Target trial emulation for comparative effectiveness research with observational data: Promise and challenges for studying medications for opioid use disorder.

Autor:	Christine, Paul J., Lodi, Sara, Hsu, Heather E., Bovell‐Ammon, Benjamin, Yan, Shapei, Bernson, Dana, Novo, Patricia, Lee, Joshua D., Rotrosen, John, Liebschutz, Jane, Walley, Alexander Y., Larochelle, Marc R.
Předmět:	MORTALITY prevention SUBSTANCE abuse CLINICAL trials SCIENTIFIC observation TREATMENT effectiveness RANDOMIZED controlled trials OPIOID analgesics MEDICAL research CONCEPTUAL structures INFERENTIAL statistics COMPARATIVE studies QUALITY assurance NALOXONE BUPRENORPHINE NALTREXONE EVALUATION
Zdroj:	Addiction; Jul2024, Vol. 119 Issue 7, p1313-1321, 9p
Abstrakt:	Medications for opioid use disorder (MOUD) increase retention in care and decrease mortality during active treatment; however, information about the comparative effectiveness of different forms of MOUD is sparse. Observational comparative effectiveness studies are subject to many types of bias; a robust framework to minimize bias would improve the quality of comparative effectiveness evidence. This paper discusses the use of target trial emulation as a framework to conduct comparative effectiveness studies of MOUD with administrative data. Using examples from our planned research project comparing buprenorphine‐naloxone and extended‐release naltrexone with respect to the rates of MOUD discontinuation, we provide a primer on the challenges and approaches to employing target trial emulation in the study of MOUD. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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