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Table 1 Characteristics of patients who received opioid agonist treatment from the Canadian Addiction Treatment Center in Ontario, Canada, 2014–2020

From: Measuring treatment attrition at various stages of engagement in Opioid Agonist Treatment in Ontario Canada using a cascade of care framework

 

Less than 90 days

90 to 365 days

One to two years

Over two years

Overall

p-value

 

n = 6087 (18.73%)

n = 7247 (22.31%)

n = 5413 (40.13%)

n = 13,740 (42.49%)

N = 32,487

 

Gender

 F n (%)

2227 (36.60)

27,07 (37.40)

2080 (38.40)

5485 (39.90)

12,499 (38.50)

<.001

 M

3833 (63.00)

4535 (62.50)

3331 (61.50)

8255 (60.10)

19,949 (61.40)

 

 Missing

27 (0.40)

10 (0.10)

2 (0%)

0

41 (0.10)

 

Age

 Mean (SD)

34.40 (10.50)

35.00 (10.51)

35.50 (10.80)

36.50 (10.72)

35.60 (10.70)

 

Age Groups

<.001

 < 25

1247 (20.50)

1318 (18.20)

1022 (18.90)

2116 (15.40)

5703 (17.60)

 

 25–45

3855 (63.30)

4725 (65.20)

3384 (62.50)

8591 (62.50)

20,653 (63.20)

 

 46–65

949 (15.60)

1147 (15.80)

970 (17.90)

2980 (21.70)

6046 (18.70)

 

 65+

36 (0.60)

57 (0.80)

37 (0.70)

53 (0.40)

183 (0.60)

 

Starting medication (mg)

<.001

 Methadone

4101 (67.40)

5171 (71.40)

4222 (78.00)

11,724 (85.30)

25,218 (77.60)

 

 Buprenorphine/naloxone

1986 (32.60)

2077 (28.60)

1191 (22.00)

2016 (14.70)

7269 (22.40)

 

Location of residence

<.001

 Northern/rural

183 (3.00)

310 (4.30)

235 (4.30)

675 (4.90)

1403 (4.30)

 

 Northern/urban

9,46 (15.50)

1275 (17.60)

915 (16.90)

2685 (19.50)

5821 (17.90)

 

 Sothern/rural

171 (2.80)

213 (2.90)

196 (3.60)

525 (3.80)

1101 (3.40)

 

 Southern/urban

4787 (78.760)

5449 (75.20)

4067 (75.10)

9855 (71.70)

24,158 (74.40)

 

No. of Treatment Attempts

 Mean (SD)

1.87 (2.03)

2.67 (3.08)

2.67 (2.92)

1.86 (1.77)

2.17 (2.40)

<.001

Average Monthly Urine Drugs Screening (UDS)

 Mean (SD)

5.24 (2.59)

6.70 (1.93)

6.42 (1.71)

5.91 (1.54)

6.05 (1.96)

<.001

Stimulant UDS positive groups (n%)

<.001

 0–25%

4373 (71.80)

5438 (75.00)

4323 (79.90)

11,749 (85.50)

25,883 (79.70)

 

 26–50%

286 (4.70)

582 (8.00)

397 (7.30)

835 (6.10)

2100 (6.50)

 

 51–75%

432 (7.10)

482 (6.70)

307 (5.70)

538 (3.90)

1759 (5.40)

 

 76–100%

996 (16.40)

745 (10.30)

386 (7.10)

618 (4.50)

2745 (8.40)

 

Fentanyl UDS positive groups (n%)

<.001

 0–25%

4368 (71.80)

5366 (74.10)

4293 (79.30)

12,101 (88.10)

26,128 (80.40)

 

 26–50%

218 (3.60)

578 (8.00)

481 (8.90)

890 (6.50)

2167 (6.70)

 

 51–75%

440 (7.20)

572 (7.90)

323 (6.00)

476 (3.50)

1811 (5.60)

 

 76–100%

1061 (17.40)

731 (10.10)

316 (5.80)

273 (2.00)

2381 (7.30)

 

Cocaine UDS positive groups (n%)

<.001

 0–25%

3246 (53.30)

4179 (57.70)

3562 (65.80)

10,163 (74.00)

21,149 (65.10)

 

 26–50%

684 (11.20)

794 (14.70)

794 (14.70)

1765 (12.80)

4358 (13.30)

 

 51–75%

712 (11.70)

849 (11.70)

525 (9.70)

943 (6.90)

3029 (9.30)

 

 76–100%

1445 (23.70)

1106 (15.03)

533 (9.80)

869 (6.30)

3953 (12.20)

 

Cannabis UDS positive groups (n%)

<.001

 0–25%

4709 (77.40)

3983 (55.00)

2455 (45.40)

5690 (4.40)

25,883 (79.70)

 

 26–50%

78 (1.30)

377 (5.20)

413 (7.60)

1275 (9.30)

2100 (6.50)

 

 51–75%

202 (3.30)

496 (6.80)

417 (5.70)

1114 (8.10)

1759 (5.40)

 

 76–100%

1098 (18.00)

2391 (33.00)

2128 (39.30)

5665 (41.20)

2745 (8.40)

 

Other Opioids UDS positive groups (n%)

<.001

 0–25%

3261 (53.60)

5042 (69.60)

4287 (79.20)

11,889 (86.50)

24,479 (75.40)

 

 26–50%

1136 (18.70)

1330 (18.30)

787 (14.50)

1373 (10.00)

4626 (14.20)

 

 51–75%

894 (14.70)

643 (8.00)

262 (4.80)

396 (2.90)

2206 (6.80)

 

 76–100%

796 (13.10)

232 (3.20)

77 (1.40)

82 (0.60)

1187 (3.70)

 

Starting BUP Dose (mg)

 Mean (SD)

7.71 (7.91)

9.93 (13.50)

12.4 (18.30)

15.4 (21.48)

11.8 (16.88)

<.001

Peak BUP dose (mg)

 Mean (SD)

12.6 (10.10)

19.4 (32.55)

22.5 (21.41)

26.1 (23.90)

20.7 (24.50)

<.001

Starting Methadone dose (mg)

 Mean (SD)

33.3 (26.50)

39.9 (123)

43 (44.40)

57.7 (41.90)

47.4 (91.7)

<.001

Peak Methadone Dose (mg)

 Mean (SD)

51.6 (55.2)

86.5 (285)

99 (304)

119 (369)

97.5 (309)

<.001

Start dose above-median peak dose (mg)

 Mean (SD)

0.22 (0.41)

0.33 (0.47)

0.41 (0.49)

0.56 (0.49)

0.42 (0.49)

<.001

Peak dose above-median peak dose (mg)

 Mean (SD)

0.08 (0.27)

0.13 (0.33)

0.17 (0.38)

0.29 (0.45)

0.20 (0.40)

<.001

  1. Abbreviations in the table: aSD Standard deviation, UDS Urine Drug Screening, BUP Buprenorphine