Evidence map›Paper›PMID 36129690›Full record

ArticleJournal of addiction medicine

Implementation of Telemedicine Delivery of Medications for Opioid Use Disorder in Pennsylvania Treatment Programs During COVID-19.

Melissa N Poulsen, William Santoro, Roseanne Scotti, Catherine Henderson, Meaghan Ruddy, Angela Colistra

Open access · greenAbstract 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
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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

6 authors at 2 institutions in 2 countries.

Melissa N PoulsenFrom the Department of Population Health Sciences, Geisinger, Danville, PA (MNP); Section of Addiction Medicine, Tower Health System, Reading, PA (WS); Vital Strategies, New York, NY (RS); Pennsylvania Department of Health, Harrisburg, PA (RS); Department of Addiction Services, WellSpan Health, York, PA (CH); The Wright Centers for Community Health and Graduate Medical Education, Scranton, PA (MR); AT Still University School of Osteopathic Medicine in Arizona, Mesa, AZ (MR); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (AC); and Morsani College of Medicine, University of South Florida, North Tampa, FL (AC).
William Santoro
Roseanne Scotti
Catherine Henderson
Meaghan Ruddy
Angela Colistra
Maroc Numeric Cluster · MAPennsylvania Department of Health · US

Funding

Understanding the role of community determinants in opioid use disorder and program implementation factors influencing patient adherence to opioid agonist therapyK01DA049903 · NIDA · GEISINGER CLINIC · PI POULSEN, MELISSA · 2020 to 2024
$810k
NIDA NIH HHS K01 DA049903
6 · The paper itself

Abstract

introductionTemporary policy changes during the coronavirus disease 2019 pandemic facilitated rapid expansion of medication for opioid use disorder via telemedicine (tele-MOUD). Evidence for tele-MOUD best practices and its impact on treatment engagement and retention remains limited. This quality improvement initiative compared tele-MOUD implementation among Pennsylvania medication for opioid use disorder (MOUD) programs, evaluated sociodemographic characteristics of patients using tele-MOUD, and described trends in tele-MOUD use and patient engagement and retention.

methodsFive health systems with MOUD programs completed questionnaires regarding their tele-MOUD models and provided aggregated sociodemographic data for MOUD patients with in-person and telemedicine visits in 2020. Three programs provided aggregated monthly appointment data (scheduled, completed, no-show, tele-MOUD visits) over the period in which tele-MOUD scaled up.

resultsDifferences in tele-MOUD protocols related to provision of tele-MOUD inductions, patient eligibility for tele-MOUD, and operationalization of remote drug testing. Across programs, 88% of prescribers conducted tele-MOUD appointments, and 50% of patients used tele-MOUD in 2020. We observed sociodemographic differences, with a greater proportion of female, White, and non-Hispanic patients using tele-MOUD. Across programs with appointment data, overall patient enrollment increased, and new patient enrollment remained relatively constant. Engagement trends suggested a temporary decline in no-show appointments that aligned with the escalation of tele-MOUD in one program.

conclusionsTele-MOUD protocol differences indicate a need for research to inform evidence-based guidance. Findings suggest that patients largely remained engaged and retained in MOUD as tele-MOUD was implemented but reveal inequities in tele-MOUD use, highlighting the need for efforts to overcome technology access barriers and avoid exacerbating disparities in MOUD access.

Indexed as

BuprenorphineCOVID-19Opioid-Related DisordersTelemedicineFemaleHumansOpiate Substitution TreatmentPandemicsPennsylvaniaSubstance Abuse DetectionBuprenorphine

Identifiers

PMID36129690
PMCPMC10022523
OpenAlexW4296705852

What OpenQuestion holds

Textmetadata
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.