Evidence map›Paper›PMID 40721326›Full record

ArticleAnnals of family medicine2025

Primary Care Patients With Opioid Use Disorder Symptoms: Initiation and Engagement in Treatment With Medicine.

Claire B Simon, Theresa E Matson, Malia Oliver, Kevin A Hallgren, Roger D Weiss, Katharine A Bradley

Abstract read
In one paragraph

Article in Annals of family medicine, 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

6 authors.

Claire B SimonDepartment of Family Medicine, University of Washington, Seattle, Washington clairebs@uw.edu.
Theresa E MatsonKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Malia OliverKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Kevin A HallgrenKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Roger D WeissDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Katharine A BradleyKaiser Permanente Washington Health Research Institute, Seattle, Washington.

Funding

Project-002UG1DA040314 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Ingrid A Binswanger, CYNTHIA I CAMPBELL · 2015 to 2026
$34.9M
Psychiatry Primary Care NRSA T-32 AwardT32MH020021 · NIMH · UNIVERSITY OF WASHINGTON · PI JOHN C. FORTNEY, JURGEN UNUTZER · 1998 to 2026
$5.6M
Advancing Clinical Research Training within Addiction Residency ProgramsR25DA033211 · NIDA · BOSTON MEDICAL CENTER · PI Patrick O'Connor, JEFFREY H. SAMET · 2012 to 2026
$4.2M
NIDA NIH HHS R25 DA033211NIDA NIH HHS UG1 DA040314NIMH NIH HHS T32 MH020021
6 · The paper itself

Abstract

purposeThere is a critical need to treat opioid use disorder (OUD) in primary care. We describe the incidence of OUD medication treatment among primary care patients who reported opioid use and moderate or severe symptoms of substance use disorder (SUD), as defined by the

methodThis retrospective cohort study used electronic health record and insurance claims data from 33 primary care clinics in Washington that routinely screen for substance use and ask patients who report daily cannabis use or any past-year drug use to complete a

resultsAmong 80 (5%) patients with moderate symptoms, 8 (10%) initiated and 6 (8%) remained engaged with medication treatment. These patients were significantly more likely to initiate (

conclusionMost primary care patients reporting opioid use and moderate or severe SUD symptoms did not initiate OUD treatment, but most who initiated remained engaged. Screening and assessment alone is insufficient to result in adequate OUD medication treatment.

Indexed as

Opiate Substitution TreatmentOpioid-Related DisordersPrimary Health CareAdultBuprenorphineElectronic Health RecordsFemaleHumansMaleMiddle AgedRetrospective StudiesWashingtonBuprenorphinebuprenorphineopioid-related disordersprimary care health

Identifiers

PMID40721326
PMCPMC12306991

What OpenQuestion holds

Textmetadata
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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.