Does urine drug abuse screening help for managing patients? A systematic review

The use of psychoactive drug testing in acute mental health services

“…3-7 A more recent systematic review by Dupouy and colleagues in 2014 revealed that there is weak evidence supporting routine use of UDS in emergency setting because it added no value to management decisions. 8 Akosile and McDermott have not advocated for no-testing in non-emergency settings given that the scope of our study was restricted to emergency settings. 1 We feel the conclusion of our study needs reiteration; even if the information of drug use and abuse was collected this was not reflected in the individual's subsequent management plan as also demonstrated by Dupouy and colleagues.…”

“…1 We feel the conclusion of our study needs reiteration; even if the information of drug use and abuse was collected this was not reflected in the individual's subsequent management plan as also demonstrated by Dupouy and colleagues. 8 A possible future direction is to investigate the use of UDS in nonemergency psychiatry settings and its influence on management in both settings. The use of psychoactive drug testing in acute mental health services Dear Sir, Akosile and McDermott recently published a retrospective analysis of the extent of agreement between self-reported drug use and urine drug screening in 111 people presenting to a suburban psychiatry emergency service in Queensland.…”

Review and Recommendations for Drug Testing in Substance Use Treatment Contexts

“…Another disadvantage is the ambiguous nature of the utility of a urinary screen. Dupouy and her colleagues [30], conducted a literature review assessing the benefits of utilizing drug screens to manage patients. They concluded that there was no substantial evidence to warrant the use of drug screens to manage patients.…”

Chronic Opioid Therapy Urine Drug Testing in Primary Care: Prevalence and Predictors of Aberrant Results

“…Systematic reviews have noted the paucity (especially in primary care settings) and poor quality of studies of clinical outcomes associated with UDTs for COT patients. 2,[49][50][51] Clearly, more research is needed concerning the impact of UDTs on patient and public health safety and the cost-effectiveness of specific UDT guidelines in various settings. Different patient population scenarios may need different guidelines.…”