The Mortality After Release from Incarceration Consortium (MARIC): Protocol for a multi-national, individual participant data meta-analysis

Borschmann, Rohan; Tibble, Holly; Spittal, Matthew J; Preen, David B.; Pirkis, Jane; Larney, Sarah; Rosen, David L.; Young, Jesse T; Love, Anthony; Altice, F. L.; Binswanger, Ingrid A.; Bukten, Anne; Butler, Tony; Chang, Zheng; Chen, C. Y.; Clausen, Thomas; Christensen, Peer Brehm; Culbert, Gabriel J.; Degenhardt, Louisa; Dirkzwager, Anja; Dolan, Kate; Fazel, Seena; Fischbacher, Colin; Giles, M.F.; Graham, Lesley; Harding, David J.; Huang, Yu-Ching; Huber, Florence; Karaminia, A.; Keen, Claire; Kouyoumdjian, Fiona G.; Lim, Sungwoo; Møller, Lars; Moniruzzaman, Akm; Morenoff, Jeffrey D.; O’Moore, Éamonn; Pizzicato, Lia N.; Pratt, Daniel; Proescholdbell, Scott; Ranapurwala, Shabbar I.; Shanahan, Meghan; Shaw, Jenny; Slaunwhite, Amanda; Somers, Julian M.; Spaulding, Anne C.; Stern, M.; Viner, Kendra; Wang, N.; Willoughby, Melissa; Zhao, Bin; Kinner, Stuart A

doi:10.23889/ijpds.v5i1.1145

Cited by 13 publications

(21 citation statements)

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“…48 Methodologically, this approach allows for applying consistent inclusion/exclusion criteria applied across countries, an approach that has successfully been applied in other studies. [48][49][50] This method has several advantages, among others: (a) as data are analysed locally in the first step, it overcomes the privacy hurdles associated with sharing individual-level data across countries and jurisdictions; (b) involvement of local researchers provides an opportunity to convey the Open access nuances of local and national data; (c) allows for consistent and realistic adjustment for confounding factors that may explain differences in findings across countries; and (d) allows for increased clinical relevance of findings by providing the opportunity to explore clinical questions across different national contexts and times. 48 50 Objective 1: OMT adherence trajectories First, we will identify all OMT patients in each country.…”

Section: Analysis Strategymentioning

confidence: 99%

Opioid maintenance treatment in the Czech Republic, Norway and Denmark: a study protocol of a comparative registry linkage study

et al. 2021

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IntroductionOpioid maintenance treatment (OMT) varies across settings and between countries. We plan to use data from several nationwide health and population registers to further improve the knowledge base established from earlier studies. Our aim is to study OMT adherence trajectories and to identify factors associated with improved outcomes for OMT patients across the Czech Republic, Norway and Denmark, in order to further improve OMT and our understanding of the key elements of treatment success.Methods and analysisThe registry-based cohort approach across the three countries allows us to link data from a range of registers on the individual level, by using personal identifiers in nationwide cohorts of OMT and non-OMT patients and the general non-using populations. A total of ~21 500 OMT patients over the last two decades in all three countries will be included in the study. The following outcome variables (based on the International Classification of Diseases, 10th Revision codes) will be obtained from relevant registers: treatment adherence to OMT, comorbidity (somatic and mental health), and all-cause and cause-specific mortality. Outcomes of the country-specific analyses will be pooled.Ethics and disseminationThe national OMT cohorts have been approved by the ethics committees in the respective countries. Data will be stored according to national and local guidelines and treated confidentially, and all data will be analysed separately for each country and compared across countries. Findings will be disseminated in peer-reviewed scientific journals, national and international conferences, and in briefings to inform clinical decision-making.

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Section: Analysis Strategymentioning

confidence: 99%

Opioid maintenance treatment in the Czech Republic, Norway and Denmark: a study protocol of a comparative registry linkage study

et al. 2021

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“…When individuals with OUD are released from confinement, they face a heightened risk of opioid overdose, stemming from the loss of habituation and physical tolerance that occurs when opioid use is interrupted during a period of incarceration. Indeed, numerous studies have identified the high risk of opioid overdose in the period immediately following discharge from prison [ 3 ].…”

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confidence: 99%

A scoping review of factors that influence opioid overdose prevention for justice-involved populations

Grella

Ostlie²,

Scott

et al. 2021

Subst Abuse Treat Prev Policy

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Background There is a high risk of death from opioid overdose following release from prison. Efforts to develop and implement overdose prevention programs for justice-involved populations have increased in recent years. An understanding of the gaps in knowledge on prevention interventions is needed to accelerate development, implementation, and dissemination of effective strategies. Methods A systematic search process identified 43 published papers addressing opioid overdose prevention in criminal justice settings or among justice-involved populations from 2010 to February 2020. Cross-cutting themes were identified, coded and qualitatively analyzed. Results Papers were coded into five categories: acceptability (n = 8), accessibility (n = 4), effectiveness (n = 5), feasibility (n = 7), and participant overdose risk (n = 19). Common themes were: (1) Acceptability of naloxone is associated with injection drug use, overdose history, and perceived risk within the situational context; (2) Accessibility of naloxone is a function of the interface between corrections and community; (3) Evaluations of overdose prevention interventions are few, but generally show increases in knowledge or reductions in opioid overdose; (4) Coordinated efforts are needed to implement prevention interventions, address logistical challenges, and develop linkages between corrections and community providers; (5) Overdose is highest immediately following release from prison or jail, often preceded by service-system interactions, and associated with drug-use severity, injection use, and mental health disorders, as well as risks in the post-release environment. Conclusion Study findings can inform the development of overdose prevention interventions that target justice-involved individuals and policies to support their implementation across criminal justice and community-based service systems.

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“… 10 Additionally, the Mortality After Release from Incarceration Consortium (MARIC) has recently been established to examine mortality among people who have experienced incarceration internationally using individual participant data meta-analysis methods. 11 However, so far only a protocol of the Consortium has been published. 11 …”

Section: Introductionmentioning

confidence: 99%

“…Open access (MARIC) has recently been established to examine mortality among people who have experienced incarceration internationally using individual participant data meta-analysis methods. 11 However, so far only a protocol of the Consortium has been published. 11 To our knowledge, no reviews have examined deaths among young people released from youth detention in detail.…”

Section: Introductionmentioning

confidence: 99%

“…11 However, so far only a protocol of the Consortium has been published. 11 To our knowledge, no reviews have examined deaths among young people released from youth detention in detail. Two reviews that focussed on the health of young people in detention briefly considered suicide among young people after release, and found that these young people have an elevated risk of suicide in comparison with their community counterparts.…”

Section: Introductionmentioning

confidence: 99%

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Violence-related deaths among people released from incarceration: protocol for a systematic review

et al. 2021

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IntroductionYoung people and adults released from incarceration have a risk of dying from violence that far exceeds that in the general population. Despite this, evidence regarding the incidence, elevated risk and predictive factors for violence-related deaths after release have not yet been synthesised. This information is important to inform the development of evidence-based approaches to effectively prevent deaths from violence in this population. This systematic review will synthesise the literature examining the crude mortality rates (CMRs), standardised mortality ratios (SMRs) and predictive factors for violence-related deaths among people released from incarceration.Methods and analysisWe searched key electronic health, social science and criminology databases (MEDLINE, PubMed, PsycINFO, Scopus, Web of Science, CINCH, Criminal Justice Abstracts) for peer-reviewed cohort studies published in English on 14th September 2020. Our primary outcome of interest is violence-related deaths occurring in the community following release from incarceration. We will not restrict study eligibility by year of publication or age of participants. The Methodological Standard for Epidemiological Research (MASTER) scale will be used to assess the quality of included studies. If there are sufficient studies and homogeneity between studies, we will conduct meta-analyses to calculate pooled estimates of CMRs, SMRs or predictive factors for violence-related deaths. If there is a sufficient number of included studies, meta-regression will be conducted to examine the influence of subgroups and methodological factors on the CMRs, SMRs or predictive factors. If the studies do not report sufficient data, or if there is substantial heterogeneity, findings will be presented in a narrative form.Ethics and disseminationThis review is exempt from ethics approval as it will synthesise findings from published studies that have already obtained ethics approval. Our findings will be disseminated through a peer-reviewed journal article, and national and international conference and seminar presentations.Trial registration detailsThis study is registered with PROSPERO (CRD42020209422).

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The Mortality After Release from Incarceration Consortium (MARIC): Protocol for a multi-national, individual participant data meta-analysis

Cited by 13 publications

References 39 publications

Opioid maintenance treatment in the Czech Republic, Norway and Denmark: a study protocol of a comparative registry linkage study

Opioid maintenance treatment in the Czech Republic, Norway and Denmark: a study protocol of a comparative registry linkage study

A scoping review of factors that influence opioid overdose prevention for justice-involved populations

Violence-related deaths among people released from incarceration: protocol for a systematic review

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