Cochrane · systematic review · CD006749

Detoxification treatments for opiate dependent adolescents

Minozzi, S, Amato, L, Bellisario, C, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Drugs and AlcoholAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%Moderate 3 · 42.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Buprenorphine versus clonidine for opiate dependent adolescents

Population: patients with opiate dependent adolescents
3 questions
OutcomeEffectEvidenceStatus / GRADE
Drop out Number of participants who did not complete the detoxification treatment
Buprenorphine vs clonidine
RR 0.45 [0.2, 1.04]1 study · 36 participantsModerate
Downgraded: imprecision
Duration and severity of signs and symptoms of withdrawal Adjective rating scale
Buprenorphine vs clonidine
no estimate extracted1 study · 32 participantsModerate
Downgraded: imprecision
Initiation of naltrexone treatment Number of participants initiating naltrexone
Buprenorphine vs clonidine
RR 11 [1.58, 76.55]1 study · 36 participantsModerate
Downgraded: imprecision

Buprenorphine detox compared with buprenorphine maintenance for opiate dependent adolescents

Population: patients with opiate dependent adolescents
4 questions
OutcomeEffectEvidenceStatus / GRADE
Drop out Number of participants who dropped out from the study
Buprenorphine detox vs buprenorphine maintenance
RR 2.67 [1.85, 3.86]1 study · 152 participantsLow
Downgraded: risk of bias, imprecision
Patients with positive urine at the end of treatment Number of participants with urine positive for opiates
Buprenorphine detox vs buprenorphine maintenance
RR 1.03 [0.82, 1.28]1 study · 152 participantsLow
Downgraded: risk of bias, imprecision
Self‐reported use at 12 months
Buprenorphine detox vs buprenorphine maintenance
RR 1.36 [1.05, 1.76]1 study · 152 participantsLow
Downgraded: risk of bias, imprecision
Enrolment in addiction treatment at 12 month
Buprenorphine detox vs buprenorphine maintenance
RR 0.75 [0.53, 1.07]1 study · 152 participantsLow
Downgraded: risk of bias, imprecision