Open research questions in Opioid Use Disorder Treatment
723 gap statements mined from Opioid Use Disorder Treatment papers in our 7.9M-paper local library, which holds 5,913 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Censoring, where the event of interest may not have occurred for all subjects before the completion of the follow-up study. The need to handle heterogeneous distribution of longitudinal data.
Use of Patterns of Service Utilization and Hierarchical Survival Analysis in Planning and Providing Care for Overdose Patients and Predicting the Time-to-Second Overdose · 2024 · DOIFentanyl is the leading cause of overdose deaths in youth, but little is known about current youth knowledge and perspectives regarding fentanyl.
Direct translation of these findings to human pathophysiology warrants further investigation.
From Clinical Manifestations to Neural Mechanisms: A Systematic Review of Neurobehavioral Consequences of Pregabalin Misuse and Abuse · 2026 · DOIBeyond NAS, findings were inconsistent: some studies reported increased risks of peripartum haemorrhage, stillbirth, small for gestational age, low Apgar scores, preterm birth, and placental abruption, whereas others found no increased risk.
Opioid Analgesic Initiation During Pregnancy and the Risk of Adverse Maternal and Neonatal Outcomes: A Target Trial Emulation · 2026 · DOIIt remains unclear whether observed associations are causal or reflect residual confounding.
Opioid Analgesic Initiation During Pregnancy and the Risk of Adverse Maternal and Neonatal Outcomes: A Target Trial Emulation · 2026 · DOIEvidence-based methods to deter the misuse of stimulant medications for attention-deficit/hyperactivity disorder (ADHD) are lacking.
Training Physicians to Prevent Diversion of Stimulant Medication for Attention-Deficit/Hyperactivity Disorder: A Cluster-Randomized Controlled Trial in Pediatric Primary Care · 2026 · DOITreatment-related stabilization and partial recovery are incorporated into the model, but disease-modifying effects of opioid agonist treatment remain to be demonstrated prospectively.
These concepts have not yet been explored in the context of ESKD and chronic pain, limiting understanding of buprenorphine acceptability in patients with ESKD.
A qualitative study examining barriers to buprenorphine for pain management in patients with end stage kidney disease undergoing hemodialysis · 2026 · DOIThese findings suggest that tramadol may be a comparatively favorable option when opioid therapy is necessary, although its longer‐term comparative safety remains uncertain.
Comparative risks of mortality and fractures in patients with osteoarthritis initiating tramadol versus other opioids · 2026 · DOIHowever, knowledge related to this non-medical use is scarce, especially from community dwellers of a developing nation.
Addressing the unanswered questions: a qualitative exploration focusing on community dwellers using pregabalin without prescription in Islamabad city, Pakistan · 2026 · DOIThe interrelationship between unemployment and substance use disorders, especially opioid use disorders, is complex, and basic epidemiological data are lacking both in Germany and elsewhere.
Unemployment & opioid use disorder – socio-medical assessment results by the Medical Service of the German Federal Employment Agency · 2026 · DOIDifferences in prescribing by race and ethnicity were larger in magnitude and warrant further investigation.
Opioid prescribing and hospital outcomes after trauma in patients with substance use disorder: An analysis of the michigan trauma quality improvement project · 2026 · DOILess is known about AEs due to opioid administration in the ED, whose detection is limited by the high frequency of administration and poorly specific surveillance methods.
Identifying Adverse Events Associated With High‐Risk Opioid Administration Using the Emergency Department Trigger Tool · 2026 · DOILittle is known about how contextual factors influence preferences for ED OUD treatment coordination and how these preferences vary by race and ethnicity.
Exploring Preferences in Emergency Department Coordination of Opioid Use Disorder Treatment by Race and Ethnicity · 2026 · DOITo stratify long-term overdose fatality trends among US (United States) adolescents and young adults (AYA) aged 10-24 years by mechanism of overdose fatality, substance, age, and racial/ethnic group, including understudied groups (10-14-year-olds; Asian/Pacific Islanders), and provide an interactive data visualization application.
Opioid prescription following parotidectomy was associated with an increased risk of persistent opioid use disorder and the number of postoperative office visits, emphasizing the need for further investigation of opioid-sparing analgesia protocols following parotidectomy.
Postoperative Opioid Receipt After Parotidectomy and Associations With Persistent Opioid Use Disorder · 2025 · DOIOpioids are used to treat pain in chronic pancreatitis (CP), but little is known about current use patterns.
Future research should examine the underlying mechanism of the observed sex differences to target behavioral change more effectively for all participants of telehealth PRSS services in ED settings.
Response to a peer telehealth intervention for emergency department patients presenting with opioid use disorder or unintentional overdose: a stratified interrupted time series analysis · 2025 · DOIStigma related to drug use is a well-documented barrier to engaging and remaining on medication for opioid use disorder (MOUD), yet little is known about how stigma operates across multiple social and institutional settings in low-resource contexts.
Navigating stigma: a qualitative study of barriers to opioid treatment engagement in Tanzania · 2025 · DOIFuture research should examine the extent to which IYS reduce the incidence of NMPOU and improve opioid-related health and social outcomes among youth.
The multidimensional social ecological needs and service utilization patterns of youth using non-medical prescription opioids: an observational study of routinely collected data in a provincial integrated youth services initiative · 2025 · DOITrauma patients are vulnerable to long-term prescription opioid use (LTPOU) because of high prevalence of postinjury pain, but risk factors of self-reported LTPOU remain understudied in this population.
There is limited knowledge regarding prescription opioid use following the release of the 2016 CDC guidelines, which recommended prioritizing non-opioid therapies for chronic pain, prescribing the lowest effective opioid dose for the shortest duration, and closely monitoring to minimize risks.
Prescription Opioid Use in Older Adults: Trends and Changes in New and Long-Term Use in the United States, 2013–2020 · 2025 · DOIRecent studies have raised concerns regarding usage of opioids, a class of drugs widely used for managing chronic pain in musculoskeletal disorders; however, its potential risks remain incompletely understood.
Association of oral opioid usage and mortality in patients with inflammatory arthritides: a Korean nationwide cohort study · 2025 · DOIAny unreported overdose that took place in the community was not included in the analysis - Incomplete/inconsistent collection of demographic data at source, as well as strict privacy limitations, resulted in a lack of information on race or ethnicity - The findings of this study are limited to the host organization and hence not immediately generalizable/transferable to other…
Use of Patterns of Service Utilization and Hierarchical Survival Analysis in Planning and Providing Care for Overdose Patients and Predicting the Time-to-Second Overdose · 2024 · DOIThis study extends previous research regarding long-term US AYA overdose fatality trends by demonstrating trends through 2023 and including understudied subgroups, underscoring IMF-related overdose burden in US AYA and inequities between subgroups, and debuting a data visualization application.
Most-cited papers in Opioid Use Disorder Treatment
- CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016 · JAMA · 2016 · 3,318 citations
- Increases in Drug and Opioid-Involved Overdose Deaths — United States, 2010–2015 · MMWR Morbidity and Mortality Weekly Report · 2016 · 1,757 citations
- Increases in Drug and Opioid Overdose Deaths — United States, 2000–2014 · MMWR Morbidity and Mortality Weekly Report · 2015 · 1,356 citations
- Association Between Opioid Prescribing Patterns and Opioid Overdose-Related Deaths · JAMA · 2011 · 1,279 citations
- The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction · Annual Review of Public Health · 2015 · 1,170 citations
- Drug and Opioid-Involved Overdose Deaths — United States, 2013–2017 · MMWR Morbidity and Mortality Weekly Report · 2018 · 1,104 citations
- Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018 · MMWR Morbidity and Mortality Weekly Report · 2020 · 984 citations
- Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder · JAMA Network Open · 2020 · 962 citations
- Vital Signs: Changes in Opioid Prescribing in the United States, 2006–2015 · MMWR Morbidity and Mortality Weekly Report · 2017 · 957 citations
- Mortality and Morbidity in the 21st Century · Brookings Papers on Economic Activity · 2017 · 948 citations
Most recent work
- Global burden of amphetamine, cannabis, cocaine and opioid use in 204 countries, 1990–2023: a Global Burden of Disease Study · Nature Medicine · 2026
- Medications for Opioid Use Disorder, Opioid Withdrawal, and Opioid Overdose · JAMA · 2026
- Proportion of Fentanyl Reports in Illicit Drug Seizures and Opioid Mortality · JAMA Health Forum · 2026
- Temporal and regional associations between fentanyl concentrations in the unregulated drug supply and drug-related mortality in British Columbia, Canada · International Journal of Drug Policy · 2026
- Dynamics of drug overdose deaths in the United States during COVID-19 · International Journal of Drug Policy · 2026
- Emergency Department–Initiated Buprenorphine for Opioid Use Disorder · JAMA · 2026
- Evaluating the optimal duration of medication treatment for opioid use disorder · Addiction · 2026
- Charting the decline of the fourth wave: US overdose deaths by race, ethnicity and substance involvement · Addiction · 2026
- Clinical factors linked to xylazine exposure in emergency department patients with illicit opioid overdose · Addiction · 2026
- US overdose mortality saw first drop below the Jalal-Burke exponential growth curve in 2024 · International Journal of Drug Policy · 2026
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