Evidence map›Paper›PMID 40447476›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2025

Buprenorphine Is Associated With Lower Home Opioid Use and Acute Care Utilization in Sickle Cell Disease.

Charleen Jacobs-McFarlane, Angela Liu, Brittany McCrary, Sarah McCuskee, Mikayla Gordon Wexler, Elizabeth Stidham, Bin Zhang, Jeffrey Glassberg, Susanna Curtis

Abstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 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. 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

9 authors.

Charleen Jacobs-McFarlaneMount Sinai Hospital-Nursing Department, New York, NY. Electronic address: Charleen.jacobs-mcfarlane@mountsinai.org.
Angela LiuDepartment of Hematology, Icahn School of Medicine at Mount Sinai, New York, NY.
Brittany McCraryMount Sinai Hospital-Nursing Department, New York, NY.
Sarah McCuskeeDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Mikayla Gordon WexlerIcahn School of Medicine at Mount Sinai, New York, NY.
Elizabeth StidhamIcahn School of Medicine at Mount Sinai, New York, NY.
Bin ZhangMount Sinai Hospital-Department of Genetics and Genomics, New York, NY.
Jeffrey GlassbergDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Susanna CurtisDepartment of Hematology, Icahn School of Medicine at Mount Sinai, New York, NY.

Funding

Mount Sinai Clinician Scientist Training Program in Emergency Care ResearchT32HL160513 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Lynne D. Richardson · 2022 to 2026
$2.2M
NHLBI NIH HHS T32 HL160513
6 · The paper itself

Abstract

introductionSickle cell disease (SCD) is an inherited genetic disorder affecting an estimated 100,000 people in the United States. The hallmark of SCD is acute and chronic pain, which leads to increased healthcare utilization. Pain in SCD is treated with full opioid agonists with variable effectiveness. There is growing evidence supporting buprenorphine in adults with SCD for pain.

objectivesThe objective of this study was to describe the health outcomes of buprenorphine use in adults with SCD.

methodsThis study was a single-center, retrospective cohort study of all individuals with SCD and chronic pain treated with buprenorphine between November 2020 and January 2024. Descriptive statistics and paired t-tests were used to compare health outcomes before and after treatment.

resultsThirteen inductions were completed, six using telemedicine, two with a diagnosis of opioid use disorder, one individual (7.7%) failed induction and did not continue buprenorphine. Median duration of follow-up was 103 days (range 21-1,497 days). Buprenorphine use was associated with lower annualized rates of emergency department visits (7.2 vs 5.9, -1.3, p < .001), hospital admissions (8.5 vs 5.6, -2.9, p < .001), and treatment center visits (3.0 vs 2.2, -0.9, p < .001), and lower rates of home opioid use (189.3 vs 35.6 morphine milligram equivalent, -153.7, p < .001).

conclusionBuprenorphine induction was successful using telemedicine and for those with opioid use disorder. Buprenorphine was associated with lower opioid use and healthcare utilization in patients with SCD and chronic pain.

Indexed as

Analgesics, OpioidAnemia, Sickle CellBuprenorphinePatient Acceptance of Health CareAdultChronic PainCohort StudiesFemaleHumansMaleMiddle AgedOpiate Substitution TreatmentOpioid-Related DisordersPain ManagementRetrospective StudiesAnalgesics, OpioidBuprenorphineBuprenorphineHospital utilizationPain managementSickle cell disease

Identifiers

PMID40447476
PMCPMC12380189

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Registered trials

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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.