Clinical recognition and recording of alcohol disorders by clinicians in primary and secondary care: Meta-analysis

British Journal of Psychiatry

Volumn 201, Issue 2, 2012, Pages 93-100

  Mitchell, Alex J ^a   Meader, Nick ^b,c   Bird, Vicky ^d   Rizzo, Maria ^d  

^a LEICESTER ROYAL INFIRMARY   (United Kingdom)

^b ROYAL COLLEGE OF PSYCHIATRISTS   (United Kingdom)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d National Collaborating Centre for Mental Health   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL INTOXICATION; ALCOHOL USE DISORDER; ALCOHOLISM; DIAGNOSTIC ACCURACY; EMBASE; GENERAL HOSPITAL; GENERAL PRACTITIONER; HOSPITAL PERSONNEL; HUMAN; MEDLINE; PRIMARY MEDICAL CARE; PSYCINFO; REVIEW;

ALCOHOL-RELATED DISORDERS; ALCOHOLIC INTOXICATION; ALCOHOLISM; CLINICAL COMPETENCE; HOSPITALIZATION; HOSPITALS, GENERAL; HUMANS; JUDGMENT; MEDICAL STAFF, HOSPITAL; PHYSICIANS, PRIMARY CARE; PRIMARY HEALTH CARE; PSYCHIATRY; ROC CURVE;

EID: 84864565913     PISSN: 00071250     EISSN: 14721465     Source Type: Journal    
DOI: 10.1192/bjp.bp.110.091199     Document Type: Review

References (109)

1. Room R, Babor T, Rehm J. Alcohol and public health. Lancet 2005; 365: 519-30. (Pubitemid 40215735)
2. Saitz, R. Clinical practice. Unhealthy alcohol use. New Engl J Med 2005; 352: 596-607. (Pubitemid 40204672)
3. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet 2009; 373: 2223-33.
4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn, revised) (DSM-IV-TR). APA, 2000.
5. World Health Organization. Lexicon of Alcohol and Drug Terms Published by the World Health Organization. WHO, 2012.
6. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO, 1992.
7. Compton WM, Conway KP, Stinson FS, Colliver JD, Grant BF. Prevalence, correlates, and comorbidity of DSM-IV antisocial personality syndromes and alcohol and specific drug use disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry 2005; 66: 677-85. (Pubitemid 40942412)
8. O'Connor PG, Schottenfeld RS. Patients with alcohol problems. New Engl J Med 1998; 338: 592-602. (Pubitemid 28114649)
9. National Institute on Alcohol Abuse and Alcoholism. Tenth Special Report to the US Congress on Alcohol and Health. NIH Publication No. 00-3769. Department of Health and Human Services, 2000.
10. Reid MC, Fiellin DA, O'Connor PG. Hazardous and harmful alcohol consumption in primary care. Arch Intern Med 1999; 159: 1681-9. (Pubitemid 29379129)
11. Buchsbaum DG, Buchanan RG, Lawton MJ, Schnoll SH. Alcohol consumption patterns in a primary care population. Alcohol Alcohol 1991; 26: 215-20.
12. Fiellin DA, Reid MC, O'Connor PG. Screening for alcohol problems in primary care: a systematic review. Arch Intern Med 2000; 160: 1977-89. (Pubitemid 30437582)
13. Gerke P, Hapke U, Rumpf HJ, John U. Alcohol-related diseases in general hospital patients. Alcohol Alcohol 1997; 32: 179-84. (Pubitemid 27151914)
14. John U, Rumpf H-J, Hapke U. Estimating prevalence of alcohol abuse and dependence in one general hospital: an approach to reduce sample selection bias. Alcohol Alcohol 1999; 34: 786-94. (Pubitemid 29467071)
15. Jarque-López A, González-Reimers E, Rodríguez-Moreno F, Santolaria-Fernández F, López-Lirola A, Ros-Vilamajo R, et al. Prevalence and mortality of heavy drinkers in a general medical hospital unit. Alcohol Alcohol 2001; 36: 335-8. (Pubitemid 32655232)
16. Smothers BA, Yahr HT, Sinclair MD. Prevalence of current DSM-IV alcohol use disorders in short-stay, general hospital admissions, United States, 1994. Arch Intern Med 2003; 163: 713-9. (Pubitemid 36343365)
17. Roche AM, Freeman T, Skinner N. From data to evidence, to action: findings from a systematic review of hospital screening studies for high risk alcohol consumption. Drug Alcohol Depend 2006; 83: 1-14.
18. Santora PB, Hutton HE. Longitudinal trends in hospital admissions with co-occurring alcohol/drug diagnoses, 1994-2002. J Subst Abuse Treat 2008; 35: 1-12. (Pubitemid 351734595)
19. Coder B, Freyer-Adam J, Bischof G. Alcohol problem drinking among general hospital inpatients in northeastern Germany. Gen Hosp Psychiatry 2008; 30: 147-54. (Pubitemid 351248973)
20. Koskinen J, Löhönen J, Koponen H, Isohanni M, Miettunen J. Prevalence of alcohol use disorders in schizophrenia - a systematic review and meta-analysis. Acta Psychiatr Scand 2009; 120: 85-96.
21. Barry KL, Fleming MF, Greenley J, Widlak P, Kropp S, McKee D. Assessment of alcohol and other drug disorders in the seriously mentally ill. Schizophr Bull 1995; 21: 313-21.
22. Hulse GK, Saunders JB, Roydhouse RM, Stockwell TR, Basso MR. Screening for hazardous alcohol use and dependence in psychiatric in-patients using the AUDIT questionnaire. Drug Alcohol Rev 2000; 19: 291-8.
23. McCloud A, Barnaby B, Omu N, Drummond C, Aboud A. Relationship between alcohol use disorders and suicidality in a psychiatric population. In-patient prevalence study. Br J Psychiatry 2004; 184: 439-45. (Pubitemid 38624772)
24. Kaner EF, Heather N, Brodie J, Lock CA, McAvoy BR. Patient and practitioner characteristics predict brief alcohol intervention in primary care. Br J Gen Pract 2001; 51: 822-7. (Pubitemid 32958619)
25. Aalto M, Pekuri P, Seppa K. Primary health care professionals' activity in intervening in patients' alcohol drinking during a 3-year brief intervention implementation project. Drug Alcohol Depend 2003; 69: 9-14. (Pubitemid 36110457)
26. Richmond RL, Anderson P. Research in general practice for smokers and excessive drinkers in Australia and the UK. III. Dissemination of interventions. Addiction 1994; 89: 49-62. (Pubitemid 24031358)
27. Kaner EF, Lock CA, McAvoy BR, Heather N, Gilvarry E. An RCT of three training and support strategies to encourage implementation of screening and brief alcohol intervention by general practitioners. Br J Gen Pract 1999; 49: 699-703. (Pubitemid 29429963)
28. Rydon P, Redman S, Sanson-Fisher RW, Reid AL. Detection of alcohol-related problems in general practice. J Stud Alcohol 1992; 53: 197-202.
29. Berner MM, Zeidler C, Kriston L, Mundle G, Lorenz G, Härter M. Diagnostic and treatment approaches to alcohol-related disorders. Results of a survey in general practices [in German]. Fortschr Neurol Psychiatr 2006; 74: 157-64.
30. Aalto M, Seppa K. Use of laboratory markers and the audit questionnaire by primary care physicians to detect alcohol abuse by patients. Alcohol Alcohol 2005; 40: 520-3. (Pubitemid 41600003)
31. Deitz D, Rohde F, Bertolucci D, Dufour M. Prevalence of screening for alcohol use by physicians during routine physical examinations. Alcohol Health Res World 1994; 18: 162-8.
32. Taira DA, Safran DG, Seto TB, Rogers WH, Tarlov AR. The relationship between patient income and physician discussion of health risk behaviors. JAMA 1997; 278: 1412-7. (Pubitemid 27475969)
33. Edlund MJ, Jürgen U, Wells, KB. Clinician screening and treatment of alcohol, drug, and mental problems in primary care: results from healthcare for communities. Med Care 2004; 42: 1158-66. (Pubitemid 39627292)
34. Hasin DS, Grant BF, Dufour MG, Endicott J. Alcohol problems increase while physician attention declines. 1967 to 1984. Arch Intern Med 1990; 150: 397-400. (Pubitemid 20063048)
35. Wallace P, Cutler S, Haines A. Randomized controlled trial of general practitioner intervention in patients with excessive alcohol consumption. BMJ 1988; 297: 663-8.
36. Bertholet N, Daeppen JB, Wietlisbach V, Fleming M, Burnand B. Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta-analysis. Arch Intern Med 2005; 165: 986-95. (Pubitemid 40638118)
37. D'Onofrio G, Degutis LC. Preventive care in the emergency department: screening and brief intervention for alcohol problems in the emergency department: a systematic review. Acad Emerg Med 2002; 9: 627-38 . (Pubitemid 34596084)
38. Neumann T, Gentilello LM, Neuner B, Weiss-Gerlach E, Schürmann H, Schröder T, et al. Screening trauma patients with the alcohol use disorders identification test and biomarkers of alcohol use. Alcohol Clin Exp Res 2009; 33: 970-6.
39. Nielsen SD, Gluud C. Physician's information about alcohol problems at hospitalisation of alcohol misusers. Alcohol Alcohol 1992; 27: 659-65. (Pubitemid 23077386)
40. Ramsay A, Vredenburgh J, Gallagher 3rd RM. Recognition of alcoholism among patients with psychiatric problems in a family practice clinic. J Fam Pract 1983; 17: 829-32. (Pubitemid 14242902)
41. Indig D, Copeland J, Conigrave, KM, Rotenko I. Why are alcohol-related emergency department presentations under-detected? An exploratory study using nursing triage text. Drug Alcohol Rev 2008; 27: 584-90.
42. Hadida A, Kapur N, Mackway-Jones K, Guthrie E, Creed F. Comparing two different methods of identifying alcohol related problems in the emergency department: a real chance to intervene? Emerg Med J 2001; 18: 112-5. (Pubitemid 34070861)
43. Gammeter R, Nay C, Bissery A, Leutwyler J, Bonsack C, Besson J, et al. Frequency of alcohol use disorders in patients admitted in a psychiatric hospital according to admission diagnosis. Schweizer Archiv Neurol Psychiatrie 2006; 157: 290-6. (Pubitemid 44366821)
44. Freimuth M. Another missed opportunity? Recognition of alcohol use problems by mental health providers. Psychotherapy 2008; 45: 405-9.
45. Vinson DC, Kruse RL, Seale JP. Simplifying alcohol assessment: two questions to identify alcohol use disorders. Alcohol Clin Exp Res 2007; 31: 1392-8. (Pubitemid 47063133)
46. Cheeta S, Drummond C, Oyefeso A, Phillips T, Deluca P, Perryman K, et al. Low identification of alcohol use disorders in general practice in England. Addiction 2008; 103: 766-73. (Pubitemid 351537695)
47. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 2009; 339: b2535.
48. Elamin MB, Flynn DN, Bassler D, Briel M, Alonso-Coello P, Karanicolas PJ, et al. Choice of data extraction tools for systematic reviews depends on resources and review complexity. J Clin Epidemiol 2009; 62: 506-10.
49. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol 2003; 3: 25.
50. Reitsma JB, Glas AS, Rutjes AWS, Scholten RJPM, Bossuyt PM, Zwinderman AH. Bivariate analysis of sensitivity and specificity produces informative summary measures in diagnostic reviews. J Clin Epidemiol 2005; 58: 982-90. (Pubitemid 41316441)
51. Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003; 327: 557-60. (Pubitemid 37088507)
52. Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics 1994; 50: 1088-101.
53. Martin MJ, Heymann C, Neumann T, Schmidt L, Soost F, Mazurek B, et al. Preoperative evaluation of chronic alcoholics assessed for surgery of the upper digestive tract. Alcohol Clin Exp Res 2002; 26: 836-40. (Pubitemid 34666143)
54. Rienzi BM. Prevalence of undetected alcohol dependence in the mental health diagnostic interview. Psychol Rep 1992; 70: 913-4.
55. Gentilello LM, Villaveces A, Ries RR, Nason KS, Daranciang E, Donovan DM, et al. Detection of acute alcohol intoxication and chronic alcohol dependence by trauma center staff. J Trauma 1999; 47: 1131-5.
56. Kip MJ, Neumann T, Jugel C, Kleinwaechter R, Weiss-Gerlach E, Guill MM, et al. New strategies to detect alcohol use disorders in the preoperative assessment clinic of a German University Hospital. Anesthesiology 2008; 109: 171-9.
57. Reyna TM, Hollis HW, Hulbus RC. Alcohol-related trauma: the surgeon's responsibility. Ann Surg 1985; 201: 194-7.
58. Potvin S, Sepehry AA, Stip E. A meta-analysis of negative symptoms in dual diagnosis schizophrenia. Psychol Med 2006; 36: 431-40. (Pubitemid 43380996)
59. Potvin S, Sepehry A, Stip E. Meta-analysis of depressive symptoms in dual-diagnosis schizophrenia. Aust N Z J Psychiatry 2007; 41: 792-9. (Pubitemid 47399957)
60. Dixon L. Dual diagnosis of substance abuse in schizophrenia: prevalence and impact on outcomes. Schizophr Res 1999; 35 (suppl): 93-100.
61. Lubman DI, Hides L, Jorm AF, Morgan AJ. Health professionals' recognition of co-occurring alcohol and depressive disorders in youth: a survey of Australian general practitioners, psychiatrists, psychologists and mental health nurses using case vignettes. Aust N Z J Psychiatry 2007; 41: 830-5. (Pubitemid 47399961)
62. Weisner C, Matzger H. Missed opportunities in addressing drinking behavior in medical and mental health services. Alcohol Clin Exp Res 2003; 27: 1132-41. (Pubitemid 36890390)
63. National Audit Office. Reducing Alcohol Harm: Health Services in England for Alcohol Misuse. National Audit Office, 2008 (http://www.nao.org.uk/ publications/0708/reducing-alcohol-harm.aspx).
64. Booth BM, McLaughlin YS. Barriers to and need for alcohol services for women in rural populations. Alcohol Clin Exp Res 2000; 24: 1267-75. (Pubitemid 30650947)
65. Berner MM, Langlotz M, Kriston L, Härter M. Diagnostics and treatment of alcohol-related disorders: results of a representative study in psychiatric and psychotherapeutic practices [in German]. Fortschr Neurol Psychiatr 2007; 75: 18-25. (Pubitemid 46586471)
66. Rush B, Ellis K, Crowe T, Powell L. How general practitioners view alcohol use: clearing up the confusion. Can Fam Physician 1994; 40: 1570-8.
67. Cornuz J, Ghali WA, Di Carlantonio D, Pecoud A, Paccaud F. Physicians' attitudes towards prevention: importance of intervention-specific barriers and physicians' health habits. Fam Pract 2000; 17: 535-40. (Pubitemid 32040838)
68. Wilson GB, Lock CA, Heather N, Cassidy P, Christie MM, Kaner EFS. Intervention against excessive alcohol consumption in primary health care: a survey of GPs' attitudes and practices in England 10 years on. Alcohol Alcohol 2011; 46: 570-7.
69. Aira M, Kauhanen J, Laricaara P, Rautio P. Factors influencing inquiry about patients' alcohol consumption by primary health care physicians: qualitative semi-structured interview study. Fam Pract 2003; 20: 270-5. (Pubitemid 36722463)
70. Bander KW, Goldman DS, Schwartz MA, Rabinowitz E, English JT. Survey of attitudes among three specialties in a teaching hospital toward alcoholics. J Med Educ 1987; 62: 17-24. (Pubitemid 17218337)
71. Beich A, Gannik D, Malterud K. Screening and brief intervention for excessive alcohol use: qualitative interview study of the experiences of general practitioners. BMJ 2002; 325: 1-5.
72. Thom B, Tellez C. A difficult business: detecting and managing alcohol problems in general practice. Br J Addict 1986; 81: 405-18. (Pubitemid 16058010)
73. Ferguson L, Ries R, Russo J. Barriers to identification and treatment of hazardous drinkers as assessed by urban/rural primary care doctors. J Addict Dis 2003; 22: 79-90. (Pubitemid 36569949)
74. Miller PM, Thomas SE, Mallin R. Patient attitudes towards self-report and biomarker alcohol screening by primary care physicians. Alcohol Alcohol 2006; 41: 306-10.
75. Makela P, Havio M, Seppa K. Alcohol-related discussions in health care-a population view. Addiction 2011; 106: 1239-48.
76. Rush BR, Powell LY, Crowe TG, Ellis K. Early intervention for alcohol use: family physicians' motivations and perceived barriers. CAMJ 1995; 152: 863-9.
77. Herbert C, Bass F. Early at-risk alcohol intake. Definitions and physicians' role in modifying behavior. Can Fam Phys 1997; 43: 639-44. (Pubitemid 127710491)
78. Holmqvist M, Bendtsen P, Spak F, Rommelsjö A, Geirsson M, Nilsen P. Asking patients about their drinking. A national survey among primary health care physicians and nurses in Sweden. Addicti Behav 2008; 33: 301-14. (Pubitemid 350251900)
79. National Institute on Alcohol Abuse and Alcoholism. The Physician's Guide to Helping Patients with Alcohol Problems. NIH publication 95-3769. National Institutes of Health, 1995.
80. Arborelius E, Thakker KD. Why is it so difficult for general practitioners to discuss alcohol with patients? Fam Pract 1995; 12: 419-22. (Pubitemid 26019890)
81. Bradley KA, Curry SJ, Koepsell TD, Larson EB. Primary and secondary prevention of alcohol problems: U.S. internist attitudes and practices. J Gen Intern Med 1995; 10: 67-72.
82. Wenrich MD, Paauw DS, Carline JD, Curtis JR, Ramsey PG. Do primary care physicians screen patients about alcohol intake using the CAGE questions? J Gen Intern Med 1995; 10: 631-4.
83. Huang M-C, Yu C-H, Chen C-T, Chen C-C, Shen WW, Chen C-H. Prevalence and identification of alcohol use disorders among severe mental illness inpatients in Taiwan. Psychiatry Clin Neurosci 2009; 63: 94-100.
84. Vinson DC, Elder NC, Werner JJ, Vorel LA, Nutting PA. Alcohol-related discussions in primary care: a report from ASPN. J Fam Pract 2000; 49: 28-33. (Pubitemid 30489233)
85. Stange KC, Zyzanski SJ, Jaen CR, Callahan EJ, Kelly RB, Gillanders WR, et al. Illuminating the 'black box'. A description of 4454 patient visits to 138 family physicians. J Fam Pract 1998; 46: 377-89. (Pubitemid 28223909)
86. Arndt S, Schultz Sk, Turvey C, Petersen A. Screening for alcoholism in the primary care setting are we talking to the right people? J Fam Pract 2002; 51: 41-6. (Pubitemid 34081404)
87. Larsson US, Saljo R, Aronsson K. Patient-doctor communication on smoking and drinking: lifestyles in medical consultations. Soc Sci Med 1987; 25: 1129-37.
88. Lawner K, Doot M, Gausas J, Doot J, See C. Implementation of CAGE alcohol screening in a primary care practice. Fam Med 1997; 29: 332-5. (Pubitemid 27217033)
89. Bradley KA, Epler AJ, Bush KR, Sporleder JL, Dunn CW, Cochran NE, et al. Alcohol-related discussions during general medicine appointments of male VA patients who screen positive for at-risk drinking. J Gen Intern Med 2002; 17: 315-26. (Pubitemid 34626099)
90. Vinson DC, Galliher JM, Reidinger C, Kappus JA. Comfortably engaging: which approach to alcohol screening should we use? Ann Fam Med 2004; 2: 398-404. (Pubitemid 39421105)
91. Reid MC, Tinetti ME, Brown CJ, Concato J. Physician awareness of alcohol use disorders among older patients. J Gen Intern Med 1998; 13: 729-34. (Pubitemid 28523561)
92. Spandorfer JM, Israel Y, Turner BJ. Primary care physicians' views on screening and management of alcohol abuse: inconsistencies with national guidelines. J Fam Pract 1999; 48: 899-902.
93. D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problems drinking by general medical providers. Results from a National Survey. Med Care 2005; 43: 229-36. (Pubitemid 40353906)
94. Bertakis KD, Azari R. Determinants of physician discussion regarding tobacco and alcohol abuse. J Health Commun 2007; 12: 513-25. (Pubitemid 47347131)
95. Institute of Medicine. Broadening the Base of Treatment for Alcohol Problems: Report of a Study by a Committee of the Institute of Medicine, Division of Mental Health and Behavioral Medicine. National Academy Press, 1990.
96. Council on Scientific Affairs, American Medical Association. AMA Guidelines For Physician Involvement In The Care Of Substance Abusing Patients. American Medical Association, 1979.
97. American Society of Addiction Medicine. Public Policy Statement on Screening for Addiction in Primary Care Settings. ASAM 1997.
98. Scottish Intercollegiate Guidelines Network (SIGN). The Management of Harmful Drinking and Alcohol Dependence in Primary Care. National Clinical Guidelines, 2003.
99. US Preventive Services Task Force. Guide to Clinical Preventive Services (2nd edn). International Medical Publishing, 1998.
100. US Preventive Services Task Force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. Ann Intern Med 2004; 140: 554-6.
101. US Dept of Health and Human Services. The Physicians' Guide to Helping Patients With Alcohol Problems. US Dept of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism, 1995.
102. Beich A, Thorsen T, Rollnick S. Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and metaanalysis. BMJ 2003; 327: 536-42.
103. Phelps GL, Johnson NP. Bright light in dark places: physician recognition of alcoholism. J S C Med Assoc 1990; 86: 17-8.
104. Hoeksema HL, De Bock GH. The value of laboratory tests for the screening and recognition of alcohol abuse in primary care patients. J Fam Pract 1993; 37: 268-76. (Pubitemid 23269170)
105. Reynaud M, Schwan R, Loiseaux-Meunier M-N, Albuisson E, Deteix P. Patients admitted to emergency services for drunkenness: moderate alcohol users or harmful drinkers? Am J Psychiatry 2001; 158: 96-9. (Pubitemid 32047252)
106. Kunda S. Actual problems of clinical classification and terminology of alcoholism. Alcoholism 1996; 32: 79-93. (Pubitemid 26141594)
107. Morse RM, Flavin DK. The definition of alcoholism. JAMA 1992; 268: 1012-4.
108. Seale JP, Shellenberger S, Boltri JM, Okosun IS, Barton B. Effects of screening and brief intervention training on resident and faculty alcohol intervention behaviours: a pre- post-intervention assessment. BMC Family Pract 2005; 6: 46.
109. Anderson P, Laurant M, Kaner E, Wensing M, Grol R. Engaging general practitioners in the management of hazardous and harmful alcohol consumption: results of a meta-analysis. J Stud Alcohol 2004; 65: 191-9. (Pubitemid 38585846)