The effectiveness of opioid substitution treatments for patients with opioid dependence: a systematic review and multiple treatment comparison protocol
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  • 作者:Brittany Burns Dennis (1) (2)
    Leen Naji (3)
    Monica Bawor (2) (4)
    Ashley Bonner (1)
    Michael Varenbut (5)
    Jeff Daiter (5)
    Carolyn Plater (5)
    Guillaume Pare (1) (9)
    David C Marsh (5) (6)
    Andrew Worster (5) (7)
    Dipika Desai (2) (9)
    Zainab Samaan (1) (2) (8) (9)
    Lehana Thabane (1) (10) (11) (12) (9)

    1. Department of Clinical Epidemiology and Biostatistics
    ; McMaster University ; Hamilton ; Canada
    2. Population Genomic Program
    ; Chanchlani Research Centre ; McMaster University ; Hamilton ; Canada
    3. Michael G. DeGroote School of Medicine
    ; McMaster University ; Hamilton ; Canada
    4. McMaster Integrative Neuroscience Discovery & Study (MiNDS) Program
    ; McMaster University ; Hamilton ; Canada
    5. Ontario Addiction Treatment Centres
    ; Richmond Hill ; Canada
    9. Population Health Research Institute
    ; Hamilton Health Sciences ; Hamilton ; Canada
    6. Northern Ontario School of Medicine
    ; Sudbury ; ON ; Canada
    7. Department of Medicine
    ; Hamilton General Hospital ; Hamilton ; Canada
    8. Department of Psychiatry and Behavioral Neurosciences
    ; McMaster University ; Hamilton ; Canada
    10. Department of Pediatrics and Anesthesia
    ; McMaster University ; Hamilton ; Canada
    11. Centre for Evaluation of Medicine
    ; St Joseph鈥檚 Healthcare鈥擧amilton ; Hamilton ; Canada
    12. Biostatistics Unit
    ; Father Sean O鈥橲ullivan Research Centre ; St Joseph鈥檚 Healthcare鈥擧amilton ; 3rd Floor ; Martha Wing ; Room H-325 ; 50 Charlton Avenue East ; Hamilton ; ON ; L8N 4A6 ; Canada
  • 关键词:Opioid substitution therapies ; Opioid dependence ; Methadone ; Buprenorphine/naloxone ; Naltrexone ; Heroin ; Systematic review ; Network meta ; analysis
  • 刊名:Systematic Reviews
  • 出版年:2014
  • 出版时间:December 2014
  • 年:2014
  • 卷:3
  • 期:1
  • 全文大小:776 KB
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  • 刊物主题:Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
  • 出版者:BioMed Central
  • ISSN:2046-4053
文摘
Background Opioids are psychoactive analgesic drugs prescribed for pain relief and palliative care. Due to their addictive potential, effort and vigilance in controlling prescriptions is needed to avoid misuse and dependence. Despite the effort, the prevalence of opioid use disorder continues to rise. Opioid substitution therapies are commonly used to treat opioid dependence; however, there is minimal consensus as to which therapy is most effective. Available treatments include methadone, heroin, buprenorphine, as well as naltrexone. This systematic review aims to assess and compare the effect of all available opioid substitution therapies on the treatment of opioid dependence. Methods/Design The authors will search Medline, EMBASE, PubMed, PsycINFO, Web of Science, Cochrane Library, Cochrane Clinical Trials Registry, World Health Organization International Clinical Trials Registry Platform Search Portal, and the National Institutes for Health Clinical Trials Registry. The title, abstract, and full-text screening will be completed in duplicate. When appropriate, multiple treatment comparison Bayesian meta-analytic methods will be performed to deduce summary statistics estimating the effectiveness of all opioid substitution therapies in terms of retention and response to treatment (as measured through continued opioid abuse). Discussion Using evidence gained from this systematic review, we anticipate disseminating an objective review of the current available literature on the effectiveness of all opioid substitution therapies for the treatment of opioid use disorder. The results of this systematic review are imperative to the further enhancement of clinical practice in addiction medicine. Systematic review registration PROSPERO CRD42013006507.

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