Evidence map›Paper›PMID 38756842›Full record

ArticleHealth affairs scholar2023

Recent modifications to the US methadone treatment system are a Band-Aid-not a solution-to the nation's broken opioid use disorder treatment system.

Noa Krawczyk, Paul J Joudrey, Rachel Simon, Danielle M Russel, David Frank

Abstract read
In one paragraph

Article in Health affairs scholar, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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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

5 authors.

Noa KrawczykCenter for Opioid Epidemiology and Policy (COEP), Department of Population Health, NYU Grossman School of Medicine, New York, NY 10016, United States.ORCID https://orcid.org/0000-0002-7396-3938
Paul J JoudreyDivision of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15260, United States.
Rachel SimonDepartments of Medicine and Psychiatry, NYU Grossman School of Medicine, New York, NY 10016, United States.
Danielle M RusselSchool of Social Transformation, Arizona State University, Tempe, AZ 85287, United States.ORCID https://orcid.org/0000-0002-6770-3099
David FrankNYU School of Global Public Health, New York, NY 10012, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For 5 decades, US federal regulations have segregated methadone treatment for opioid use disorder from the rest of the health care system, confining its availability to specialty treatment programs that are highly regulated. These regulations have led to severe shortages in the availability of methadone and grave underutilization of this lifesaving medication despite a worsening overdose crisis. In this commentary, we discuss current barriers to methadone in the US opioid treatment system and how recent changes to federal regulations fall short of the reforms needed to significantly expand access to this treatment. Instead, we propose the urgent need to expand methadone to mainstream health care settings by allowing for office-based prescribing and pharmacy dispensing of methadone, the norm in many other developed countries.

Indexed as

accessCOVID-19disparitieshealth policymethadoneopioidsopioid treatment programsubstance use disordertreatment

Identifiers

PMID38756842
PMCPMC10986206

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.