Patients' Perspectives on Discontinuing Buprenorphine for the Treatment of Opioid Use Disorder

Original research
par
Wyse, Jessica J. et al

Date de publication

2024

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

Despite benefits, discontinuation is common, with half of patients discontinuing in the first year of treatment. Addressing OUD is a major clinical priority, yet little is known about the causes of medication discontinuation from the patient perspective.

Constatations/points à retenir

Qualitative analysis identified the following themes relating to discontinuation: health system barriers (eg, logistical hurdles, rules and policy violations), medication effects (adverse effects; attributed adverse effects, lack of efficacy in treating chronic pain) and desire for opioid use. Patient description of decisions to discontinue buprenorphine could be multicausal, reflecting provider or system-level barriers in interaction with patient complexity or medication ambivalence.

La conception ou méthodologie de recherche

Qualitative interviews (n=20)

Mots clés

Substitution/OAT
About PWUD
Transitions in care/treatment