Predictors of methadone program non-retention for opioid analgesic dependent patients
| Autor: | Chris Small, Joseph Cox, Noreen Haley, Emilie Maurais, Robert Allard |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Multivariate statistics Methadone maintenance medicine.medical_specialty Canada Time Factors Medicine (miscellaneous) Severity of Illness Index Addiction severity index Cohort Studies medicine Opiate Substitution Treatment Humans Psychiatry Proportional Hazards Models Retrospective Studies Voluntary Program Proportional hazards model business.industry Exploratory analysis Opioid-Related Disorders Analgesics Opioid Psychiatry and Mental health Clinical Psychology Emergency medicine Multivariate Analysis Patient Compliance Female Pshychiatric Mental Health Opioid analgesics business Methadone medicine.drug Follow-Up Studies |
| Zdroj: | Journal of substance abuse treatment. 44(1) |
| ISSN: | 1873-6483 |
| Popis: | This study evaluates loss to follow-up in a methadone maintenance treatment (MMT) program for patients dependent on opioid analgesics in a community in eastern Canada. Data were collected using the Addiction Severity Index Lite. The probability of loss to follow-up was evaluated using a time-to-event analysis. Involuntary and voluntary program discharges were treated separately as the outcomes of interest. Multivariate Cox proportional hazards models were used to explore the role of various patient-related attributes. The probabilities of involuntary and voluntary discharges at 1 year were 20% and 14%, respectively. In this exploratory analysis, determinants of loss to follow-up were characteristics related to drug use history (e.g., use of sedatives) and its consequences (e.g., number of lifetime arrests), and differed for each outcome. Some determinants of involuntary discharge were modified by sex. Understanding predictors of specific loss to follow-up outcomes may help MMT programs improve patient retention. |
| Databáze: | OpenAIRE |
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