Evidence map›Paper›PMID 37769514›Full record

ArticleDrug and alcohol dependence2023

Impact of COVID-19 on stimulant use disorder treatment: A national cohort study in the Veterans Health Administration.

Lara N Coughlin, Madeline C Frost, Lan Zhang, Lewei Allison Lin

Abstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Lara N CoughlinAddiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. Electronic address: laraco@med.umich.edu.
Madeline C FrostDepartment of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA, USA; Health Services Research & Development (HSR&D) Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA.
Lan ZhangAddiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Lewei Allison LinAddiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA; VA Center for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

Funding

Preferences and predictors driving opioid-involved polysubstance use profiles and trajectories: Implications for improving careR01DA057591 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lara Nicole Coughlin, Lewei Allison Lin · 2022 to 2026
$3.9M
Optimizing mobile behavioral economic interventions for rural risky drinkersK23AA028232 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COUGHLIN, LARA NICOLE · 2020 to 2024
$983k
NIAAA NIH HHS K23 AA028232NIDA NIH HHS R01 DA057591NIDA NIH HHS R01DA057591VA
6 · The paper itself

Abstract

objectiveRates of stimulant overdose have increased dramatically, which may have been exacerbated by treatment disruptions during the pandemic, but no recent studies have examined use of stimulant use disorder (StUD) treatment.

methodsIn this retrospective cohort study (March 2018 to February 2022) of national Veterans Health Administration patients, we use an interrupted time-series analysis to examine the impact of COVID-19 (starting in March 2020) on treatment use for StUD.

resultsThe number of patients receiving StUD care was increasing pre-COVID (22,640-23,020, February 2018-February 2020) but dropped post-pandemic to 18,578 in February 2022. The monthly number of patients receiving StUD care increased by 34.6 patients per month (95% CI, 1.1-68.0; P=0.04) before March 2020, decreased by 2803.3 patients (95% CI, -3912.3 to -1694.3; P <0.001) in March 2020, and, accounting for pre-COVID trends, further decreased by 85.85 patients per month (95% CI,-148.9.2 to -23.0; P =0.01) after March 2020.

conclusionsCare for StUD drastically declined during the COVID-19 pandemic and has yet to show signs of a return to pre-pandemic levels despite surging rates of stimulant-involved overdose deaths and a critical need to engage people with StUD in care.

Indexed as

COVID-19VeteransCohort StudiesHumansPandemicsRetrospective StudiesVeterans HealthCovid-19Health servicesStimulant use disorderTreatmentVeterans health administration

Identifiers

PMID37769514
PMCPMC11232931

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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.