The DOI matches its Crossref record; 45 of the 46 references it cites were found in a registry or an index.
Inpatient addiction medicine consultation and post-hospital substance use disorder treatment engagement: a propensity-matched analysis.
Open accessAbstract
Background Hospitalizations due to medical and surgical complications of substance use disorder (SUD) are rising. Most hospitals lack systems to treat SUD, and most people with SUD do not engage in treatment after discharge.Objective Determine the effect of a hospital-based addiction medicine consult service, the Improving Addiction Care Team (IMPACT), on post-hospital SUD treatment engagement.Design Cohort study using multivariable analysis of Oregon Medicaid claims comparing IMPACT patients with propensity-matched controls.Participants 18-64-year-old Oregon Medicaid beneficiaries with SUD, hospitalized at an Oregon hospital between July 1, 2015, and September 30, 2016. IMPACT patients (n = 208) were matched to controls (n = 416) using a propensity score that accounted for SUD, gender, age, race, residence region, and diagnoses.Interventions IMPACT included hospital-based consultation care from an interdisciplinary team of addiction medicine physicians, social workers, and peers with lived experience in recovery. IMPACT met patients during hospitalization; offered pharmacotherapy, behavioral treatments, and harm reduction services; and supported linkages to SUD treatment after discharge.Outcomes Healthcare Effectiveness Data and Information Set (HEDIS) measure of SUD treatment engagement, defined as two or more claims on two separate days for SUD care within 34 days of discharge.Results Only 17.2% of all patients were engaged in SUD treatment before hospitalization. IMPACT patients engaged in SUD treatment following discharge more frequently than controls (38.9% vs. 23.3%, p < 0.01; aOR 2.15, 95% confidence interval [CI] 1.29-3.58). IMPACT participation remained associated with SUD treatment engagement when limiting the sample to people who were not engaged in treatment prior to hospitalization (aOR 2.63; 95% CI 1.46-4.72).Conclusions Hospital-based addiction medicine consultation can improve SUD treatment engagement, which is associated with reduced substance use, mortality, and other important clinical outcomes. National expansion of such models represents an opportunity to address an enduring gap in the SUD treatment continuum.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“Hospitalizations are critical opportunities to engage patients who are at high risk for overdose to prevent future overdoses, as hospital addiction care with referral to treatment increases outpatient SUD treatment engagement.19,20”
From Assessment of Annual Cost of Substance Use Disorder in US Hospitals (2021) · cites this paper as [19]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Propensity Score-Matching Methods for Nonexperimental Causal Studies
Dehejia, R., & Wahba, S. (2002) · The Review of Economics and Statistics · doi:10.1162/003465302317331982 · Cited by 4,864
Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence
Mattick, R. P., Breen, C. L., Kimber, J., & Davoli, M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002207.pub4 · Cited by 2,312
Understanding and misunderstanding randomized controlled trials
Deaton, A., & Cartwright, N. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.12.005 · Cited by 1,841
The National Committee for Quality Assurance
Iglehart, J. K. (1996) · New England Journal of Medicine · doi:10.1056/nejm199609263351322 · Cited by 1,826
Sordo, L., Barrio, G., Bravo, M. J., Indave, B. I., Degenhardt, L., Wiessing, L., Ferri, M., & Pastor-Barriuso, R. (2017) · BMJ · doi:10.1136/bmj.j1550 · Cited by 1,816
Jonas, D. E., Amick, H. R., Feltner, C., Bobashev, G., Thomas, K., Wines, R., Kim, M. M., Shanahan, E., Gass, C. E., Rowe, C. J., et al. (2014) · JAMA · doi:10.1001/jama.2014.3628 · Cited by 923
Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence
D’Onofrio, G., O’Connor, P. G., Pantalon, M. V., Chawarski, M. C., Busch, S. H., Owens, P. H., Bernstein, S. L., & Fiellin, D. A. (2015) · JAMA · doi:10.1001/jama.2015.3474 · Cited by 913
Rubin, D. B. (1979) · Journal of the American Statistical Association · doi:10.1080/01621459.1979.10482513 · Cited by 861
Evidence for Health Decision Making — Beyond Randomized, Controlled Trials
Frieden, T. R. (2017) · New England Journal of Medicine · doi:10.1056/nejmra1614394 · Cited by 770
Supervised injection services: What has been demonstrated? A systematic literature review
Potier, C., Laprévote, V., Dubois-Arber, F., Cottencin, O., & Rolland, B. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.10.012 · Cited by 526
Research works printed but not linked: 1
- Priest KC. Hospital-based services for opioid use disorder: a study of supply-side attributes. Dissertation and Theses. 2019. Paper 4829. Available from: https://pdxscholar.library.pdx.edu/open_access_etds/4829 .
Cited by
Sorted by citations
Assessment of Annual Cost of Substance Use Disorder in US Hospitals
Peterson, C., Li, M., Xu, L., Mikosz, C. A., & Luo, F. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.0242 · Cited by 200
Suen, L. W., Makam, A. N., Snyder, H. R., Repplinger, D., Kushel, M., Martín, M., & Nguyen, O. K. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-021-07069-w · Cited by 160
A Taxonomy of Hospital-Based Addiction Care Models: a Scoping Review and Key Informant Interviews
Englander, H. L., Jones, A., Krawczyk, N., Patten, A., Roberts, T. R., Korthuis, P. T., & McNeely, J. (2022) · Journal of General Internal Medicine · doi:10.1007/s11606-022-07618-x · Cited by 120
Preventing Hospital Readmission for Patients With Comorbid Substance Use Disorder
Gryczynski, J., Nordeck, C. D., Welsh, C., Mitchell, S. G., O’Grady, K. E., & Schwartz, R. P. (2021) · Annals of Internal Medicine · doi:10.7326/m20-5475 · Cited by 109
Priest, K. C., Lovejoy, T. I., Englander, H., Shull, S., & McCarty, D. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-020-05815-0 · Cited by 72
Metadata
- Authors
- Englander, H., Dobbertin, K., Lind, B. K., Nicolaidis, C., Graven, P., Dorfman, C., & Korthuis, P. T.
- Affiliations
- Oregon Health & Science University (US)
- Portland State University (US)
- Corresponding author
- Englander, Honora
- Venue
- Journal of General Internal Medicine
- Published
- 2019-08-13
- Volume
- 34
- Issue
- 12
- Pages
- 2796-2803
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC6854181
- OpenAlex
- W2967197326
- Cited by
- 234
- References
- 46
- Citations by year
- 2026: 21 · 2025: 42 · 2024: 39 · 2023: 40 · 2022: 32 · 2021: 35 · 2020: 21 · 2019: 3
- FWCI
- 17.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- PDXScholar (Portland State University) (submittedVersion)
- Funders
- Oregon Health and Science University (n/a)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Keywords
- substance use disorders, impact, continuity of care, harm reduction, pharmacotherapy, behavior therapy, Medicaid beneficiaries, Oregon, peer recovery support
- MeSH terms
- Addiction Medicine, Adolescent, Adult, Continuity of Patient Care, Female, Humans, Inpatients, Male, Medicaid, Middle Aged, Oregon, Patient Discharge, Referral and Consultation, United States, Treatment Outcome, Substance-Related Disorders, Young Adult, Propensity Score
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
