Evidence map›Paper›PMID 38498620›Full record

ArticleJournal of addiction medicine

Patients' Perspectives on Discontinuing Buprenorphine for the Treatment of Opioid Use Disorder.

Jessica J Wyse, Alison Eckhardt, Dylan Waller, Adam J Gordon, Sarah Shull, Travis I Lovejoy, Katherine Mackey, Benjamin J Morasco

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07148206 (Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.4field-weighted citation impact, top 4% 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.

NCT07148206 phase3not yet recruitingnot on this map

Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2028Enrolled40ConditionsOpioid Use DisorderArmsDronabinol Capsules, Epidiolex 100 mg/mL Oral Solution, Placebo Dronabinol, Placebo Epidiolex
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Parabrachial CGRP Neurons Regulate Opioid Reinforcement.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

8 authors at 1 institution in 2 countries.

Jessica J WyseFrom the Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR (JJW, AE, DW, SS, TIL, KM, BJM); School of Public Health, Oregon Health & Science University-Portland State University, Portland, OR (JJW); Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System, Salt Lake City, UT (AJG); Program for Addiction Research, Clinical Care, Knowledge, and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT (AJG); Department of Psychiatry, Oregon Health & Science University, Portland, OR (TIL, BJM); and VA Office of Rural Health, Veterans Rural Health Resource Center, Portland, OR (TIL).
Alison Eckhardt
Dylan Waller
Adam J Gordon
Sarah Shull
Travis I Lovejoy
Katherine Mackey
Benjamin J Morasco
Tilburg University · NL

Funding

Greater Intermountain Node (CTN-0151)UG1DA049444 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Gerald T. Cochran, Adam Joseph Gordon · 2019 to 2026
$16.8M
Expanding access to opioid use disorder treatment with buprenorphine in rural primary care settingsIK2HX003007 · VA · PORTLAND VA MEDICAL CENTER · PI WYSE, JESSICA JASMINE · 2020 to 2024
–
HSRD VA IK2 HX003007NIDA NIH HHS UG1 DA049444
6 · The paper itself

Abstract

objectivesBuprenorphine and other medications for opioid use disorder (OUD) are recommended as standard of care in the treatment of OUD and are associated with positive health and addiction-related outcomes. Despite benefits, discontinuation is common, with half of patients discontinuing in the first year of treatment. Addressing OUD is a major clinical priority, yet little is known about the causes of medication discontinuation from the patient perspective.

methodsFrom March 2021 to April 2022, we conducted qualitative interviews with patients who had discontinued buprenorphine for the treatment of OUD within the past 12 months. Eligible participants were selected from 2 Veterans Health Administration Health Care Systems in Oregon. Coding and analysis were guided by conventional qualitative content analysis.

resultsTwenty participants completed an interview; 90% were White and 90% were male, and the mean age was 54.2 years. Before discontinuation, participants had received buprenorphine for 8.3 months on average (range, 1-40 months); 80% had received buprenorphine for less than 12 months. Qualitative analysis identified the following themes relating to discontinuation: health system barriers (eg, logistical hurdles, rules and policy violations), medication effects (adverse effects; attributed adverse effects, lack of efficacy in treating chronic pain) and desire for opioid use. Patient description of decisions to discontinue buprenorphine could be multicausal, reflecting provider or system-level barriers in interaction with patient complexity or medication ambivalence.

conclusionsStudy results identify several actionable ways OUD treatment could be modified to enhance patient retention.

Indexed as

BuprenorphineOpiate Substitution TreatmentOpioid-Related DisordersQualitative ResearchAdultAgedAnalgesics, OpioidFemaleHumansInterviews as TopicMaleMedication AdherenceMiddle AgedOregonUnited StatesAnalgesics, OpioidBuprenorphine

Identifiers

PMID38498620
PMCPMC11853618
OpenAlexW4392903767

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.