Evidence map›Paper›PMID 34877567›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Emergency department-initiated buprenorphine protocols: A national evaluation.

Clara Z Guo, Gail D'Onofrio, David A Fiellin, E Jennifer Edelman, Kathryn Hawk, Andrew Herring, Ryan McCormack, Jeanmarie Perrone, Ethan Cowan

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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. A Brief Educational Intervention to Increase ED Initiation of Buprenorphine for Opioid Use Disorder (OUD).Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2022
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Emergency department management of opioid use disorder in pediatric patients.Journal of the American College of Emergency Physicians open · 2024
    Article
  8. Article
  9. Article
  10. Emergency department-initiated buprenorphine protocols: A national evaluation.Journal of the American College of Emergency Physicians open · 2021
    Article
  11. 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.

Clara Z GuoYale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-6825-4291
Gail D'OnofrioDepartment of Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.
David A FiellinDepartment of Internal Medicine Yale University School of Medicine New Haven Connecticut USA.
E Jennifer EdelmanDepartment of Internal Medicine Yale University School of Medicine New Haven Connecticut USA.
Kathryn HawkDepartment of Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.
Andrew HerringDepartment of Emergency Medicine Highland Hospital - Alameda Health System University of California San Francisco California USA.
Ryan McCormackDepartment of Emergency Medicine New York University School of Medicine New York New York USA.
Jeanmarie PerroneDepartment of Emergency Medicine Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.
Ethan CowanDepartment of Emergency Medicine Icahn School of Medicine at Mount Sinai New York New York USA.

Funding

The National Drug Abuse Treatment Clinical Trials NetworkUG1DA015831 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Roger D. Weiss · 2015 to 2026
$110.8M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863NIDA NIH HHS UG1 DA015831
6 · The paper itself

Abstract

objectiveEmergency department-initiated buprenorphine (BUP) for opioid use disorder is an evidence-based practice, but limited data exist on BUP initiation practices in real-world settings. We sought to characterize protocols for BUP initiation among a geographically diverse sample of emergency departments (EDs).

methodsIn December 2020, we reviewed prestudy clinical BUP initiation protocols from all EDs participating in CTN0099 Emergency Department-INitiated bupreNOrphine VAlidaTION (ED-INNOVATION). We abstracted information on processes for identification of treatment-eligible patients, BUP administration, and discharge care.

resultsAll participating ED-INNOVATION sites across 22 states submitted protocols; 31 protocols were analyzed.

conclusionsIn this geographically diverse sample of EDs, protocols for ED-initiated BUP differed between sites. Future work should evaluate the association between this variation and patient outcomes.

Indexed as

buprenorphine protocolemergency departmentopioid use disorderopioid withdrawal

Identifiers

PMID34877567
PMCPMC8630357

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.