Evidence map›Paper›PMID 39574199›Full record

ArticleAddiction science & clinical practice2024

Strategies for improving treatment retention for buprenorphine/naloxone for opioid use disorder: a qualitative study of issues and recommendations from prescribers.

Gary J Young, Leonard D Young, Md Noor-E-Alam

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 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

3 authors.

Gary J YoungCenter for Health Policy and Healthcare Research, Northeastern University, Boston, MA, USA.
Leonard D YoungPrescription Monitoring Program, Massachusetts Department of Public Health, Boston, MA, USA.
Md Noor-E-AlamCenter for Health Policy and Healthcare Research, Northeastern University, Boston, MA, USA. mnalam@neu.edu.ORCID 0000-0001-5353-9710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpioid use disorder (OUD) remains a significant public health issue as the number of opioid-related overdose deaths continues to reach new highs each year. Buprenorphine/Naloxone is a medication that has been shown to be highly effective for the treatment of OUD. However, the clinical management of patients on this medication is challenging as many patients discontinue treatment prematurely. We conducted a qualitative study focusing on experienced prescribers of buprenorphine to learn about what they believe are key challenges in prescribing this medication to patients with OUD and related strategies for improving treatment outcomes.

methodsWe conducted two rounds of interviews with 12 prescribers who were either trained as a primary care physician, nurse practitioner, or physician assistant. These prescribers were recruited from an academically-based treatment program, a community health center, and a commercial substance use disorder treatment facility. Interview data were coded and analyzed in accordance with a grounded theory approach.

resultsKey findings and related recommendations emerged for patient monitoring, integration of behavioral health with prescribing, patient volume requirements, and use of telehealth.

conclusionThe interviews generated a number of recommendations for improving patient outcomes from buprenorphine treatment. Some of these recommendations can be implemented quite readily whereas others entail more substantial resources and time commitments.

Indexed as

Buprenorphine, Naloxone Drug CombinationNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersQualitative ResearchAdultAttitude of Health PersonnelBuprenorphineFemaleHumansInterviews as TopicMaleNaloxoneNurse PractitionersPhysician AssistantsPractice Patterns, Physicians'BuprenorphineBuprenorphine, Naloxone Drug CombinationNaloxoneNarcotic AntagonistsBuprenorphineChronic disease managementOpioid use disorderQualitative researchSubstance use disorder

Identifiers

PMID39574199
PMCPMC11580496

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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.