Evidence map›Paper›PMID 38580298›Full record

Trial reportJournal of dual diagnosis

Impact of Depressive Symptom Severity on Buprenorphine/Naloxone and Methadone Outcomes in People With Prescription-Type Opioid Use Disorder: Results From a Pragmatic Randomized Controlled Trial.

Gabriel Bastien, Anita Abboud, Christina McAnulty, Laurent Elkrief, Omar Ledjiar, M Eugenia Socias, Bernard Le Foll, Anees Bahji, Suzanne Brissette, Stéphanie Marsan and 1 more

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of dual diagnosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03033732 (Optimizing Patient Centered-Care), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03033732 phase4completednot on this map

Optimizing Patient Centered-Care: A Pragmatic Randomized Control Trial Comparing Models of Care in the Management of Prescription Opioid Misuse (OPTIMA Trial)

TypeinterventionalSponsorDidier Jutras AswadRan2017 to 2020Enrolled272ConditionsOpioid Use DisorderArmsMethadone, Buprenorphine-Naloxone
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

11 authors.

Gabriel BastienDepartment of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.ORCID 0000-0002-7969-9998
Anita AbboudDepartment of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.ORCID 0000-0002-9356-9233
Christina McAnultyDepartment of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.ORCID 0000-0003-2787-2792
Laurent ElkriefDepartment of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.ORCID 0000-0002-2260-4433
Omar LedjiarUnité de recherche clinique appliquée, Centre hospitalier universitaire Ste-Justine, Montréal, Québec, Canada.ORCID 0000-0003-0296-7568
M Eugenia SociasBritish Columbia Centre on Substance Use, Vancouver, British Columbia, Canada.ORCID 0000-0003-2556-7049
Bernard Le FollTranslational Addiction Research Laboratory, Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada.ORCID 0000-0002-6406-4973
Anees BahjiDepartment of Medicine and Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-3490-314X
Suzanne BrissetteResearch Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada.ORCID 0000-0001-8505-964X
Stéphanie MarsanResearch Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada.ORCID 0000-0002-9737-6818
Didier Jutras-AswadDepartment of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.ORCID 0000-0002-8474-508X

Funding

Mentoring the next generation of addiction clinician scientists while responding to the opioid epidemicR25DA037756 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI FAIRBAIRN, NADIA · 2014 to 2023
$3.6M
CIHRNIDA NIH HHS R25 DA037756
6 · The paper itself

Abstract

objectiveTo evaluate the impact of depressive symptom severity on opioid use and treatment retention in individuals with prescription-type opioid use disorder (POUD).

methodWe analyzed data from a multi-centric, pragmatic, open-label, randomized controlled trial comparing buprenorphine/naloxone to methadone models of care in 272 individuals with POUD. Opioid use was self-reported every two weeks for 24 weeks using the Timeline Followback. Depressive symptom severity was self-reported with the Beck Depression Inventory at baseline, week 12 and week 24.

resultsBaseline depressive symptom severity was not associated with opioid use nor treatment retention. At week 12, moderate depressive symptoms were associated with greater opioid use while mild to severe depressive symptoms were associated with lowered treatment retention. At week 24, moderate depressive symptoms were associated with greater opioid use.

conclusionsOngoing depressive symptoms lead to poorer outcomes in POUD. Clinicians are encouraged to use integrative approaches to optimize treatment outcomes. This study was registered in ClinicalTrials.gov (NCT03033732) on January 27

Indexed as

Buprenorphine, Naloxone Drug CombinationDepressionMethadoneOpiate Substitution TreatmentOpioid-Related DisordersSeverity of Illness IndexAdultAnalgesics, OpioidFemaleHumansMaleMiddle AgedNarcotic AntagonistsTreatment OutcomeAnalgesics, OpioidBuprenorphine, Naloxone Drug CombinationMethadoneNarcotic AntagonistsAnalgesics; opioid; buprenorphine; naloxone drug combination; methadone; opioid-related disorders; depressive disorder; major; humans; randomized controlled trial

Identifiers

PMID38580298
PMCPMC12129058

What OpenQuestion holds

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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.