Evidence map›Paper›PMID 38940853›Full record

ArticleHealth & justice2024

Community buprenorphine continuation post-release following extended release vs. sublingual buprenorphine during incarceration: a pilot project in Maine.

Alane B O'Connor, Catherine Gelsinger, Sadie M Donovan, Jessica Marshall, Katherine A Ahrens

Abstract read
In one paragraph

Article in Health & justice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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.

Alane B O'ConnorSomerset County Jail, 131 E. Madison Rd, Madison, ME, 04950, USA. alane.oconnor@mainehealth.org.ORCID http://orcid.org/0009-0007-4098-6811
Catherine GelsingerMuskie School of Public Service, University of Southern Maine, Portland, ME, USA.
Sadie M DonovanSomerset County Jail, 131 E. Madison Rd, Madison, ME, 04950, USA.
Jessica MarshallSomerset County Jail, 131 E. Madison Rd, Madison, ME, 04950, USA.
Katherine A AhrensMuskie School of Public Service, University of Southern Maine, Portland, ME, USA.

Funding

Maine Office of Behavioral Health Maine Office of Behavioral Health
6 · The paper itself

Abstract

backgroundThe aim of our study was to evaluate the post-release outcomes of incarcerated individuals with opioid use disorder (OUD) treated with extended-release buprenorphine (XRB) in a rural county jail. Administrative data were collected from a pilot program within a jail in Maine that introduced XRB treatment in 2022 and a comparable jail utilizing sublingual buprenorphine (SLB) during the same period to compare post-release outcomes. Log-binomial regression models were used to estimate the risk ratio (RR) and 95% confidence interval (CI) for jail use of XRB vs. SLB on post-release community buprenorphine continuation.

resultsFrom September 2022 to September 2023, 70 individuals who received XRB were released from the pilot jail and 130 individuals who received SLB were released from the comparison jail. After adjusting for age, sex, and buprenorphine use at entry to jail, individuals released from the pilot jail were almost 3 times (adjusted RR = 2.67, 95% CI 1.84, 3.88) as likely to continue community buprenorphine treatment post-release relative to the comparison jail. In addition, utilization of XRB allowed for expanded access to OUD treatment, was well tolerated, and reduced medication diversion.

conclusionsIn this pilot program in Maine, XRB treatment during incarceration was associated with higher post-release community buprenorphine continuation when compared to individuals treated with SLB. These findings provide strong evidence for the superiority of XRB vs. SLB for the treatment of OUD in jail settings.

Indexed as

Extended-release buprenorphineIncarcerationOpioid use disorderRural jail

Identifiers

PMID38940853
PMCPMC11212228

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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.