Population-Level Health Benefits and Harms Associated With Buprenorphine/Naloxone vs Methadone

Results from this study suggest that any advantages from a reduced risk of mortality with treatment with buprenorphine/naloxone were outweighed by deficits in treatment retention. Evaluated in a jurisdiction where both medications were available in office-based settings, these findings do not support recommendations of buprenorphine/naloxone as first-line treatment over methadone.

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Publication Details

Journal
JAMA Network Open
Published
2025-12-26
DOI
https://doi.org/10.1001/jamanetworkopen.2025.51337
Primary Topic
Opioid Use Disorder Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Population-Level Health Benefits and Harms Associated With Buprenorphine/Naloxone vs Methadone

Jeong Eun Min, Addie Carter, Benjamin Enns, Bohdan Nosyk et al.
JAMA Network Open
Opioid Use Disorder Treatment
article

Population-Level Health Benefits and Harms Associated With Buprenorphine/Naloxone vs Methadone

Jeong Eun Min, Addie Carter, Benjamin Enns, Bohdan Nosyk, Brenda Carolina Guerra-Alejos, Uwe Siebert
article en

Abstract

Results from this study suggest that any advantages from a reduced risk of mortality with treatment with buprenorphine/naloxone were outweighed by deficits in treatment retention. Evaluated in a jurisdiction where both medications were available in office-based settings, these findings do not support recommendations of buprenorphine/naloxone as first-line treatment over methadone.

JAMA Network OpenVol. 8(12)
Harvard University (US), Simon Fraser University (CA), Massachusetts General Hospital (US), UMIT - Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik (AT), Centre for Advancing Health Outcomes (CA)
Good health and well-being
Openalex Percentile: Top 26%
Opioid Use Disorder Treatment
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Population-Level Health Benefits and Harms Associated With Buprenorphine/Naloxone vs Methadone — Jeong Eun Min, Addie Carter, et al. · JAMA Network Open (2025) | TGRS Research Map | TGRS