TY - JOUR
T1 - Trends and Barriers of Medication Treatment for Opioid Use Disorders
T2 - A Systematic Review and Meta-Analysis
AU - Hutchison, Morica
AU - Russell, Beth S.
AU - Leander, Abigail
AU - Rickles, Nathaniel
AU - Aguiar, Derek
AU - Cong, Xiaomei S.
AU - Harel, Ofer
AU - Hernandez, Adrian V.
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - Adherence to and retention in Medication Treatment for Opioid Use Disorders (MOUD) persist. We systematically reviewed trends of USA MOUD adherence, retention, and barriers from 2011–2021. Primary outcomes were adherence to and retention in MOUD, abstinence, adverse events, and treatment barriers. Effects of inverse variance random meta-analyses were examined using proportions and 95% CIs. 28 studies (102,318 patients), 78.1% male. Adherence was 56% across all studies, highest for methadone (73%). Retention by study design was heterogeneous: case series (57%), cohorts (47%), and RCTs (70%). The most common barriers were younger age, comorbid diagnoses, daily attendance, no insurance, and transportation. Abstinence was 72%, and adverse events was 5%. There was high heterogeneity in MOUD across drug types and study designs. Our findings extend the knowledge base of MOUD treatment to describe barriers that underpin the focus on retention in care above adherence given its focus to harm reduction principles.
AB - Adherence to and retention in Medication Treatment for Opioid Use Disorders (MOUD) persist. We systematically reviewed trends of USA MOUD adherence, retention, and barriers from 2011–2021. Primary outcomes were adherence to and retention in MOUD, abstinence, adverse events, and treatment barriers. Effects of inverse variance random meta-analyses were examined using proportions and 95% CIs. 28 studies (102,318 patients), 78.1% male. Adherence was 56% across all studies, highest for methadone (73%). Retention by study design was heterogeneous: case series (57%), cohorts (47%), and RCTs (70%). The most common barriers were younger age, comorbid diagnoses, daily attendance, no insurance, and transportation. Abstinence was 72%, and adverse events was 5%. There was high heterogeneity in MOUD across drug types and study designs. Our findings extend the knowledge base of MOUD treatment to describe barriers that underpin the focus on retention in care above adherence given its focus to harm reduction principles.
KW - barriers to treatment
KW - medications for opioid use disorders
KW - meta-analysis
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=85173682750&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/5e0267aa-f13d-37f1-bc15-c136f5ac2d61/
U2 - 10.1177/00220426231204841
DO - 10.1177/00220426231204841
M3 - Artículo
AN - SCOPUS:85173682750
SN - 0022-0426
JO - Journal of Drug Issues
JF - Journal of Drug Issues
ER -
