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Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder.

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Title: Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder.
Authors: Mutter, Ryan, Spencer, Donna, McPheeters, Jeffrey
Source: Journal of Behavioral Health Services & Research. Oct2023, Vol. 50 Issue 4, p524-539. 16p. 6 Charts.
Subjects: Opioid abuse, Opioids, Proportional hazards models, Self-mutilation, Logistic regression analysis
Abstract: There is limited research on outcomes for patients who start treatment for opioid use disorder (OUD) with only psychosocial treatment compared to those who initiate treatment with either medications for OUD (MOUD) or the combination of psychosocial treatment and MOUD. Cox proportional hazards regression was used on a database of individuals with commercial health insurance or Medicare Advantage to estimate the associations of treatment type with opioid overdose and self-harm (separately). Logistic regression was used to estimate the association of treatment type with prescription opioid fill following treatment initiation. Relative to patients who initiated treatment with only psychosocial treatment, patients who also initiated treatment with MOUD had lower risk of having an overdose inpatient or emergency department (ED) encounter, a self-harm inpatient or ED encounter, and a prescription opioid filled following treatment initiation. Starting treatment with MOUD was associated with better patient outcomes than initiating treatment with only psychosocial treatment. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder.
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  Data: <searchLink fieldCode="AR" term="%22Mutter%2C+Ryan%22">Mutter, Ryan</searchLink><br /><searchLink fieldCode="AR" term="%22Spencer%2C+Donna%22">Spencer, Donna</searchLink><br /><searchLink fieldCode="AR" term="%22McPheeters%2C+Jeffrey%22">McPheeters, Jeffrey</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Oct2023, Vol. 50 Issue 4, p524-539. 16p. 6 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Opioids%22">Opioids</searchLink><br /><searchLink fieldCode="DE" term="%22Proportional+hazards+models%22">Proportional hazards models</searchLink><br /><searchLink fieldCode="DE" term="%22Self-mutilation%22">Self-mutilation</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink>
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  Data: There is limited research on outcomes for patients who start treatment for opioid use disorder (OUD) with only psychosocial treatment compared to those who initiate treatment with either medications for OUD (MOUD) or the combination of psychosocial treatment and MOUD. Cox proportional hazards regression was used on a database of individuals with commercial health insurance or Medicare Advantage to estimate the associations of treatment type with opioid overdose and self-harm (separately). Logistic regression was used to estimate the association of treatment type with prescription opioid fill following treatment initiation. Relative to patients who initiated treatment with only psychosocial treatment, patients who also initiated treatment with MOUD had lower risk of having an overdose inpatient or emergency department (ED) encounter, a self-harm inpatient or ED encounter, and a prescription opioid filled following treatment initiation. Starting treatment with MOUD was associated with better patient outcomes than initiating treatment with only psychosocial treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s11414-023-09841-8
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      – Code: eng
        Text: English
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      – SubjectFull: Opioid abuse
        Type: general
      – SubjectFull: Opioids
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Self-mutilation
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      – SubjectFull: Logistic regression analysis
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      – TitleFull: Outcomes Associated with Treatment with and Without Medications for Opioid Use Disorder.
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              Text: Oct2023
              Type: published
              Y: 2023
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