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Research ArticleResearch Letter

Integrating Buprenorphine Treatment for Opioid Use with Primary Care is Associated with Greater Retention in Treatment

Anna G. Mirer, Jeffrey D. Tiemstra, Nicole E. Hammes, Heather M. Cloum and Karlee J. LaFavor
The Journal of the American Board of Family Medicine January 2022, 35 (1) 206-208; DOI: https://doi.org/10.3122/jabfm.2022.01.210292
Anna G. Mirer
From Advocate Aurora Health Care, Milwaukee, WI (AGM, NEH); Advocate Aurora Health Care, Elkhorn, WI (JDT, HMC); Cuyuna Regional Medical Center, Crosby, MN (KJL).
MD, PhD, MPH
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Jeffrey D. Tiemstra
From Advocate Aurora Health Care, Milwaukee, WI (AGM, NEH); Advocate Aurora Health Care, Elkhorn, WI (JDT, HMC); Cuyuna Regional Medical Center, Crosby, MN (KJL).
MD
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Nicole E. Hammes
From Advocate Aurora Health Care, Milwaukee, WI (AGM, NEH); Advocate Aurora Health Care, Elkhorn, WI (JDT, HMC); Cuyuna Regional Medical Center, Crosby, MN (KJL).
MD
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Heather M. Cloum
From Advocate Aurora Health Care, Milwaukee, WI (AGM, NEH); Advocate Aurora Health Care, Elkhorn, WI (JDT, HMC); Cuyuna Regional Medical Center, Crosby, MN (KJL).
MD, MPH
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Karlee J. LaFavor
From Advocate Aurora Health Care, Milwaukee, WI (AGM, NEH); Advocate Aurora Health Care, Elkhorn, WI (JDT, HMC); Cuyuna Regional Medical Center, Crosby, MN (KJL).
MD
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    Figure 1.

    Survival in treatment for MAT patients with integrated primary care vs. separate primary care. Abbreviation: MAT, Medication-assisted treatment.

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    Table 1.

    Predictors of Treatment Dropout in Gender-Adjusted Multivariate Time to Event Analysis

    VariableHazard Ratio95% CI
    MAT integrated with primary care0.490.33-0.72
    Buprenorphine maintenance dose
        ≥ 22 mg daily0.530.30-0.95
        16 to 20 mg daily0.520.29-0.94
        10 to 14 mg daily0.950.51-1.79
    Participation in any behavioral health0.690.46-1.03
    Having an active diagnosis of depression0.630.42-0.93
    Having an active diagnosis of attention deficit disorder0.70.46-1.04
    Unprescribed amphetamine/methamphetamine use during MAT1.691.13-2.53
    Cocaine use during MAT1.390.93-2.07
    History of intravenous drug use before MAT1.651.04-2.61
    History of heroin use before MAT1.110.65-1.89
    • MAT, Medication-assisted treatment; CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 35 (1)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 1
January/February 2022
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Integrating Buprenorphine Treatment for Opioid Use with Primary Care is Associated with Greater Retention in Treatment
Anna G. Mirer, Jeffrey D. Tiemstra, Nicole E. Hammes, Heather M. Cloum, Karlee J. LaFavor
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 206-208; DOI: 10.3122/jabfm.2022.01.210292

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Integrating Buprenorphine Treatment for Opioid Use with Primary Care is Associated with Greater Retention in Treatment
Anna G. Mirer, Jeffrey D. Tiemstra, Nicole E. Hammes, Heather M. Cloum, Karlee J. LaFavor
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 206-208; DOI: 10.3122/jabfm.2022.01.210292
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Keywords

  • Family Medicine
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