Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2010-8-4
pubmed:abstractText
Despite data supporting its efficacy, barriers to implementation of buprenorphine for office-based treatment are present. Complications can occur during buprenorphine inductions, yet few published studies have examined this phase of treatment. To examine factors associated with complications during buprenorphine induction, we conducted a retrospective chart review of the first 107 patients receiving buprenorphine treatment in an urban community health center. The primary outcome, defined as complicated induction (precipitated or protracted withdrawal), was observed in 18 (16.8%) patients. Complicated inductions were associated with poorer treatment retention (than routine inductions) and decreased over time. Factors independently associated with complicated inductions included recent use of prescribed methadone, recent benzodiazepine use, no prior experience with buprenorphine, and a low initial dose of buprenorphine/naloxone. Findings from this study and further investigation of patient characteristics and treatment characteristics associated with complicated inductions can help guide buprenorphine treatment strategies.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1873-6483
pubmed:author
pubmed:copyrightInfo
Copyright 2010 Elsevier Inc. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
39
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
51-7
pubmed:meshHeading
pubmed-meshheading:20682186-Adult, pubmed-meshheading:20682186-Benzodiazepines, pubmed-meshheading:20682186-Buprenorphine, pubmed-meshheading:20682186-Community Health Centers, pubmed-meshheading:20682186-Dose-Response Relationship, Drug, pubmed-meshheading:20682186-Female, pubmed-meshheading:20682186-Humans, pubmed-meshheading:20682186-Male, pubmed-meshheading:20682186-Methadone, pubmed-meshheading:20682186-Middle Aged, pubmed-meshheading:20682186-Naloxone, pubmed-meshheading:20682186-Narcotic Antagonists, pubmed-meshheading:20682186-Opioid-Related Disorders, pubmed-meshheading:20682186-Retrospective Studies, pubmed-meshheading:20682186-Substance Withdrawal Syndrome, pubmed-meshheading:20682186-Time Factors, pubmed-meshheading:20682186-Treatment Outcome, pubmed-meshheading:20682186-Urban Health Services
pubmed:year
2010
pubmed:articleTitle
Factors associated with complicated buprenorphine inductions.
pubmed:affiliation
New York University School of Medicine and Bellevue Hospital Center, New York, NY 10016, USA. susan.whitley@nyumc.org
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural