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Opioid use disorder Cascade of care framework design: A roadmap.
Williams, Arthur Robin; Johnson, Kimberly A; Thomas, Cindy Parks; Reif, Sharon; Socías, M Eugenia; Henry, Brandy F; Neighbors, Charles; Gordon, Adam J; Horgan, Constance; Nosyk, Bohdan; Drexler, Karen; Krawczyk, Noa; Gonsalves, Gregg S; Hadland, Scott E; Stein, Bradley D; Fishman, Marc; Kelley, A Taylor; Pincus, Harold A; Olfson, Mark.
Afiliación
  • Williams AR; Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York, New York, USA.
  • Johnson KA; University of Southern Florida, Tampa, Florida, USA.
  • Thomas CP; Brandeis University Schneider Institutes for Health Policy, Brandeis, Massachusetts, USA.
  • Reif S; Brandeis University Schneider Institutes for Health Policy, Brandeis, Massachusetts, USA.
  • Socías ME; Department of Medicine, University of British Columbia, British Columbia, Canada.
  • Henry BF; Pennsylvania State University, State College, Pennsylvania, USA.
  • Neighbors C; New York University, New York City, New York, USA.
  • Gordon AJ; Division of Epidemiology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
  • Horgan C; Brandeis University Schneider Institutes for Health Policy, Brandeis, Massachusetts, USA.
  • Nosyk B; Centre for Health Evaluation & Outcome Sciences, Faculty of Health Sciences, Simon Fraser University, British Columbia, Canada.
  • Drexler K; American Academy of Addiction Psychiatry, East Providence, Rhode Island, USA.
  • Krawczyk N; New York University, New York City, New York, USA.
  • Gonsalves GS; Yale University, New Haven, Connecticut, USA.
  • Hadland SE; Massachusetts General Hospital, Harvard University, Cambridge, Massachusetts, USA.
  • Stein BD; RAND Institute, Pittsburgh, Pennsylvania, USA.
  • Fishman M; Mountain Manor Treatment Centers, Baltimore, Maryland, USA.
  • Kelley AT; Division of General Internal Medicine, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.
  • Pincus HA; Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York, New York, USA.
  • Olfson M; Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York, New York, USA.
Subst Abus ; 43(1): 1207-1214, 2022.
Article en En | MEDLINE | ID: mdl-35657670
Unintentional overdose deaths, most involving opioids, have eclipsed all other causes of US deaths for individuals less than 50 years of age. An estimated 2.4 to 5 million individuals have opioid use disorder (OUD) yet a minority receive treatment in a given year. Medications for OUD (MOUD) are the gold standard treatment for OUD however early dropout remains a major challenge for improving clinical outcomes. A Cascade of Care (CoC) framework, first popularized as a public health accountability strategy to stem the spread of HIV, has been adapted specifically for OUD. The CoC framework has been promoted by the NIH and several states and jurisdictions for organizing quality improvement efforts through clinical, policy, and administrative levers to improve OUD treatment initiation and retention. This roadmap details CoC design domains based on available data and potential linkages as individual state agencies and health systems typically rely on limited datasets subject to diverse legal and regulatory requirements constraining options for evaluations. Both graphical decision trees and catalogued studies are provided to help guide efforts by state agencies and health systems to improve data collection and monitoring efforts under the OUD CoC framework.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Buprenorfina / Sobredosis de Droga / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Subst Abus Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Buprenorfina / Sobredosis de Droga / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Subst Abus Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos