Sivapalan Sanchayan, Asela Olupeliyawa, Madawa Chandratilake
Feedback practices in undergraduate clinical teaching in Sri Lanka - a qualitative study
BMC medical education
medication opioid use disorder moud vastly underutilized adolescents existing treatment guidelines oud largely focus adults providing limited guidance pediatric populations limited information known use moud adolescents based substance use severity secondary data analysis examined patientlevel variables influenced receipt moud adolescents aged 1217 n 1866 using treatment episode data set teds 2019 discharge data set crosstabulation chisquare statistic evaluated relationship proxy clinical need based highrisk opioid use either reporting daily opioid use within past 30 days andor history injection opioid use moud states without adolescents receiving moud n 1071 twostep logistic regression analysis states adolescents receiving moud examined explanatory power demographic treatment intake substance use characteristics completion 12th grade ged beyond decreased likelihood receiving moud odds ratio 038 p 0017 female 047 p 006 none remaining clinical criteria significantly associated moud although history one arrests increased likelihood moud 698 p 006 13 individuals met criteria clinical need received moud lower education could serve proxy substance use severity guidelines best practices needed ensure proper distribution moud adolescents based clinical need