkulOffice of the Human Rights Commissioner, Vancouver, BC, Canada.
Leigh GreinerBC Corrections, Ministry of Public Safety and Solicitor General, Victoria, BC, Canada.
Maureen OlleyBC Corrections, Ministry of Public Safety and Solicitor General, Victoria, BC, Canada.
Katherine E McLeodBC Centre for Disease Control, Vancouver, British Columbia, Canada.
Amanda SlaunwhiteBC Centre for Disease Control, Vancouver, British Columbia, Canada.
Bohdan NosykCentre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada.
Centre for Advancing Health Outcomes · CAMinistry of Health · CAUniversity of British Columbia · CAAustralian Human Rights Commission · AU

Funding

DAT-Emulating target trials with big data to strengthen the evidence base for the clinical management of opioid use disorderR01DA050629 · NIDA · SIMON FRASER UNIVERSITY · PI NOSYK, BOHDAN · 2021 to 2025
$2.4M
NIDA NIH HHS R01 DA050629
6 · The paper itself

Abstract

BACKGROUND AND

aimsMultiple interventions and policy changes related to opioid agonist treatment (OAT) have been introduced in British Columbia, Canada to increase engagement and retention in OAT. We aimed to estimate the impact of policy changes and the announcement of the opioid overdose-related public health emergency on the use of OAT for incarcerated individuals with opioid use disorder.

designInterrupted time-series analysis. Events of interest included the expansion of buprenorphine/naloxone into provincial health-care insurance coverage in October 2015 and the public health emergency declared in April 2016. SETTING AND

participantsOur study included 9220 incarcerated individuals from 12 provincial corrections facilities in British Columbia, Canada for a total of 75 649 calendar months of incarceration. MEASUREMENTS: Monthly measures of OAT use during incarceration from 1 January 2013 to 30 September 2017. We estimated changes in OAT use, controlling for individual and facility-level factors, using a general estimating equation, specified with a logit link and an autoregressive correlation matrix.

findingsAfter the provincial health insurance coverage expansion, a sharp increase in OAT use during incarceration was observed [adjusted odds ratio (aOR) = 1.16, 95% confidence interval (CI) = 1.13, 1.19]. The public health emergency coincided with an immediate but temporary increase in OAT receipt (aOR = 1.34, 95% CI = 1.22, 1.47). During the entire study period, we estimated a 10-fold increase in the adjusted odds of OAT use during incarceration (aOR = 10.10, 95% CI = 8.98, 11.37).

conclusionFollowing an expansion of health-care insurance coverage to include buprenorphine/naloxone, receipt of opioid agonist treatment (OAT) within correctional facilities in British Columbia, Canada increased, largely driven by an increase in buprenorphine/naloxone prescriptions among individuals without recent OAT experience.

Indexed as

Analgesics, OpioidOpioid-Related DisordersBritish ColumbiaCorrectional FacilitiesHumansMethadoneOpiate Substitution TreatmentAnalgesics, OpioidMethadoneincarcerationinterrupted time seriesopioid agonist treatmentopioid use disorder

Identifiers

PMID34729848
PMCPMC9835718
OpenAlexW3211138654

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.