Buprenorphine maintenance treatment in a primary care setting: Outcomes at 1 year

Abstract The purposes of this study were to assess outcomes of patients prescribed buprenorphine at a primary care practice and to identify factors associated with favorable outcomes. All 255 patients given at least one prescription for buprenorphine between August 2003 and September 1, 2007, at a p...

Full description

Saved in:
Bibliographic Details
Published in:Journal of substance abuse treatment 2009-12, Vol.37 (4), p.426-430
Main Authors: Soeffing, Janet M., M.D, Martin, L. David, M.D, Fingerhood, Michael I., M.D, Jasinski, Donald R., M.D, Rastegar, Darius A., M.D
Format: Article
Language:English
Subjects:
Administration, Sublingual
Adult
Aged
Baltimore
Biological and medical sciences
Buprenorphine
Buprenorphine - administration & dosage
Buprenorphine - therapeutic use
Clinical outcomes
Comorbidity
Desintoxication. Drug withdrawal
Drug addictions
Drug use
Female
Follow-Up Studies
Heroin Dependence - rehabilitation
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Multiple drugs
Narcotics - administration & dosage
Narcotics - therapeutic use
Opioid dependence
Opioid-Related Disorders - rehabilitation
Prescription drugs
Prescriptions
Primary care
Primary health care
Primary Health Care - methods
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Substance abuse treatment
Toxicology
Treatment Outcome
Treatments
Urine
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract The purposes of this study were to assess outcomes of patients prescribed buprenorphine at a primary care practice and to identify factors associated with favorable outcomes. All 255 patients given at least one prescription for buprenorphine between August 2003 and September 1, 2007, at a primary care practice in Baltimore were included. Data regarding demographics and comorbidities were collected retrospectively. Patients were classified as “opioid-positive” or “opioid-negative” each month based on patient report, urine toxicology, and provider assessment. After 12 months, 145 (56.9%) patients remained in treatment, and 64.7% of their months were opioid-negative. Patients using heroin were less likely to be opioid-negative, whereas those using prescription opioids were more likely to be opioid-negative. Polysubstance use was associated with increased treatment retention. The prescription of buprenorphine for opioid dependence treatment can be incorporated into primary care practice, and many patients, including polysubstance users, benefit from this treatment.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2009.05.003