Evidence map›Paper›PMID 41394525›Full record

ArticleInternational journal of mental health and addiction2025

Management of Amphetamine and Methamphetamine Use Disorders: A Systematic Review and Network Meta-analysis of Randomized Trials.

Malahat Khalili, Behnam Sadeghirad, Paxton Bach, Alexis Crabtree, Sara Javadi, Erfan Sadeghi, Sara Moradi, Fatemeh Mirzayeh Fashami, Mehran Nakhaeizadeh, Sahar Salehi and 10 more

Abstract read
In one paragraph

Article in International journal of mental health and addiction, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Influence of Translocator Protein (Life (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

20 authors.

Malahat Khalili *Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, ON Canada.
Behnam Sadeghirad *Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, ON Canada.
Paxton BachDepartment of Medicine, University of British Columbia, Vancouver, BC Canada.
Alexis CrabtreeBritish Columbia Centre for Disease Control, Vancouver, BC Canada.
Sara JavadiVice Chancellor for Research Technology, Shiraz University of Medical Sciences, Shiraz, Iran.
Erfan SadeghiDepartment of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Sara MoradiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON Canada.
Fatemeh Mirzayeh FashamiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON Canada.
Mehran NakhaeizadehModeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Sahar SalehiDepartment of Biostatistics and Epidemiology, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Ahmad Sofi-MahmudiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON Canada.
Naser NasiriSchool of Public Health, Jiroft University of Medical Sciences, Jiroft, Kerman, Iran.
Soheil MehmandoostDepartment of Biostatistics and Epidemiology, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Soroush MoallefT.H. Chan School of Public Health, Harvard University, Boston, MA USA.
Shahryar Moradi Falah LangeroodiHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Jessica MoeBritish Columbia Centre for Disease Control, Vancouver, BC Canada.
Mark LysyshynSchool of Population and Public Health, University of British Columbia, Vancouver, BC Canada.
Dan WerbCentre On Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, Toronto, ON Canada.
Jane A BuxtonBritish Columbia Centre for Disease Control, Vancouver, BC Canada.
Mohammad KaramouzianCentre On Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, Toronto, ON Canada.ORCID 0000-0002-5631-4469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current evidence regarding effective management of methamphetamine and amphetamine (MA/A) use disorders is inconclusive. Therefore, we assessed the comparative benefits and tolerability of pharmacological, psychosocial, and harm reduction interventions for management of MA/A use disorders. We searched six electronic databases for randomized controlled trials of any pharmacological, psychosocial, or harm reduction interventions in adults with MA/A use disorders. We performed a random-effects frequentist network meta-analysis and used the GRADE approach to assess the certainty of evidence. We included 72 randomized trials (6836 participants). Low certainty evidence suggests quetiapine may extend abstinence compared to placebo [risk ratio (RR) 3.17 (95% confidence intervals (CI), 1.24 to 8.07)] and weekly average proportion of patients with negative urine samples [mean difference (MD) 32.17 (95% CI, 14.08 to 50.26)]. Low certainty evidence also suggested that riluzole may be associated with a higher weekly average proportion of patients with negative urine samples [MD 24.10 (95% CI, 5.54 to 42.66)]. Very low certainty evidence suggests methylphenidate alone [compared to placebo MD 10.24 (95% CI, 3.49 to 16.99)] or in combination with matrix model [MD 23.55 (95% CI, 7.64 to 39.46)] may be associated with an increased weekly average proportion of patients with negative urine samples. Compared to placebo, contingency management alone [MD 21.20 (95% CI, 11.39 to 31.00), very low certainty] or in combination with cognitive behavioural therapy [MD 34.85 (95% CI, 19.63 to 50.08), very low certainty] may be associated with longer duration of abstinence. Compared to placebo, venlafaxine [RR 0.27 (95% CI 0.08 to 0.90), low certainty] and citicoline [RR 0.69 (95% CI 0.49 to 0.99), lowcertainty] may be among the most tolerable interventions. Very few interventions may be associated with slight improvement in certain outcomes, but no intervention showed moderate- to high-certainty evidence for important changes across any patient-important outcomes. Supplementary Information: The online version contains supplementary material available at 10.1007/s11469-024-01379-w.

Indexed as

Amphetamine-related disordersMethamphetamine use disorderNetwork meta-analysisSystematic review

Identifiers

PMID41394525
PMCPMC12698752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.