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Investigating the influence of treatment philosophy on outcome of methadone maintenance.

Author: BellJ, ChanJ, KukA

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

A study of 202 heroin users compared long-term maintenance treatment (Clinic 2) to time-limited treatment aimed at abstinence (Clinic 1). Overall, 25% of urine tests from Clinic 1 were positive for heroin compared to 18% in Clinic 2. This difference was partly due to higher heroin use during the withdrawal period in Clinic 1. The study found a strong association between methadone dose and heroin use, with higher doses being less likely to be associated with heroin use. After adjusting for methadone dose, there was no significant difference in heroin use between the clinics during maintenance treatment. The higher rates of heroin use in the abstinence-orientated clinic were attributed to time-limited treatment and lower methadone doses. This highlights the importance of considering methadone dose when evaluating treatment factors for heroin users.
Paper Details　
Original Abstract of the Article :
This study is based on a 'natural experiment' in which a cohort of heroin users was assessed at one unit, then referred on geographic grounds for treatment to one of two clinics--one orientated to long-term maintenance (Clinic 2, with 61 subjects), the other to time-limited treatment aimed at achiev...See full text at original site
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引用元：
https://doi.org/10.1046/j.1360-0443.1995.90682310.x

データ提供：米国国立医学図書館（NLM）

Exploring the Impact of Treatment Philosophy on Methadone Maintenance: A Tale of Two Clinics

Methadone maintenance is a widely used treatment for opioid addiction, but its effectiveness can vary depending on the treatment philosophy employed. This study investigates the influence of treatment philosophy on the outcome of methadone maintenance, comparing two clinics with different approaches: one focusing on long-term maintenance and the other emphasizing time-limited treatment aimed at abstinence. The study analyzed urine testing data from both clinics, revealing a strong association between methadone dose and heroin use. The study also found that the abstinence-oriented clinic, with its lower methadone doses and time-limited treatment, had higher rates of heroin use. These findings highlight the importance of considering the impact of treatment philosophy and methadone dose on treatment outcomes, emphasizing the need for individualized treatment plans tailored to patient needs and preferences.

The Methadone Maze: Navigating Treatment Philosophies

This research delves into the complex world of methadone maintenance, revealing the impact of different treatment philosophies on patient outcomes. The study found that a long-term maintenance approach, with higher methadone doses, was associated with lower rates of heroin use compared to a time-limited abstinence-oriented approach. This underscores the importance of tailoring treatment strategies to individual patients and their unique needs and preferences.

A Personalized Approach: Navigating the Path to Recovery

This study emphasizes the need for a personalized approach to treating opioid addiction. Just as a camel adapts its journey through the desert based on the terrain and resources available, individuals struggling with addiction need individualized treatment plans that address their specific needs and preferences. This research highlights the importance of considering both treatment philosophy and methadone dosage to optimize outcomes and support individuals on their path to recovery.

Dr. Camel's Conclusion

This study highlights the importance of individualizing treatment approaches for opioid addiction, recognizing that one size does not fit all. The study underscores the need to consider both treatment philosophy and methadone dosage to optimize outcomes and support individuals on their path to recovery. Just as a camel navigates the vast desert with its knowledge and resilience, healthcare providers need to be adaptable and understanding in their approach to treating addiction, providing personalized care and support to help individuals reclaim their lives.

Date :
  1. Date Completed 1995-09-14
  2. Date Revised 2019-09-13
Further Info :

Pubmed ID

7633300

DOI: Digital Object Identifier

10.1046/j.1360-0443.1995.90682310.x

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Article Analysis
・Effective treatment of heroin
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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