{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T16:00:53Z","timestamp":1770566453524,"version":"3.49.0"},"reference-count":0,"publisher":"Socidrogalcohol","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Adicciones"],"abstract":"<jats:p>El objetivo fue establecer los resultados en salud con mayor relevancia en la evaluaci\u00f3n de programas de tratamiento de sustituci\u00f3n de opi\u00e1ceos (PTSO) en pacientes con trastorno por consumo de opi\u00e1ceos (TCO) en Espa\u00f1a. Se realiz\u00f3 un an\u00e1lisis de decisi\u00f3n multicriterio con 3 fases: 1) definici\u00f3n de conceptos y criterios a evaluar; 2) cribado y ponderaci\u00f3n de criterios mediante un experimento de elecciones discretas; 3) proceso deliberativo. Los criterios de la fase 1 fueron: consumo de sustancias (opi\u00e1ceos, alcohol, tabaco, estimulantes y cannabis), trastornos mentales (trastorno afectivo ansioso, psicosis, trastorno por d\u00e9ficit de atenci\u00f3n e hiperactividad, trastorno l\u00edmite de personalidad, trastornos de personalidad antisocial, trastorno por juego y otras alteraciones del control de los impulsos), nivel de discapacidad, adherencia, enfermedades m\u00e9dicas (comorbilidades, conductas de riesgo, enfermedades infecciosas y de transmisi\u00f3n sexual), aspectos psicosociales (conducta hostil y\/o violenta, presencia de problemas laborales), discapacidad funcional (calidad de vida, satisfacci\u00f3n con el tratamiento y servicio, funcionamiento social). En la fase 2 se determinaron los factores fundamentales en la elecci\u00f3n de un PTSO, revisados en el proceso deliberativo: remisi\u00f3n del consumo de sustancias (opi\u00e1ceos, alcohol y estimulantes), mejor\u00eda en el manejo de otros trastornos mentales (psicosis y trastorno l\u00edmite de la personalidad), mejor\u00eda en manejo de comorbilidades m\u00e9dicas y mejor\u00eda en el funcionamiento social, con un peso del 56,5%, 21,9%, 11,0% 10,7% respectivamente. Este an\u00e1lisis define los resultados sanitarios m\u00e1s relevantes en PTSO en pacientes con TCO en Espa\u00f1a, favoreciendo la toma de decisiones y la gesti\u00f3n socio-sanitaria de los recursos existentes.<\/jats:p>","DOI":"10.20882\/adicciones.1263","type":"journal-article","created":{"date-parts":[[2020,12,6]],"date-time":"2020-12-06T23:13:32Z","timestamp":1607296412000},"page":"109-120","source":"Crossref","is-referenced-by-count":1,"title":["Estudio para la determinaci\u00f3n de medidas de resultados en salud relevantes en el trastorno por consumo de opi\u00e1ceos. An\u00e1lisis de decisi\u00f3n multicriterio"],"prefix":"10.20882","volume":"33","author":[{"given":"Joan","family":"Colom","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nestor","family":"Szerman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliazar Sabater","family":"Cabrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Ferre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Pascual","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoni","family":"Gilabert-Perramon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel \u00c1ngel","family":"Casado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Bobes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grupo de Trabajo","family":"MCDA-OUD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8502","published-online":{"date-parts":[[2020,11,30]]},"container-title":["Adicciones"],"original-title":[],"link":[{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/download\/1263\/1159","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/download\/1263\/1158","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T12:07:08Z","timestamp":1740053228000},"score":1,"resource":{"primary":{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/view\/1263"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,30]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,3,31]]}},"URL":"https:\/\/doi.org\/10.20882\/adicciones.1263","relation":{},"ISSN":["0214-4840"],"issn-type":[{"value":"0214-4840","type":"print"}],"subject":[],"published":{"date-parts":[[2020,11,30]]}}}