Predictors of attrition from a national sample of methadone maintenance patients.
Predictors of attrition from a national sample of methadone maintenance patients.
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DOI：
10.3109/00952991003736389
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发表时间：
2010-05
期刊：
影响因子：
--
通讯作者：
Booth BM
中科院分区：
文献类型：
--
作者：
Mancino M;Curran G;Han X;Allee E;Humphreys K;Booth BM
美沙酮替代治疗是阿片类药物依赖者有效的减害治疗方法。美沙酮治疗患者的保留能力是治疗结果的公认预测因素。目前的研究评估的作用，精神科合并症，医疗合并症，和社会人口学特征的预测因素保留在美沙酮治疗利用回顾性分析数据从全国范围内的样本患者在美沙酮治疗的VA。数据收集使用VA的国家卫生服务使用数据库。确定了一批退伍军人在1999财政年度出现了新的“阿片替代品”，并跟踪了他们在2002财政年度的持续服务使用情况。样本包括23个VA医疗中心的2，363名患者。生存分析用于探讨美沙酮治疗中与保留相关的因素。年龄较小，有严重的精神疾病，是非洲裔美国人，或有种族记录为未知与较低的保留率在美沙酮治疗方案在这一人群的退伍军人（控制网站）。鉴于延长美沙酮治疗与改善的结果，而患者仍在治疗，需要更多的纵向研究，使用原始数据收集，以充分探讨与保留相关的因素。特别是对于VA人群，有必要进一步研究以充分了解人种/种族与治疗保留之间的关系。这是第一个保留研究，作者知道，利用数据从全国范围内，多地点，人口参与美沙酮治疗。
Methadone substitution therapy is an effective harm reduction treatment method for opioid dependent persons. Ability to retain patients in methadone treatment is an accepted predictor of treatment outcomes. The current study evaluates the roles of psychiatric comorbidity, medical comorbidity, and sociodemographic characteristics as predictors of retention in methadone treatment utilizing retrospective analysis of data from a nationwide sample of patients in methadone treatment in the VA. Data were gathered using the VA’s national health services use database. A cohort of veterans with a new episode of “opiate substitution” in fiscal year 1999 was identified, and their continuous service use was tracked through fiscal year 2002. The sample included a total of 2,363 patients in 23 VA medical centers. Survival analysis was used to explore factors associated with retention in methadone treatment. Younger age, having a serious mental illness, being African American, or having race recorded as unknown were associated with lower rates of retention in methadone treatment programs in this population of veterans (controlling for site). Given that extended methadone treatment is associated with improved outcomes while patients remain in treatment, more longitudinal studies using primary data collection are needed to fully explore factors related to retention. For the VA population specifically, further research is necessary to fully understand the relationship between race/ethnicity and treatment retention. This is the first retention study the authors are aware of that utilizes data from a nationwide, multisite, population of participants in methadone treatment.
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影响因子：
2.7
作者：
Milby, JB;Sims, MK;Haas, N
通讯作者：
Haas, N
影响因子：
4.2
作者：
Gossop, M;Marsden, J;Treacy, S
通讯作者：
Treacy, S
影响因子：
4.2
作者：
Cacciola, JS;Alterman, AI;Mulvaney, FD
通讯作者：
Mulvaney, FD
影响因子：
5
作者：
BALL, JC;LANGE, WR;FRIEDMAN, SR
通讯作者：
FRIEDMAN, SR
DOI：
10.1111/j.1467-842x.1998.tb01491.x
发表时间：
1998-12-01
影响因子：
3.5
作者：
Gaughwin, M;Solomon, P;Ali, R
通讯作者：
Ali, R