Initiating Long-acting Injectable Naltrexone: Procedure for a Second Attempt After a First Attempt Fails
Conclusion and Scientific Significance
A second attempt at XR- NTX initiation using buprenorphine stabilization and cross taper may be a reasonable approach for some patients. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Use of a Telemedicine Bridge Clinic to Engage Patients in Opioid Use Disorder Treatment
Conclusion
A Bridge Clinic using audiovisual and audio-only telemedicine served a high-risk, vulnerable population and facilitated engagement in evidence-based MOUD. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Alcohol-related Opioid Overdose Deaths in Minnesota Between 2011 and 2020: Trends by Sex
Conclusions
Proportions of OOD in relation to overdose deaths increased between 2011 and 2020, with a precipitous increase between 2019 and 2020 while the proportion of AOOD remained relatively stable over the period. Alcohol remains a contributing factor in approximately 1 in 5 OODs in Minnesota. These results support the need for accessible, evidence-based prevention and treatment programs to prevent drug overdose. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Retention With Medication for Opioid Use Disorder: The Role of the Primary Care Relationship
Conclusions
In this rural Federally Qualified Health Center, MOUD provision by a patient's own PCP, as compared to a separate provider, did not reach statistical significance for an association with improved retention in treatment. These findings are likely due to a small sample size, and support expanding buprenorphine access as part of comprehensive primary care to combat the opioid crisis, especially in rural areas. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Brief Reports Source Type: research
Logistical Facilitators and Barriers to PrEP Implementation in Methadone Clinic Settings: Provider and Staff Perspectives
Conclusions
Although staff expressed willingness and potential ability to provide PrEP, they identified barriers regarding insurance reimbursement, limited funding, and concerns that PrEP would extend the clinic’s treatment scope. However, given the enabling factors such as availability of providers and existing clinical infrastructure, providing PrEP could increase clinic revenue through insurance reimbursement and federal funding for PrEP-related services. Clinic-level education is needed for clinical and nonclinical staff to better understand the logistics of implementing PrEP, particularly regarding prescribing p...
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Expanding Inpatient Addiction Consult Services Through Accountable Care Organizations for Medicaid Enrollees: A Modeling Study
This study extends data from Oregon’s only ACS to Oregon’s 15 regional Medicaid Coordinated Care Organizations (CCOs) to illustrate the potential value of enhanced in- and out-patient care for hospitalized patients with OUD. The study objectives were to estimate the effects of (1) expanding ACS care through CCOs in Oregon, and (2) increasing community treatment access within CCOs, on post-discharge OUD treatment engagement.
Methods
We used a validated Markov model, populated with Oregon Medicaid data from April 2015 to December 2017, to estimate study objectives.
Results
Oregon Medicaid patients hospitali...
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Perception of Resource Allocations to Address the Opioid Epidemic
Conclusions
This study illustrates how people with and without lived experience prioritize various policies to address the opioid epidemic and emphasize comparably low support for harm reduction policies. Proof-of-concept data suggest that brief informational interventions may increase funding support for harm reduction strategies, at least in a subset of people. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Investigating Healthcare Provider Bias Toward Patients Who Use Drugs Using a Survey-based Implicit Association Test: Pilot Study
Conclusion
Though limited by sample size, the results indicate that emergency and obstetrics/gynecology providers display more negative explicit bias toward this patient population than other providers. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
A Retrospective Study of Acute Postoperative Pain After Cesarean Delivery in Patients With Opioid Use Disorder Treated With Opioid Agonist Pharmacotherapy
Objective
We aimed to quantify the effect of opioid agonist pharmacotherapy on pain management after cesarean delivery, compared with patients not on these medications.
Methods
Patients undergoing cesarean delivery at our institution between January 2016 and December 2018 were stratified by peripartum use of opioid agonist pharmacotherapy versus no agonist therapy. We compared 24-hour postoperative opioid consumption not including buprenorphine and methadone, in milligram morphine equivalents (MME) (primary outcome), highest pain score on a 0 to 10 numerical rating scale in the first 24 postoperative hours, and ...
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Characteristics of White Matter Integrity During Different Phases of Abstinence in Heroin Use Disorders: A Diffusion Tensor Imaging Study
Conclusions
The findings suggested that the time-dependent recovery of white matter, especially the restoration of the myelin sheath, occurred in patients with LA. Longer-abstinent duration with strategies of enhancing myelination may improve treatment effectiveness. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Rapid Overlap Initiation Protocol Using Low Dose Buprenorphine for Opioid Use Disorder Treatment in an Outpatient Setting: A Case Series
Conclusions
The ROI protocol was successful in initiating buprenorphine treatment for patients in our outpatient clinic, many of whom were using fentanyl. The ROI protocol may offer a safe alternative to traditional buprenorphine initiation and warrants further study. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Stigmatizing Terminology for Outcomes and Processes (STOP) in Alcohol Research: A Meta-epidemiologic Assessment of Language Used in Clinical Trial Publications
We reported the frequency and percentage of manuscripts with STOP and individual terms. We evaluated associations between STOP usage and several clinical trial characteristics via logistic regression.
Results
Our search returned 1552 articles, which were then randomized and the first 500 were screened for inclusion. Of 147 included articles, 115 (78.2%) included STOP. The most common STOP were “drop out” (38.78%; 57/147), “relapse” (36.05%; 53/ 147), and “adherent, nonadherence” (35.37%; 52/147). No significant associations were found between STOP usage and trial characteristics.
Discussion
STOP w...
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Cannabidiol Effect on Anxiety Symptoms and Stress Response in Individuals With Cocaine Use Disorder: Exploratory Results From a Randomized Controlled Trial
Conclusions
We found no evidence for 800 mg of CBD to be more efficacious than placebo for modulating anxiety symptoms and cortisol levels in individuals with CUD. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
The Social Context of Unhealthy Alcohol Use Among Emergency Department Patients: A Cross Sectional Study
Background
Housing status and additional social determinants of health are important data for clinicians and policy makers to design and implement effective interventions for emergency department (ED) patients with unhealthy alcohol use (UAU).
Methods
We surveyed patients in an urban, safety-net ED from June to August 2018. UAU was assessed by a validated single-item screening question endorsed by the National Institute on Alcohol Abuse and Alcoholism. Housing status was assessed using items validated for housing stability.
Results
Seven hundred fifty-eight patients completed the survey (60% response rate...
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
Adaptations to Opioid Use Disorder Care During the COVID-19 Pandemic: A National Survey of Prescribers
Conclusions
Surveyed prescribers widely used virtual visits to provide MOUD with overall positive experiences. Future studies should evaluate the impact of virtual visits on MOUD access and retention and clinical outcomes. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - September 1, 2022 Category: Addiction Tags: Original Research Source Type: research
