Evidence map›Paper›PMID 35807045›Full record

ArticleJournal of clinical medicine2022

Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study.

Beatriz Puértolas-Gracia, María Gabriela Barbaglia, Mercè Gotsens, Oleguer Parés-Badell, María Teresa Brugal, Marta Torrens, Lara Treviño, Concepción Rodríguez-Díaz, José María Vázquez-Vázquez, Alicia Pascual and 6 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

16 authors.

Beatriz Puértolas-GraciaAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.ORCID 0000-0001-6233-491X
María Gabriela BarbagliaAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.ORCID 0000-0002-6501-7079
Mercè GotsensAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Oleguer Parés-BadellAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.ORCID 0000-0003-2568-7550
María Teresa BrugalAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Marta TorrensInstitut Hospital del Mar d'Investigacions Mèdiques (IMIM), 08003 Barcelona, Spain.ORCID 0000-0001-6222-4761
Lara TreviñoAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Concepción Rodríguez-DíazAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
José María Vázquez-VázquezAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Alicia PascualAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Marcela Coromina-GimferrerAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Míriam Jiménez-DueñasAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Israel OlivaAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Erick GonzálezAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Nicanor MestreAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
Montse BartroliAgència de Salut Pública de Barcelona, 08023 Barcelona, Spain.ORCID 0000-0002-4553-9961

Funding

Agency for Administration of University and Research 2017 SGR530Instituto de Salud Carlos III 2016 RD16/0017/0010Instituto de Salud Carlos III PI16/01075Instituto de Salud Carlos III RD21/0009/001
6 · The paper itself

Abstract

The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan−Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00−1.60), alcohol use (HR = 1.35; 95% CI = 1.04−1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03−2.49) and living alone (HR = 1.34; 95% CI = 1.04−1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results.

Indexed as

alcohol use disordercocaine use disorderdual disordermental disordersscreeningsubstance-related disorderstreatment retention

Identifiers

PMID35807045
PMCPMC9267195

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Registered trials

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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.