Evidence map›Paper›PMID 36335834›Full record

ArticleDrug and alcohol dependence2022

Sociodemographic and prescribing characteristics that impact long-term retention in buprenorphine treatment for opioid use disorder among a statewide population.

Benjamin D Hallowell, Laura C Chambers, Elizabeth A Samuels, Jeffrey Bratberg, James McDonald, Adam Nitenson, Collette Onyejekwe, Francesca L Beaudoin

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 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
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Benjamin D HallowellSubstance Use Epidemiology Program, Rhode Island Department of Health, Providence, RI, USA. Electronic address: Benjamin.Hallowell@health.ri.gov.
Laura C ChambersSubstance Use Epidemiology Program, Rhode Island Department of Health, Providence, RI, USA; Division of Infectious Diseases, The Miriam Hospital, Providence, RI, USA; Department of Epidemiology, Brown University, Providence, RI, USA.
Elizabeth A SamuelsDepartment of Epidemiology, Brown University, Providence, RI, USA; Department of Emergency Medicine, Brown University, Providence, RI, USA; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA.
Jeffrey BratbergDepartment of Pharmacy Practice, University of Rhode Island College of Pharmacy, Kingston, RI, USA.
James McDonaldPrescription Drug Monitoring Program, Rhode Island Department of Health, Providence, RI, USA.
Adam NitensonPrescription Drug Monitoring Program, Rhode Island Department of Health, Providence, RI, USA.
Collette OnyejekwePrescription Drug Monitoring Program, Rhode Island Department of Health, Providence, RI, USA.
Francesca L BeaudoinDepartment of Epidemiology, Brown University, Providence, RI, USA; Department of Emergency Medicine, Brown University, Providence, RI, USA.
Providence College · USBrown University · USMiriam Hospital · USUniversity of Rhode Island · US

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Ju Nyeong Park · 2018 to 2026
$23.4M
HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
NCIPC CDC HHS R01 CE003149NIDA NIH HHS T32 DA013911NIGMS NIH HHS P20 GM125507NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

BACKGROUND AND

aimsPartial opioid agonist medications for opioid use disorder reduce mortality and morbidity, however long-term retention in treatment is challenging. The objective of this study was to identify patient and prescription characteristics associated with long-term buprenorphine treatment retention.

methodsWe used data from the Rhode Island prescription drug monitoring program to identify residents who initiated buprenorphine treatment and determine if they were retained in long-term buprenorphine treatment 12-months after treatment initiation. Multivariable logistic regression models were used to identify sociodemographic and prescription characteristics associated with long-term buprenorphine retention.

findingsDuring the study period 4898 unique Rhode Island residents initiated buprenorphine treatment, of whom 37.8 % were retained in treatment at 12-months. Demographic factors associated with a higher odds of long-term buprenorphine retention included older age, female sex, Medicaid insurance (vs private), and living closer to the pharmacy where the prescription was filled. Individuals who were prescribed the tablet formulation (aOR: 0.82 [95 % CI 0.72, 0.93]) or received a non-buprenorphine opioid during the follow-up window (aOR: 0.37 [95 % CI 0.31, 0.44]) had lower odds of long-term treatment at 12-months. Individuals who received at least one day of overlapping benzodiazepine and buprenorphine prescriptions (aOR: 2.00 [95 % CI 1.70, 2.34]) and those given a longer days supply (aOR: 1.26 [95 % CI 1.01, 1.56]) had higher odds of long-term treatment at 12-months. Findings were similar for treatment retention at 6-months in sensitivity analyses.

conclusionsThese findings highlight several modifiable prescribing practices associated with long-term buprenorphine retention, suggesting that clinicians and public health practitioners can help remove barriers to long-term retention.

Indexed as

BuprenorphineOpioid-Related DisordersAnalgesics, OpioidFemaleHumansOpiate Substitution TreatmentRetrospective StudiesUnited StatesAnalgesics, OpioidBuprenorphineBuprenorphineHealthcareOpioidOpioid use disorderPrescription drug monitoringRetention

Identifiers

PMID36335834
PMCPMC10193454
OpenAlexW4307601484

What OpenQuestion holds

Textmetadata
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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.