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Published Online: 6 May 2024

Defining Discontinuation for Buprenorphine Treatment: Implications for Quality Measurement

Arthur Robin Williams, M.D., M.B.E. [email protected], Christine M. Mauro, Ph.D., Ben Huber, M.S., Lisa Chiodo, Ph.D., Stephen Crystal, Ph.D., Hillary Samples, Ph.D., and Mark Olfson, M.D., M.P.H.Authors Info & Affiliations
Publication: American Journal of Psychiatry
Volume 181, Number 5
https://doi.org/10.1176/appi.ajp.20230808
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Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Volume 181 • Number 5 • May 01, 2024
Pages: 457 - 459

History

Received: 13 October 2023
Revision received: 15 December 2023
Accepted: 3 January 2024
Published in print: May 01, 2024
Published online: 6 May 2024

Keywords

  1. opioid use disorder
  2. buprenorphine
  3. medication for opioid use disorder
  4. discontinuation
  5. pharmacoepidemiology

Authors

Affiliations

Arthur Robin Williams, M.D., M.B.E. [email protected]
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Christine M. Mauro, Ph.D.
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Ben Huber, M.S.
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Lisa Chiodo, Ph.D.
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Stephen Crystal, Ph.D.
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Hillary Samples, Ph.D.
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Mark Olfson, M.D., M.P.H.
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York (Williams, Olfson); Department of Biostatistics, Columbia University Mailman School of Public Health, New York (Mauro); Research Foundation for Mental Hygiene, New York (Huber); Addiction Research and Education Foundation, Florence, Mass. (Chiodo); North-Star Care, Inc., Gig Harbor, Wash. (Chiodo); University of Massachusetts Amherst, School of Nursing, Amherst, Mass. (Chiodo); Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, N.J. (Crystal, Samples).
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Notes

Send correspondence to Dr. Williams ([email protected]).

Competing Interests

Dr. Williams reports receiving equity, consulting fees, and travel expenses from Ophelia Health, Inc., a telehealth provider for opioid use disorder. Dr. Samples has served as a consultant for the American Society for Addiction Medicine and the Pew Charitable Trusts. The other authors report no financial relationships with commercial interests.

Funding Information

Financial support for this work was provided by grants from the National Institute on Drug Abuse (NIDA) (grant numbers R01 DA059042, R01 DA057566, K23 DA044342, and K01 DA049950), the Agency for Healthcare Research and Quality (AHRQ) (grant numbers R18 HS03258, U19 HS021112, and R18 HS02346), NCATS UL1TR003017, and the FORE Foundation.

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