{"pk":15911,"title":"Attitudes on Methadone Utilization in the Emergency Department: A Physician Cross-sectional Study","subtitle":null,"abstract":"Introduction:\n Like buprenorphine, methadone is a life-saving medication that can be initiated in the emergency department (ED) to treat patients with an opioid use disorder (OUD). The purpose of this study was to better understand the attitudes of emergency physicians (EP) on offering methadone compared to buprenorphine to patients with OUD in the ED. \nMethods:\n We distributed a perception survey to emergency physicians through a national professional network. \nResults:\n In this study, the response rate was 18.4% (N = 141), with nearly 70% of the EPs having ordered either buprenorphine or methadone. 75% of EPs strongly or somewhat agreed that buprenorphine was an appropriate treatment for opioid withdrawal and craving, while only 28% agreed that methadone was an appropriate treatment. The perceived barriers to using buprenorphine and methadone in the ED were similar. \nConclusion: \nIt is essential to create interventions for EPs to overcome stigma and barriers to methadone initiation in the ED for patients with opioid use disorder. Doing so will offer additional opportunities and pathways for initiation of multiple effective medications for OUD in the ED. Subsequent outpatient treatment linkage may lead to improved treatment retention and decreased morbidity and mortality from ongoing use.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Opioid, buprenorphine, methadone, emergency medicine, medication for opioid use disorder"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4705r432","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Heil","name_suffix":"","institution":"Cooper University Health Care, Cooper Research Institute, Camden, New Jersey; Cooper University Health Care, Center for Healing, Division of Addiction Medicine, Camden, New Jersey","department":"None"},{"first_name":"Valerie","middle_name":"S.","last_name":"Ganetsky","name_suffix":"","institution":"Cooper University Health Care, Center for Healing, Division of Addiction Medicine, Camden, New Jersey","department":"None"},{"first_name":"Matthew","middle_name":"S.","last_name":"Salzman","name_suffix":"","institution":"Cooper University Health Care, Center for Healing, Division of Addiction Medicine, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Division of Addiction Medicine and Medical Toxicology, Camden, New Jersey","department":"None"},{"first_name":"Krystal","middle_name":"","last_name":"Hunter","name_suffix":"","institution":"Cooper University Health Care, Cooper Research Institute, Camden, New Jersey","department":"None"},{"first_name":"Kaitlan","middle_name":"E.","last_name":"Baston","name_suffix":"","institution":"Cooper University Health Care, Center for Healing, Division of Addiction Medicine, Camden, New Jersey","department":"None"},{"first_name":"Gerard","middle_name":"","last_name":"Carroll","name_suffix":"","institution":"Cooper University Health Care, Department of Emergency Medicine, Division of Addiction Medicine and Medical Toxicology, Camden, New Jersey","department":"None"},{"first_name":"Eric","middle_name":"","last_name":"Ketcham","name_suffix":"","institution":"Presbyterian Healthcare System, Departments of Emergency Medicine and Behavioral Health, Albuquerque, New Mexico","department":"None"},{"first_name":"Rachel","middle_name":"","last_name":"Haroz","name_suffix":"","institution":"Cooper University Health Care, Center for Healing, Division of Addiction Medicine, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Division of Addiction Medicine and Medical Toxicology, Camden, New Jersey","department":"None"}],"date_submitted":"2021-09-14T13:07:27Z","date_accepted":"2021-09-14T13:07:27Z","date_published":"2022-04-04T23:12:48Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15911/galley/7973/download/"}]}