Evidence map›Paper›PMID 39788040›Full record

Observational studyDrug and alcohol dependence2025

Sex disparities in outcome of medication-assisted therapy of opioid use disorder: Nationally representative outpatient clinic data.

Eduardo R Butelman, Yuefeng Huang, Alicia McFarlane, Carolann Slattery, Rita Z Goldstein, Nora D Volkow, Nelly Alia-Klein

Abstract readObservational Study
In one paragraph

Observational study in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. What opioid use disorder reveals about generalism, continuity, and care.Canadian family physician Medecin de famille canadien · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Eduardo R ButelmanNeuropsychoimaging of Addictions and Related Conditions (NARC), Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States. Electronic address: eduardo.butelman@mssm.edu.
Yuefeng HuangNeuropsychoimaging of Addictions and Related Conditions (NARC), Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Alicia McFarlaneSamaritan Daytop Village, Briarwood, NY, United States.
Carolann SlatterySamaritan Daytop Village, Briarwood, NY, United States.
Rita Z GoldsteinNeuropsychoimaging of Addictions and Related Conditions (NARC), Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Nora D VolkowNational Institute on Drug Abuse, Bethesda, MD, United States.
Nelly Alia-KleinNeuropsychoimaging of Addictions and Related Conditions (NARC), Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Funding

Integrative Single Cell isoform and chromatin accessibility Mapping of Chronic Opioid Exposure in Cognitive Brain Areas in HIVU01DA053625 · NIDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI MILNER, TERESA A, NDHLOVU, LISHOMWA C · 2021 to 2025
$4.0M
Atherosclerosis in cocaine addiction: imaging risk with PET/MRR01DA049547 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Nelly Alia-Klein, Zahi A. Fayad · 2022 to 2026
$3.9M
Sex differences in the neural correlates underlying impairments in response inhibition and salience attribution in cocaine addictionR01DA048301 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GOLDSTEIN, RITA Z · 2020 to 2024
$3.4M
NIDA NIH HHS R01 DA048301NIDA NIH HHS R01 DA049547NIDA NIH HHS U01 DA053625
6 · The paper itself

Abstract

questionThe opioid epidemic causes massive morbidity, and males have substantially greater overdose mortality rates than females. It is unclear whether there are sex-related disparities at different stages in the trajectory of opioid use disorders (OUD), from large samples in the community. GOAL: To determine sex disparities in non-medical opioid use (NMOU) at the end of treatment with medications for opioid use disorder (MOUD), using national data.

designObservational study of outpatient MOUD programs in the "Treatment episode data set-discharges" (TEDS-D) for 2019.

participantsPersons aged ≥ 18 in their first treatment episode, in outpatient MOUD-based therapy for heroin or other opioids (N = 10,065). The binary outcome was presence/absence of NMOU in the month prior to discharge.

resultsIn univariate analyses, males had higher odds of NMOU compared to females (odds ratio=1.22; p = 6.84 ×10

conclusionsThis national community sample shows that males overall have greater odds of NMOU in their first treatment episode with MOUD, a potential indicator of more unfavorable outcomes. Further analyses should examine the underpinnings of this disparity, including clinical severity features.

Indexed as

Healthcare DisparitiesOpiate Substitution TreatmentOpioid-Related DisordersAdolescentAdultAmbulatory Care FacilitiesFemaleHumansMaleMiddle AgedSex FactorsTreatment OutcomeUnited StatesYoung Adultbuprenorphinefentanylmedication-assisted treatmentmedications for opioid use disordersmethadoneopioidreal world data

Identifiers

PMID39788040
PMCPMC12051136

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.