A longitudinal comparison of retention in buprenorphine and methadone treatment for opioid dependence in New South Wales, Australia

Original research
by
Burns, Lucy et al

Release Date

2015

Geography

Australia

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

To examine characteristics of first-time methadone and buprenorphine clients and factors associated with risk of leaving first treatment in New South Wales (NSW), Australia.

Findings/Key points

Multivariable Cox models indicated that in addition to sex, age, treatment setting and criminographic variables, the risk of leaving a first treatment episode was greater on any given day for those receiving buprenorphine, and was dependent on the year treatment was initiated. There was no interaction between any demographic variables and medication received, suggesting no clear evidence of any particular groups for whom each medication might be better suited in terms of improving retention.

Design/methods

Retrospective linkage study of opioid substitution therapy (OST) treatment, court, custody and mortality data.

Keywords

Harm reduction
About prescribers
Outcomes
Crime
Legal system/law enforcement
Substitution/OAT