Evidence map›Paper›PMID 38832683›Full record

ArticleJournal of addiction medicine

Comparison of Treatment Receipt and Hospitalization Among Patients With Stimulant Use Disorder and/or Opioid Use Disorder in the Veterans Health Administration.

Madeline C Frost, Lara N Coughlin, Lan Zhang, Lewei Allison Lin

Abstract readComparative Study
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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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

4 authors.

Madeline C FrostFrom the Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA (MCF); Health Systems Research (HSR) Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA (MCF); Michigan Innovations in Addiction Care through Research & Education (MI-ACRE), Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI (LNC, LZ, LAL); and VA Center for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System, Ann Arbor, MI 48105 (LZ, LAL).
Lara N Coughlin
Lan Zhang
Lewei Allison Lin

Funding

Preferences and predictors driving opioid-involved polysubstance use profiles and trajectories: Implications for improving careR01DA057591 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lara Nicole Coughlin, Lewei Allison Lin · 2022 to 2026
$3.9M
PRENATAL COCAINE EXPOSURE EFFECTS ON LEARNING IN RATSF31DA005759 · NIDA · UNIVERSITY OF MASSACHUSETTS AMHERST · PI BRUNZELL, DARLENE H · 1996 to 1998
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Using telehealth to expand treatment access for Veterans with opioid use disorderIK2HX002612 · VA · VETERANS HEALTH ADMINISTRATION · PI LIN, LEWEI ALLISON · 2019 to 2024
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EPA EP-C-18-008HSRD VA IK2 HX002612NIDA NIH HHS F31 DA005759NIDA NIH HHS R01 DA057591
6 · The paper itself

Abstract

objectivesStimulant use is a growing problem, but little is known about service utilization among patients with stimulant use disorder (StUD). In the context of the overdose crisis, much research has focused on patients with opioid use disorder (OUD). It is unclear how the characteristics, treatment receipt, and hospitalization of patients with StUD differ from patients with OUD.

methodsElectronic health record data were extracted for national Veterans Health Administration patients with a visit from March 1, 2020, to February 28, 2021 with StUD and/or OUD (N = 132,273). We compared patients with StUD without OUD to those with (1) co-occurring StUD + OUD and (2) OUD without StUD. Patient characteristics, substance use disorder treatment, and hospitalizations in the year following patients' first study period visit were descriptively compared. Treatment and hospitalization were also compared in adjusted regression models.

resultsCompared with patients with OUD + StUD, those with StUD without OUD were less likely to receive outpatient (adjusted odds ratio [aOR] 0.49, 95% confidence interval [CI] 0.47-0.50) or any treatment (aOR 0.47, 95% CI 0.46-0.49). Compared with patients with OUD without StUD, those with StUD without OUD were less likely to receive outpatient (aOR 0.51, 95% CI 0.49-0.52) or any treatment (aOR 0.56, 95% CI 0.54-0.58) and more likely to receive residential treatment (aOR 2.18, 95% 2.05-2.30) and to be hospitalized (aOR 1.62, 95% 1.56-1.69).

conclusionsPatients with StUD may be less likely to receive treatment and more likely to be hospitalized than patients with OUD. Efforts focused on mitigating hospitalization and increasing treatment receipt for patients with StUD are needed.

Indexed as

HospitalizationOpioid-Related DisordersUnited States Department of Veterans AffairsAdultAmphetamine-Related DisordersElectronic Health RecordsFemaleHumansMaleMiddle AgedUnited StatesVeteransYoung Adult

Identifiers

PMID38832683
PMCPMC11446671

What OpenQuestion holds

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Registered trials

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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.