Evidence map›Paper›PMID 36989708›Full record

ArticleDrug and alcohol dependence2023

Substance use severity as a predictor for receiving medication for opioid use disorder among adolescents: An analysis of the 2019 TEDS.

Justine W Welsh, Siara I Sitar, Brooke D Hunter, Mark D Godley, Michael L Dennis

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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  3. Review
  4. Review
  5. 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

5 authors at 2 institutions in 1 country.

Justine W WelshDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 1821 Clifton Road, NE, Atlanta, GA 30329, USA. Electronic address: Justine.Welsh@emory.edu.
Siara I SitarDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 1821 Clifton Road, NE, Atlanta, GA 30329, USA.
Brooke D HunterChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA.
Mark D GodleyChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA.
Michael L DennisChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA.
Chestnut Health Systems · USEmory University · US

Funding

Smartphone Addiction Recovery Coach for Young Adults (SARC-YA) ExperimentR01DA011323 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI MICHAEL L. DENNIS, ASHLI J SHEIDOW · 1999 to 2026
$5.5M
Evaluating the combination of the Adolescent Community Reinforcement Approach and medication-assisted treatment in young adults with severe opioid use disorderR21DA046738 · NIDA · EMORY UNIVERSITY · PI WELSH, JUSTINE WITTENAUER · 2018 to 2019
$390k
NIDA NIH HHS R01 DA011323NIDA NIH HHS R21 DA046738
6 · The paper itself

Abstract

backgroundMedication for opioid use disorder (MOUD) is vastly underutilized in adolescents. Existing treatment guidelines for OUD largely focus on adults, providing limited guidance for pediatric populations. Limited information is known about use of MOUD in adolescents based on substance use severity.

methodsThis secondary data analysis examined how patient-level variables influenced the receipt of MOUD in adolescents aged 12-17 (n = 1866) using the Treatment Episode Data Set (TEDS) 2019 Discharge data set. A crosstabulation and chi-square statistic evaluated the relationship between a proxy for clinical need based on high-risk opioid use (either reporting daily opioid use within the past 30 days and/or history of injection opioid use) for MOUD in states with and without adolescents receiving MOUD (n = 1071). A two-step logistic regression analysis in states with any adolescents receiving MOUD examined the explanatory power of demographic, treatment intake, and substance use characteristics.

resultsCompletion of 12th grade, a GED, or beyond, decreased the likelihood of receiving MOUD (odds ratio [OR]= 0.38, p = 0.017), as did being female (OR = 0.47, p = .006). None of the remaining clinical criteria were significantly associated with MOUD, although a history of one or more arrests increased the likelihood of MOUD (OR = 6.98, p = 0.06). Only 13% of individuals who met criteria for clinical need received MOUD.

conclusionsLower education could serve as a proxy for substance use severity. Guidelines and best practices are needed to ensure the proper distribution of MOUD to adolescents based on clinical need.

Indexed as

Body FluidsBuprenorphineOpioid-Related DisordersAdolescentAdultAnalgesics, OpioidChildEducational StatusFemaleHumansLaw EnforcementMaleOpiate Substitution TreatmentAnalgesics, OpioidBuprenorphineAdolescentsCliniciansDisparitiesMedication for opioid use disorder (MOUD)Substance use disorder (SUD)Substance use treatment

Identifiers

PMID36989708
PMCPMC10121859
OpenAlexW4360942226

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.