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Mantenimiento de la metadona en la atención primaria: un ensayo controlado aleatorizado.

D A Fiellin1, P G O'Connor, M Chawarski

  • 1Yale University School of Medicine, 333 Cedar St, PO Box 208025, New Haven, CT 06520-8025, USA. david.fiellin@yale.edu

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El mantenimiento de metadona en la oficina para pacientes estables dependientes de opioides es factible y efectivo. Los médicos de atención primaria pueden proporcionar este tratamiento, y los pacientes informan una mayor satisfacción en comparación con los programas tradicionales de tratamiento narcótico (NTP).

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Área de la Ciencia:

  • Medicina de la adicción Medicina de la adicción
  • Cuidados Primarios de Atención Primaria.
  • Salud Pública La salud pública.

Sus antecedentes:

  • El mantenimiento de metadona es un tratamiento probado para la dependencia de opiáceos.
  • El tratamiento actual está restringido a los programas de tratamiento de narcóticos con licencia federal (NTP).
  • El cuidado basado en la oficina para pacientes estables es una alternativa prometedora que necesita datos de ensayos controlados.

Objetivo del estudio:

  • Evaluar la viabilidad y eficacia del mantenimiento de la metadona en la oficina.
  • Para comparar el tratamiento dirigido por el médico de atención primaria con el cuidado tradicional de NTP para pacientes estables dependientes de opioides.

Principales métodos:

  • Un ensayo clínico abierto controlado aleatorizado de seis meses.
  • Cuarenta y siete pacientes estables dependientes de opiáceos fueron asignados al azar ya sea a la atención en el consultorio por parte de médicos capacitados de atención primaria o a la atención habitual en un NTP.
  • Los resultados incluyeron el uso de drogas ilícitas, la inestabilidad clínica, la satisfacción del paciente / clínico y la utilización del servicio.

Principales resultados:

  • No hay diferencias significativas en el uso ilícito de opiáceos o la inestabilidad clínica entre los grupos de oficina y NTP.
  • Los pacientes de atención en oficinas informaron una satisfacción significativamente mayor con la calidad de la atención (73% frente a 13%).
  • No se observaron diferencias en el estado funcional o el uso de servicios de salud, legales o sociales.

Conclusiones:

  • La transferencia de pacientes estables dependientes de opiáceos a los consultorios de los médicos de atención primaria para el mantenimiento de la metadona es factible y efectiva.
  • Este enfoque mejora la satisfacción del paciente.
  • Se sugieren directrices para la selección de pacientes y el monitoreo clínico.