Evidence map›Paper›PMID 38287506›Full record

ArticleSubstance use & misuse2024

Characterizing Opioid Withdrawal Experiences and Consequences Among a Community Sample of People Who Use Opioids.

Kelsey A Simpson, Maria Bolshakova, Matthew G Kirkpatrick, Jordan P Davis, Junhan Cho, Jessica Barrington-Trimis, Alex H Kral, Ricky N Bluthenthal

Open access · greenAbstract read
In one paragraph

Article in Substance use & misuse, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
9.8field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Dose- and time-dependent physiological effects of fentanyl in adult goats.Journal of applied physiology (Bethesda, Md. : 1985) · 2026
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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 2 institutions in 1 country.

Kelsey A SimpsonDivision of Infectious Diseases and Global Public Health, Department of Medicine, University of California, La Jolla, California, USA.ORCID 0000-0001-5531-8129
Maria BolshakovaDepartment of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
Matthew G KirkpatrickDepartment of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
Jordan P DavisUniversity of Southern California Suzanne Dworak-Peck School of Social Work, Los Angeles, California, USA.ORCID 0000-0002-6108-4936
Junhan ChoDepartment of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
Jessica Barrington-TrimisDepartment of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
Alex H KralCommunity Health Research Division, RTI International, Berkeley, California, USA.
Ricky N BluthenthalDepartment of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, USA.
University of Southern California · USRTI International · US

Funding

Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Preventing injection initiation: The Change The Cycle Randomized Controlled TrialR01DA038965 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BLUTHENTHAL, RICKY N, KRAL, ALEXANDER H · 2015 to 2018
$3.0M
Cannabis use and health outcomes among opioid-using people who inject drugs in the context of cannabis legalizationR01DA046049 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BLUTHENTHAL, RICKY N, CORSI, KAREN F · 2019 to 2022
$2.6M
Risk Environment Effects on Ontological Security Among People Who Use Drugs: An Ethnographic StudyF31DA054763 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GOLDSHEAR, JESSE LLOYD · 2021 to 2023
$77k
NIDA NIH HHS F31 DA054763NIDA NIH HHS R01 DA038965NIDA NIH HHS R01 DA046049NIDA NIH HHS T32 DA023356
6 · The paper itself

Abstract

backgroundOpioid withdrawal symptoms are a highly salient and consequential health condition experienced by people who use opioids (PWUO). This study utilized qualitative interviews to explore opioid withdrawal experiences and consequences among PWUO in Los Angeles County, USA.

methodsSemi-structured qualitative interviews were conducted with 22 PWUO (aged 27-63 years) between May 2021 and May 2022. Participants self-reported opioid and injection drug use in the last 30 days. We employed an inductive thematic approach to systematically code and synthesize textual interview data.

resultsParticipants experienced withdrawal symptoms frequently, with many going to great lengths to avoid them. Withdrawal pain was described as incapacitating and interfered with PWUO's ability to sustain regular employment and ensure stable housing. Avoiding withdrawal was described as influential in driving decisions to continue using opioids. Mechanisms for managing withdrawal included using other substances to the point of sedation. PWUO who transitioned from heroin to fentanyl use revealed more frequent, painful, and faster onset of withdrawal symptoms. Adverse withdrawal experiences and fear of precipitated withdrawal from buprenorphine were barriers to treatment initiation and continuation.

conclusionWithdrawal symptoms among PWUO increase health risk. Improved strategies to treat opioid withdrawal are urgently needed. Solutions such as safe supply and intentional opioid withdrawal interventions (educational trainings, withdrawal comfort kits) are needed to improve withdrawal management and reduce opioid-related harm.

Indexed as

BuprenorphineDrug OverdoseOpioid-Related DisordersSubstance Withdrawal SyndromeAnalgesics, OpioidFentanylHeroinHumansPainAnalgesics, OpioidBuprenorphineFentanylHeroindependenceharm reductionopiate withdrawalPeople who use opioidstreatment and prevention

Identifiers

PMID38287506
PMCPMC11062512
OpenAlexW4391359359

What OpenQuestion holds

Textmetadata
LicenceTDM
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.