Universitat Jaume I. Castelló. Spain.
Rev Esp Sanid Penit. 2023 Sep-Dec;25(3):112-121. doi: 10.18176/resp.00077.
To evaluate the effectiveness of opioid maintenance programs in treating opioid dependence in Spanish prisons.
A narrative bibliographic review was carried out on the following databases: PubMed; Cochrane; IBECS; LILACS; HealthCare. All clinical trials were chosen as a preference, along with systematic review articles and some articles that were considered relevant for their content. The time period was limited to between January 2011 and November 2021. The languages chosen were English, Spanish and Catalan. Repeated articles and those that were not related to the objectives were rejected. The search criteria were: "methadone AND prisons"; "opiate substitution treatment AND prisons"; "methadone AND buprenorphine"; "methadone OR buprenorphine"; "prisons AND Methadone AND buprenorphine".
20 articles were selected out of 647 items consulted after applying the corresponding filters and after discarding duplicates.
There was a slightly greater effectiveness of buprenorphine versus methadone. The high prevalence of the program was highlighted, as well as the variety of adverse effects of methadone. Usefulness with regard to inmates' behavior showed a range of opinions. The possibility of new treatment alternatives with better pharmacological control is mentioned.
评估阿片类药物维持治疗方案在西班牙监狱中治疗阿片类药物依赖的效果。
对以下数据库进行了叙述性文献综述：PubMed；Cochrane；IBECS；LILACS；HealthCare。选择了所有临床试验，以及系统评价文章和一些被认为与内容相关的文章。时间范围限于 2011 年 1 月至 2021 年 11 月。选择的语言为英语、西班牙语和加泰罗尼亚语。重复的文章和与目标不相关的文章被拒绝。搜索标准为：“美沙酮和监狱”；“阿片类药物替代治疗和监狱”；“美沙酮和丁丙诺啡”；“美沙酮或丁丙诺啡”；“监狱和美沙酮和丁丙诺啡”。
在应用相应的过滤器并排除重复项后，从 647 项咨询中选择了 20 篇文章。
丁丙诺啡相对于美沙酮的效果略好。方案的高流行率以及美沙酮的各种不良反应得到了强调。关于囚犯行为的有用性显示出各种意见。提到了具有更好药理控制的新治疗替代方案的可能性。
