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The opioid use disorder core outcomes set (OUD–COS) for treatment research: findings from a Delphi consensus study.

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Title: The opioid use disorder core outcomes set (OUD–COS) for treatment research: findings from a Delphi consensus study.
Authors: Karnik, Niranjan S., Marsden, John, McCluskey, Connor, Boley, Randy A., Bradley, Katharine A., Campbell, Cynthia I., Curtis, Megan E., Fiellin, David, Ghitza, Udi, Hefner, Kathryn, Hser, Yih‐Ing, McHugh, R. Kathryn, McPherson, Sterling M., Mooney, Larissa J., Moran, Landhing M., Murphy, Sean M., Schwartz, Robert P., Shmueli‐Blumberg, Dikla, Shulman, Matisyahu, Stephens, Kari A.
Source: Addiction. Sep2022, Vol. 117 Issue 9, p2438-2447. 10p. 3 Charts.
Subjects: Substance abuse treatment, Consensus (Social sciences), Drug overdose, Health outcome assessment, Treatment effectiveness, Questionnaires, Quality assurance, Delphi method, Medical research, Opioid abuse
Geographic Terms: United States
Abstract: Background and Aim: There is no gold‐standard and considerable heterogeneity in outcome measures used to evaluate treatments for opioid use disorder (OUD) along the opioid treatment cascade. The aim of this study was to develop the US National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network (CTN) opioid use disorder core outcomes set (OUD–COS). Design: Four‐round, e‐Delphi expert panel consensus study and plenary research group discussion and targeted consultation. Setting: United States. Participants: A panel of 25 members including clinical practitioners, clinical researchers and administrative staff from the CTN, the network's affiliated clinical and community sites and the NIDA Centre for the CTN. Measurements From a pool of 24 candidate items in four domains (biomedical/disease status; behaviors, symptoms and functioning; opioid treatment cascade; and morbidity and mortality), the panel completed an on‐line questionnaire to rank items with defined specification on a 9‐point scale for importance, with a standard 70% consensus criterion. Findings After the fourth round of the questionnaire and subsequent discussion, consensus was reached for five outcomes: two patient‐reported (global impression of improvement and incident non‐fatal overdose); one clinician‐reported (illicit/non‐medical drug toxicology); and two from administrative records (duration of treatment and fatal opioid poisoning). Conclusions: An e‐Delphi consensus study has produced the US National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network opioid use disorder core outcomes set (version 1) for opioid use disorder treatment efficacy and effectiveness research. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The opioid use disorder core outcomes set (OUD–COS) for treatment research: findings from a Delphi consensus study.
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  Data: Background and Aim: There is no gold‐standard and considerable heterogeneity in outcome measures used to evaluate treatments for opioid use disorder (OUD) along the opioid treatment cascade. The aim of this study was to develop the US National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network (CTN) opioid use disorder core outcomes set (OUD–COS). Design: Four‐round, e‐Delphi expert panel consensus study and plenary research group discussion and targeted consultation. Setting: United States. Participants: A panel of 25 members including clinical practitioners, clinical researchers and administrative staff from the CTN, the network's affiliated clinical and community sites and the NIDA Centre for the CTN. Measurements From a pool of 24 candidate items in four domains (biomedical/disease status; behaviors, symptoms and functioning; opioid treatment cascade; and morbidity and mortality), the panel completed an on‐line questionnaire to rank items with defined specification on a 9‐point scale for importance, with a standard 70% consensus criterion. Findings After the fourth round of the questionnaire and subsequent discussion, consensus was reached for five outcomes: two patient‐reported (global impression of improvement and incident non‐fatal overdose); one clinician‐reported (illicit/non‐medical drug toxicology); and two from administrative records (duration of treatment and fatal opioid poisoning). Conclusions: An e‐Delphi consensus study has produced the US National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network opioid use disorder core outcomes set (version 1) for opioid use disorder treatment efficacy and effectiveness research. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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