Canadian family physician Médecin de famille canadien
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Meta Analysis
Opioid use disorder in primary care: PEER umbrella systematic review of systematic reviews.
To summarize the best available evidence regarding various topics related to primary care management of opioid use disorder (OUD). ⋯ There is reasonable evidence that patients with OUD should be managed in the primary care setting. Diagnostic criteria for OUD remain elusive, with 1 reasonable case-finding tool. Methadone and buprenorphine improve treatment retention, while medication-related contingency methods could worsen retention. Counseling is beneficial when added to pharmacotherapy.