Evidence map›Paper›PMID 38260800›Full record

ArticleFrontiers in psychiatry2023

Optimizing methadone dose adjustment in patients with opioid use disorder.

Po-Shen Liu, Teng-Yao Kuo, I-Chun Chen, Shu-Wua Lee, Ting-Gang Chang, Hou-Liang Chen, Jun-Peng Chen

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 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
2.7field-weighted citation impact, top 11% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  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

7 authors at 4 institutions in 1 country.

Po-Shen Liu *Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Teng-Yao Kuo *Fundamental General Education Center, National Chinyi University of Technology, Taiping, Taiwan.
I-Chun ChenDepartment of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Shu-Wua LeeDepartment of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Ting-Gang ChangDepartment of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.
Hou-Liang ChenTsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou, Taiwan.
Jun-Peng ChenBiostatistics Task Force of Taichung Veterans General Hospital, Taichung, Taiwan.
Taichung Veterans General Hospital · TWMinistry of Health and Welfare · TWNational Chin-Yi University of Technology · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Opioid use disorder is a cause for concern globally. This study aimed to optimize methadone dose adjustments using mixed modeling and machine learning. Methods: This retrospective study was conducted at Taichung Veterans General Hospital between January 1, 2019, and December 31, 2020. Overall, 40,530 daily dosing records and 1,508 urine opiate test results were collected from 96 patients with opioid use disorder. A two-stage approach was used to create a model of the optimized methadone dose. In Stage 1, mixed modeling was performed to analyze the association between methadone dose, age, sex, treatment duration, HIV positivity, referral source, urine opiate level, last methadone dose taken, treatment adherence, and likelihood of treatment discontinuation. In Stage 2, machine learning was performed to build a model for optimized methadone dose. Results: Likelihood of discontinuation was associated with reduced methadone doses ( Conclusion: We developed a model for methadone dose adjustment in patients with opioid use disorders. By integrating urine opiate levels, treatment adherence, and likelihood of treatment discontinuation, the model could suggest automatic adjustment of the methadone dose, particularly when face-to-face encounters are impractical.

Indexed as

dose optimizationmethadonemixed modelopioid use disordertelemedicine

Identifiers

PMID38260800
PMCPMC10800821
OpenAlexW4390664929

What OpenQuestion holds

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LicenceCC BY
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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.