Systematic review and meta-analysis of changes in quality of life following initiation of buprenorphine for opioid use disorder

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dc.contributor.authorGolan, Olivia K.
dc.contributor.authorTotaram, Rachel
dc.contributor.authorPerry, Elizabeth
dc.contributor.authorFortson, Kennicia
dc.contributor.authorRivera-Atilano, Raul
dc.contributor.authorEntress, Rebecca
dc.contributor.authorGolan, Matthew
dc.contributor.authorAndraka-Christou, Barbara
dc.contributor.authorWhitaker, Daniel
dc.contributor.authorPigott, Therese
dc.date.accessioned2023-03-24T06:01:23Z
dc.date.available2023-03-24T06:01:23Z
dc.date.issued2022-06-01
dc.description.abstractBackground: People with opioid use disorder (OUD) experience lower quality of life (QoL) than the general population, but buprenorphine treatment for OUD could help improve QoL of individuals with OUD. Thus, we conducted a systematic review and meta-analysis of the impact of buprenorphine on QoL among people with OUD. Methods: Seven databases were searched through August 2020. We included English-language studies with pre- and post- QoL assessments internationally. Standardized mean differences were calculated for five domains of QoL measures using a random effects model for correlated effect sizes with robust variance estimation. Meta-regression was used to assess variation in effect sizes based on QoL domain, treatment, and patient factors. Results: Twenty-one peer-reviewed studies from twelve countries were included. Only three studies included a no-treatment control group and five studies assigned groups using randomization. Improvements between baseline and follow-up were observed across all five domains of QoL measures (overall, physical, psychological, social, and environmental). The certainty of evidence was low for all domains of QoL, and very low for environmental QoL. We did not observe differences in the effect of buprenorphine on QoL by QoL domain, duration, dose, participant characteristics, or adjunctive counseling services. Conclusions: Buprenorphine treatment likely improves overall, physical, psychological, and social QoL, and may improve environmental QoL, for individuals with OUD. Findings are limited by study quality, including lack of control groups and incomplete reporting. Future studies with more rigorous methods and comprehensive reporting are needed. © 2022 Elsevier B.V.
dc.identifier.citationGolan, O. K., Totaram, R., Perry, E., Fortson, K., Rivera-Atilano, R., Entress, R., Golan, M., Andraka-Christou, B., Whitaker, D., & Pigott, T. (2022). Systematic review and meta-analysis of changes in quality of life following initiation of buprenorphine for opioid use disorder. Drug and alcohol dependence, 235, 109445. https://doi.org/10.1016/j.drugalcdep.2022.109445
dc.identifier.doihttps://doi.org/10.1016/j.drugalcdep.2022.109445
dc.identifier.issn03768716
dc.identifier.urihttps://hdl.handle.net/11416/1011
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/35430522/
dc.language.isoen_US
dc.publisherDrug and Alcohol Dependence
dc.subject.lcshBuprenorphine
dc.subject.lcshOpioids
dc.subject.lcshDrug addiction
dc.subject.lcshQuality of life
dc.subject.lcshMeta-analysis
dc.subject.otherOpioid use disorder
dc.titleSystematic review and meta-analysis of changes in quality of life following initiation of buprenorphine for opioid use disorder
dc.typeArticle

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