TABLE 2.
Key parameters for modeling low-threshold buprenorphine treatment on-site at syringe service programs (SSPs) versus standard of care buprenorphine treatment within RESPOND
| Processes | Standard of care buprenorphine treatment | Low-threshold SSP buprenorphine | Source |
|---|---|---|---|
| Patient population | 21% report recent injection drug use | 76% report recent injection drug use | MA DPH |
| Percentage actively using following initiation | 26% | 90% | CTN-051, Hood et al. [19] |
| Percentage actively using while receiving treatment | 28% | 34% | Calibrated, informed by CTN-051, CTN-027, Hood et al. [19], Bachhuber et al. [18] |
| Weekly probability of discontinuing treatment | 3% (17.6% retained at 1 year) | 1.3% (51% retained at year) | Morgan et al. [4], Bachhuber et al. [18], Stancliff et al. [20] |
| Overdose hazard reduction while on treatment | 0.4 | 0.4 | Sordo et al. [26] |
| Percentage experiencing overdose per year while on treatment | 0.10% | 0.28% | Model output resulting from input parameters |
| Costs | |||
| Health-care utilization (i.e. clinical visits) | $65.24/week | $46.03/week | Expert opinion (physicians prescribing buprenorphine in various settings, including an SSP) |
| Pharmaceutical costs (i.e. buprenorphine) | $48.71/week | $48.71/week | Federal Supply Schedule 2020 |
MA DPH = Massachusetts Department of Public Health; CTN = Clinical Trials Network