Evidence map›Paper›PMID 35020695›Full record

ArticleJournal of addiction medicine

Office-based Methadone Prescribing for Opioid Use Disorder: The Canadian Model.

Robert A Kleinman, Thomas D Brothers, Marlon Danilewitz, Anees Bahji

Abstract read
In one paragraph

Article in Journal of addiction medicine. 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
–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 synthesis or guideline pooled it.

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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

4 authors.

Robert A KleinmanFrom the Centre for Addiction and Mental Health, Toronto, ON, Canada (RAK); Department of Psychiatry, University of Toronto, Toronto, ON, Canada (RAK, MD); Department of Medicine, Dalhousie University, Halifax, NS, Canada (TDB); UCL Collaborative Centre for Inclusion Health, University College London, London, UK (TDB); Ontario Shores Centre for Mental Health Sciences, Whitby, ON, Canada (MD); Department of Psychiatry, University of Calgary, Calgary, AB, Canada (AB); British Columbia Centre on Substance Use, Vancouver, BC, Canada (AB).
Thomas D Brothers
Marlon Danilewitz
Anees Bahji

Funding

Advancing Clinical Research Training within Addiction Residency ProgramsR25DA033211 · NIDA · BOSTON MEDICAL CENTER · PI Patrick O'Connor, JEFFREY H. SAMET · 2012 to 2026
$4.2M
NIDA NIH HHS R25 DA033211
6 · The paper itself

Abstract

In the context of the US overdose crisis, improving access to medications for opioid use disorder is urgently needed. The Canadian model of methadone treatment, whereby clinicians can prescribe methadone for opioid use disorder in office-based settings and methadone can be dispensed through community pharmacies, offers a compelling model for adoption in the US. Office-based settings in which methadone is prescribed often adopt a rapid-access model, allowing walk-in appointments and same-day initiation of methadone. Prescribing authorization requirements have been relaxed over the past 25 years to improve access to methadone. This paper summarizes the model of office-based methadone prescribing in Canada, highlighting the regulatory structures, prescribing practices, and interprofessional collaborations that enable methadone treatment in office-based settings. Potential implementation strategies for adopting office-based prescribing in the US are discussed.

Indexed as

Drug OverdoseOpioid-Related DisordersAnalgesics, OpioidCanadaHumansMethadoneOpiate Substitution TreatmentAnalgesics, OpioidMethadone

Identifiers

PMID35020695
PMCPMC9271524

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.