Evidence map›Paper›PMID 35255967›Full record

ArticleAddiction science & clinical practice2022

Factors associated with retention on medications for opioid use disorder among a cohort of adults seeking treatment in the community.

Breanne E Biondi, Brent Vander Wyk, Esther F Schlossberg, Albert Shaw, Sandra A Springer

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Addiction science & clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07148206 (Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
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.

NCT07148206 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2028Enrolled40ConditionsOpioid Use DisorderArmsDronabinol Capsules, Epidiolex 100 mg/mL Oral Solution, Placebo Dronabinol, Placebo Epidiolex
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  13. Mobile addiction treatment units: a narrative review.Addiction science & clinical practice · 2025
    Review
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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

5 authors at 2 institutions in 1 country.

Breanne E BiondiDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, USA.
Brent Vander WykDepartment of Internal Medicine, Section of Geriatrics, Yale School of Medicine, New Haven, CT, USA.
Esther F SchlossbergDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, Yale AIDS Program, New Haven, CT, USA.
Albert ShawDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, Yale AIDS Program, New Haven, CT, USA.
Sandra A SpringerDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, Yale AIDS Program, New Haven, CT, USA. Sandra.springer@yale.edu.ORCID 0000-0002-6318-1000
Yale University · USBoston University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The Impact of HIV Infection on Immunologic, Transcriptomic, and Metabolomic Signatures of Medication-Assisted Therapy for Opioid AddictionR01DA043337 · NIDA · YALE UNIVERSITY · PI SHAW, ALBERT C, SPRINGER, SANDRA ANN · 2016 to 2020
$5.8M
Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
Midcareer Award in Translational Immunology of AgingK24AG042489 · NIA · YALE UNIVERSITY · PI SHAW, ALBERT C · 2012 to 2022
$1.8M
Medication Assisted Therapy as a Conduit to Care for HIV+ CJS Populations TransitK02DA032322 · NIDA · YALE UNIVERSITY · PI SPRINGER, SANDRA ANN · 2011 to 2022
$1.3M
NCATS NIH HHS UL1 TR001863NIA NIH HHS K24 AG042489NIDA NIH HHS K02 DA032322NIDA NIH HHS R01 DA043337NIDA NIH HHS T32 DA041898
6 · The paper itself

Abstract

backgroundMedication treatment for opioid use disorder (OUD) (MOUD; buprenorphine and methadone) reduces opioid use and overdose. Discontinuation of MOUD can quickly lead to relapse, overdose and death. Few persons who initiate MOUD are retained on treatment, thus it is critical to identify factors associated with retention.

methodsEvaluated data was from an ongoing prospective cohort study of adults aged 18 or older with DSM-5 moderate to severe OUD seeking MOUD in the community and followed for 6 months. Participants were considered retained on MOUD through 6 months if they reported taking MOUD at every study interview without discontinuation. A high dose of MOUD was defined as a methadone dose > 85 mg or buprenorphine dose ≥ 16 mg. Multivariable logistic regression was conducted to assess factors associated with 6-month MOUD retention.

resultsA total of 118 participants (73% male, 58% white, 36% with HIV) were included. Buprenorphine was initiated by 58% and 42% started methadone. MOUD retention was 49% and 58% among buprenorphine and methadone, respectively, at 6-months. In adjusted models, a high MOUD dose (OR = 4.71, 95% CI 2.05-10.84) and higher pain interference (OR = 1.59, 95% CI 1.15-2.19) was associated with MOUD retention.

conclusionsAdequate dosing of MOUD leads to improved retention on MOUD. Further, persons with high pain interference at baseline had higher odds of retention on MOUD. Both methadone and buprenorphine have analgesic effects, thus those with high pain interference could have dual benefits of MOUD for treating OUD and pain. Interventions should be tailored to improve adequate MOUD dosing to improve retention on MOUD.

Indexed as

BuprenorphineDrug OverdoseOpioid-Related DisordersAdultAnalgesics, OpioidFemaleHumansMaleMethadoneNaltrexoneOpiate Substitution TreatmentPainProspective StudiesAnalgesics, OpioidBuprenorphineMethadoneNaltrexoneBuprenorphineMedications for opioid use disorderMethadoneOpioidsRetention

Identifiers

PMID35255967
PMCPMC8899775
OpenAlexW4220737357

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.