Cochrane · systematic review · CD010862

Pharmacological interventions for drug‐using offenders

Perry, AE, Neilson, M, Martyn‐St James, M, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 7 · 87.5%Moderate 1 · 12.5%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

Summary of findings for the main comparisons: Agonist pharmacological compared to no intervention for drug‐using offenders

Population: drug‐using offenders
6 questions
OutcomeEffectEvidenceStatus / GRADE
Drug use (objective) hair and urine analyses
Summary of findings for the main comparisons: Agonist pharmacological vs no intervention
RR 0.72 [0.51, 1]2 studies · 237 participantsLow
Downgraded: risk of bias, inconsistency
Drug use self reported dichotomous self report information
Summary of findings for the main comparisons: Agonist pharmacological vs no intervention
RR 0.61 [0.31, 1.18]3 studies · 317 participantsLow
Downgraded: inconsistency
Drug use self reported continuous self report information
Summary of findings for the main comparisons: Agonist pharmacological vs no intervention
no estimate extracted3 studies · 510 participantsLow
Downgraded: risk of bias, inconsistency
Criminal activity dichotomous ‐ Arrests official records
Summary of findings for the main comparisons: Agonist pharmacological vs no intervention
RR 0.6 [0.32, 1.14]1 study · 62 participantsLow
Downgraded: risk of bias
Criminal activity dichotomous ‐ Re‐incarceration official records
Summary of findings for the main comparisons: Agonist pharmacological vs no intervention
RR 0.77 [0.36, 1.64]3 studies · 472 participantsLow
Downgraded: risk of bias, inconsistency
Criminal activity continuous mean number of crime dayes
Summary of findings for the main comparisons: Agonist pharmacological vs no intervention
no estimate extracted1 study · 51 participantsLow
Downgraded: risk of bias

Summary of findings for the main comparisons: Antagonost (Naltrexone) compared to no pharmacological for drug‐using offenders

Population: patients with drug‐using offenders
2 questions
OutcomeEffectEvidenceStatus / GRADE
Criminal activity dichotomous ‐ Reincarceration official records
Summary of findings for the main comparisons: Antagonost (Naltrexone) vs no pharmacological
RR 0.4 [0.21, 0.74]2 studies · 114 participantsModerate
Downgraded: risk of bias
drug use (objective) urine screen
Summary of findings for the main comparisons: Antagonost (Naltrexone) vs no pharmacological
RR 0.69 [0.28, 1.7]1 study · 63 participantsLow
Downgraded: risk of bias