Record Details

Extended-release Naltrexone for Alcohol and Opioid Dependence: A Meta-Analysis of Healthcare Utilization Studies

ScholarsArchive at Oregon State University

Field Value
Title Extended-release Naltrexone for Alcohol and Opioid Dependence: A Meta-Analysis of Healthcare Utilization Studies
Names Hartung, Daniel (creator)
McCarty, Dennis (creator)
Fu, Rongwei (creator)
Wiest, Katharina (creator)
Chalk, Mady (creator)
Gastfriend, David R. (creator)
Date Issued 2014-08 (iso8601)
Abstract Through improved adherence, once-monthly injectable extended-release naltrexone (XR-NTX)
may provide an advantage over other oral agents approved for alcohol and opioid dependence
treatment. The objective of this study was to evaluate cost and utilization outcomes between
XR-NTX and other pharmacotherapies for treatment of alcohol and opioid dependence.
Published studies were identified through comprehensive search of two electronic databases.
Studies were included if they compared XR-NTX to other approved medicines and reported
economic and healthcare utilization outcomes in patients with opioid or alcohol dependence. We
identified five observational studies comparing 1,565 patients using XR-NTX to other therapies
over six months. Alcohol dependent XR-NTX patients had longer medication refill persistence
versus acamprosate and oral naltrexone. Healthcare utilization and costs was generally lower or
as low for XR-NTX-treated patients relative to other alcohol dependence agents. Opioid
dependent XR-NTX patients had lower inpatient substance abuse-related utilization versus other
agents and $8170 lower total cost versus methadone.
Genre Article
Topic Extended-release Naltrexone
Identifier Hartung, D. M., McCarty, D., Fu, R., Wiest, K., Chalk, M. & Gastfriend, D. R. (2014). Extended-release naltrexone for alcohol and opioid dependence: A meta-analysis of healthcare utilization studies. Journal of Substance Abuse Treatment, 47(2), 113-121. doi: 10.1016/j.jsat.2014.03.007

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