Evidence map›Paper›PMID 40322882›Full record

ArticleSubstance use & addiction journal2025

The Unsolved Problem of Attrition Rates on Randomized Clinical Trials for Cocaine Use Disorders: A Scoping Review.

Amanda Bernardino Sinatora, Daniela Mendes Chiloff, Juliana P M Santos, Kevin Y Xu, Vitor S Tardelli, Thiago Marques Fidalgo

Abstract readScoping Review
In one paragraph

Article in Substance use & addiction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Trial
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

6 authors.

Amanda Bernardino SinatoraDepartment of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.ORCID 0000-0002-3385-3312
Daniela Mendes ChiloffDepartment of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.
Juliana P M SantosDepartment of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.
Kevin Y XuDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St Louis, MO, USA.
Vitor S TardelliDepartment of Psychiatry, St. Michael's Hospital, Toronto, ON, Canada.
Thiago Marques FidalgoDepartment of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.

Funding

Washington University Career Development Program in Drug Abuse and AddictionK12DA041449 · NIDA · WASHINGTON UNIVERSITY · PI Laura J. Bierut, Patricia A Cavazos-Rehg · 2017 to 2026
$4.2M
NIDA NIH HHS K12 DA041449
6 · The paper itself

Abstract

backgroundCocaine use disorder (CUD) is a significant and insufficiently studied public health issue, especially considering that the global prevalence of CUD is estimated to be higher than ever. There is still no consensus on effective treatments for CUD. Important barriers for research in the field include the high attrition levels observed in randomized controlled trials (RCTs) for CUD treatment and the lack of emphasis on methods to reduce attrition in CUD RCTs.

methodsThe goal of this study was to systematically review over 2 decades of CUD RCTs, with the objective of evaluating the reporting of attrition bias and methods used to mitigate attrition.

resultsOur scoping review extracted information from 106 RCTs, of which only 82 explicitly evaluated attrition as an outcome. Thirty-eight studies had an attrition rate above 50%, and five 16 studies had medium attrition bias, 6% to 19%. The remaining 68 had large attrition bias.

conclusionAcross all included studies, discussion of attrition as a limitation was uncommon. Overall, these analyses suggest that most RCTs evaluating CUD treatments have not adequately accounted for attrition in their analyses or employed approaches to mitigate attrition.

Indexed as

Cocaine-Related DisordersPatient DropoutsRandomized Controlled Trials as TopicHumansattrition biasattrition ratecocainecocaine user disorderdropoutdrug abuseimputation techniquesmissing datarandomized clinical trials

Identifiers

PMID40322882
PMCPMC12255229

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.