Evidence map›Paper›PMID 39302287›Full record

ArticleNorth Carolina medical journal2023

Opioid Use Disorder Practice by Licensure Category in North Carolina.

Phillip M Hughes, Chase Harless, Melinda Ramage, Carriedelle Fusco, Bayla Ostrach

Abstract read
In one paragraph

Article in North Carolina medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Pediatric Mental Health Care and Scope-of-Practice Expansions.Administration and policy in mental health · 2024
    Article
  2. 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

5 authors.

Phillip M HughesDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy.
Chase HarlessUniversity of North Carolina Health Sciences, Mountain Area Health Education Center.
Melinda RamageDepartment of Obstetrics and Gynecology, Mountain Area Health Education Center.
Carriedelle FuscoDepartment of Family Medicine, Mountain Area Health Education Center.
Bayla OstrachFamily Medicine and Medical Anthropology, Boston University School of Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nurse practitioners, physician assistants, and certified nurse midwives, collectively known as advanced practice providers (APPs), are critical members of the opioid use disorder (OUD) treatment workforce. Few studies compare the OUD treatment practice patterns of APPs relative to physicians. Methods: In this cross-sectional study, we distributed a survey examining general substance use disorder (SUD) and OUD-specific treat-ment practices to all licensed physicians and APPs in North Carolina, resulting in a sample of 332 respondents. Respondents were asked about screening, referrals, and Drug Enforcement Administration (DEA) X-waiver status. Waivered providers were asked about prescribing buprenorphine. Differences in practice patterns by provider type were examined using descriptive statistics and chi-squared tests. Results: Practice patterns were similar between APPs and physicians; however, more APPs reported screening their patients for SUDs (83.3% versus 69.4%, Limitations: This was a descriptive cross-sectional study using self-report data from a purposive sample and may not be representative of all providers. Conclusions: Our results describe practice patterns for APPs and physicians and differences that may be reflective of regulations and therapeutic approaches. Similarities in obtaining an X-waiver and prescribing buprenorphine suggest that reducing restrictions on APPs may result in a larger treatment workforce.

Indexed as

BuprenorphineOpioid-Related DisordersPractice Patterns, Physicians'AdultCross-Sectional StudiesFemaleHumansLicensureMaleNarcotic AntagonistsNorth CarolinaNurse PractitionersOpiate Substitution TreatmentBuprenorphineNarcotic Antagonistsadvanced practice providersnorth carolinaopioid use disorderoriginal researchPhillip Hughessubstance use disorderunc

Identifiers

PMID39302287
PMCPMC13368257

What OpenQuestion holds

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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.