Evidence map›Paper›PMID 39707239›Full record

Observational studyBMC psychiatry2024

A prospective cohort of treatment-seeking patients with problematic use of prescription narcotic drugs: study protocol and baseline characteristics.

Sofia Burmester, Cecilia Krüger, Jonas Hällgren, Jeanette Westman, Johan Franck

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03713983 (Characteristics of and Treatment Outcomes Among Patients With Prescription Narcotic Drug Use Disorder), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03713983 active not recruitingnot on this map

Characteristics of and Treatment Outcomes Among Patients With Prescription Narcotic Drug Use Disorder: a Naturalistic Cohort Study

Typeobservational_patient_registrySponsorJohan FranckRan2018 to 2029Enrolled400ConditionsDrug Use DisordersArmsObservational study
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Sofia BurmesterDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels allé 23, Huddinge, 141 52, Sweden.
Cecilia KrügerDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels allé 23, Huddinge, 141 52, Sweden.
Jonas HällgrenAcademic Primary Care Centre, Region Stockholm, Solnavägen 1 E, Stockholm, 113 65, Sweden.
Jeanette WestmanDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels allé 23, Huddinge, 141 52, Sweden.
Johan FranckThe Stockholm Centre for Dependency Disorders, Stockholm Health Care Services, Region Stockholm, Friskvårdsvägen 4, Stockholm, 112 81, Sweden. johan.franck@ki.se.

Funding

Folkhälsomyndigheten 02797-2017Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2020-00467Region Stockholm FOUI-955115Region Stockholm FOUI-977024
6 · The paper itself

Abstract

backgroundThere is limited knowledge on long-term outcomes of tapering treatment for individuals with problematic use of prescription narcotics, including opioids and benzodiazepines. The overall aim of the study is to investigate clinical trajectories and treatment outcomes of patients seeking treatment in addiction care.

methodsThis paper presents the study protocol and baseline characteristics of a cohort of patients seeking treatment for problematic use of prescription narcotic drugs at specialized outpatient addiction services. Treatment for addiction at the clinic includes drug tapering and treatment for underlying psychiatric disorders. Data in this prospective cohort study is collected from biomarkers, self-report questionnaires, patient medical records, and national registers at baseline and follow-up visits at 6, 12, and 24 months.

resultsA clinical cohort of 405 participants were enrolled in the study between 2018 and 2023. The study population (57.5% women; 42.5% men) at baseline had a mean age of 49.2 years (SD = 14.0). Participants in the cohort had used prescription narcotics for 11 years on average before seeking treatment, with opioid analgesics (66.2%) being the most common at baseline, followed by benzodiazepines (50.9%). Most participants (75.9%) had received prescription narcotics from their health care provider, although illegal sources were common. Besides substance use disorders, many also had anxiety disorders (46.3%) and depression (40.4%) at baseline. Previous treatment for problematic alcohol or drug use were reported by 14.0% and 21.6%, respectively. DISCUSSION: This prospective, naturalistic cohort will provide novel information on long-term outcomes of tapering treatment and identify prognostic factors for treatment success, including abstinence. Future papers will investigate individual and treatment-related characteristics of the patient population. Baseline data suggest that many patients with problematic use of prescription narcotics receive prescriptions over many years from their regular health care providers, which contradicts most clinical guidelines.

trial registrationNCT03713983 22/10/2018.

Indexed as

BenzodiazepinesAdultAnalgesics, OpioidDrug TaperingFemaleHumansMaleMiddle AgedNarcoticsPatient Acceptance of Health CarePrescription Drug MisuseProspective StudiesSubstance-Related DisordersAnalgesics, OpioidBenzodiazepinesNarcoticsAnalgesics, opioidBenzodiazepinesPrescription drug misusePrescription drugsSubstance-related disordersTreatment outcome

Identifiers

PMID39707239
PMCPMC11661025

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Registered trials

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.