Evidence map›Paper›PMID 41884289›Full record

ArticleSubstance abuse and rehabilitation2026

Treatment Outcomes in a Specialized Opioid Maintenance Program for Prescription Opioid Use Disorder in Israel.

Zehavit Mendelson, Anat Sason, Shaul Schreiber, Miriam Adelson, Einat Peles

Abstract read
In one paragraph

Article in Substance abuse and rehabilitation, 2026. 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

5 authors.

Zehavit MendelsonMiriam & Sheldon G. Adelson Clinic for Drug Abuse, Treatment & Research, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Anat SasonMiriam & Sheldon G. Adelson Clinic for Drug Abuse, Treatment & Research, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Shaul SchreiberMiriam & Sheldon G. Adelson Clinic for Drug Abuse, Treatment & Research, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0002-2189-0693
Miriam AdelsonMiriam & Sheldon G. Adelson Clinic for Drug Abuse, Treatment & Research, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Einat PelesMiriam & Sheldon G. Adelson Clinic for Drug Abuse, Treatment & Research, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0002-7091-7987

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A rapid increase in opioid prescriptions necessitated the implementation of a specific opioid maintenance treatment arm in the Methadone Maintenance Treatment clinic for opioid use disorder (OUD). Objective: To characterize patients referred to this arm, those who initiated treatment and their outcomes. Methods: Individuals referred between November/2019 and June/2025 were included. Patient characteristics, retention, and drug abstinence were studied. Results: Of 184 referrals, 54 (29.3%) were admitted. They had a higher female proportion (50% vs. 32.3%, p=0.03) and more years of education (13.1±3.4 vs. 11.2±3.8, p=0.008) than those not admitted, with no significant age difference (50.5±15.8 vs. 52.0±16.4, p=0.6). Of the 54 admitted patients, 5 were transferred to the "regular" OUD arm. Of the remaining 49, 18.4% were treated with methadone and 40 with oral buprenorphine (21 switched later to a once-monthly injectable formulation). Overall, 42.9% used fentanyl: 44.4% of those on methadone, 42.1% on buprenorphine, and 42.9% on the injectable formulation. Ninety (51.4%) stayed one year; of them, 88.9% stopped prescription opioids. Cumulative retention was longer among females (2.3y, 95% CI: 1.8-2.9) than males (1.2y, 95% CI: 0.8-1.6, p=0.046). Retention among those treated with injectable buprenorphine (2.4y, 95% CI: 1.8-3.0) or methadone (1.7y, 95% CI: 0.9-2.4) was comparable, and both were longer than with oral buprenorphine (0.7y, 95% CI: 0.4-1.0, p<0.001 and p=0.039, respectively). Conclusion: Positive treatment outcomes were observed in this specific population, particularly among those treated with methadone or injectable buprenorphine, but future follow-up and a larger sample are needed. Physicians' education is necessary to achieve more accurate referrals.

Indexed as

opioid maintenance treatmentopioid use disorder due to pain prescriptionretention

Identifiers

PMID41884289
PMCPMC13011865

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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 Socratic graph.