Evidence map›Paper›PMID 35749492›Full record

ArticleScience advances2022

Reducing opioid use disorder and overdose deaths in the United States: A dynamic modeling analysis.

Erin J Stringfellow, Tse Yang Lim, Keith Humphreys, Catherine DiGennaro, Celia Stafford, Elizabeth Beaulieu, Jack Homer, Wayne Wakeland, Benjamin Bearnot, R Kathryn McHugh and 5 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
13.4field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
  2. Trial
  3. A Fentanyl-Responsive Microneedle Patch for Harm Reduction.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  4. A meta-review of the evidence on addiction recovery mutual help organizations.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026
    Review
  5. Applied behavioral and decision sciences in support of US FDA's drug regulatory mission.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Toward a solution-focused addiction science.Frontiers in public health · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

15 authors at 7 institutions in 1 country.

Erin J StringfellowMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-2286-1448
Tse Yang LimSloan School of Management, Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID 0000-0001-5084-0911
Keith HumphreysVeterans Affairs and Stanford University Medical Centers, Palo Alto, CA, USA.ORCID 0000-0003-0694-5761
Catherine DiGennaroMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-9452-6000
Celia StaffordHarvard Business School, Boston, MA, USA.ORCID 0000-0003-3394-9661
Elizabeth BeaulieuMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-8447-7073
Jack HomerSloan School of Management, Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID 0000-0003-3690-9892
Wayne WakelandSystems Science Program, Portland State University, Portland, OR, USA.ORCID 0000-0001-5069-3958
Benjamin BearnotDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2554-8422
R Kathryn McHughDivision of Alcohol, Drugs, and Addiction, McLean Hospital, Harvard Medical School, Boston, MA, USA.
John KellyCenter for Addiction Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-6915-0750
Lukas GlosCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD, USA.ORCID 0000-0003-2584-4122
Sara L EggersCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD, USA.
Reza KazemiCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD, USA.
Mohammad S JalaliMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-6769-2732
Harvard University · USUnited States Food and Drug Administration · USMassachusetts General Hospital · USMassachusetts Institute of Technology · USMcLean Hospital · USPortland State University · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Opioid overdose deaths remain a major public health crisis. We used a system dynamics simulation model of the U.S. opioid-using population age 12 and older to explore the impacts of 11 strategies on the prevalence of opioid use disorder (OUD) and fatal opioid overdoses from 2022 to 2032. These strategies spanned opioid misuse and OUD prevention, buprenorphine capacity, recovery support, and overdose harm reduction. By 2032, three strategies saved the most lives: (i) reducing the risk of opioid overdose involving fentanyl use, which may be achieved through fentanyl-focused harm reduction services; (ii) increasing naloxone distribution to people who use opioids; and (iii) recovery support for people in remission, which reduced deaths by reducing OUD. Increasing buprenorphine providers' capacity to treat more people decreased fatal overdose, but only in the short term. Our analysis provides insight into the kinds of multifaceted approaches needed to save lives.

Identifiers

PMID35749492
PMCPMC9232111
OpenAlexW4283447559

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.