Management of Alcohol Abuse

Albanese, Anthony

doi:10.1016/j.cld.2012.08.006

Cited by 7 publications

(19 citation statements)

References 70 publications

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“…36 41 The AUDIT has a sensitivity of 60-95% and specificity of 85-95% for alcohol abuse or dependence. 37 39 41 42 A shorter version, AUDIT-C (AUDIT-Consumption), comprises of three questions asking how often a patient has a drink containing alcohol in the past year, how many drinks are consumed on a typical day when drinking within the past year, and how often are six or more drinks consumed on one occasion in the past year. 43 The AUDIT-C is similarly scored from 0 to 4 points, with a score of 0 indicating none to minimal alcohol use and a score of 4 indicating frequent alcohol consumption.…”

Section: Screening For Alcohol Misuse and Audsmentioning

confidence: 99%

“…Thus, biological confirmation through physical and laboratory examination is important to confirm the history when possible. 37 The physical examination can give many clues to alcohol abuse, but the findings are often nonspecific. 37 Several laboratory tests have been used to screen for alcohol use in clinical practice.…”

Section: Biomarkers To Identify Audmentioning

confidence: 99%

“…37 The physical examination can give many clues to alcohol abuse, but the findings are often nonspecific. 37 Several laboratory tests have been used to screen for alcohol use in clinical practice. Among them are elevated mean corpuscular volume (MCV), γ-glutaryl transferase (GGT), AST, alanine transaminase (ALT), and carbohydrate-deficient transferrin (CDT).…”

Section: Biomarkers To Identify Audmentioning

confidence: 99%

“…37 Educational recovery groups may use lecture or interactive media, such as videos, to improve the understanding of addiction, process of recovery, and prevention of relapse. Support groups encourage participation to develop a network, including sponsors and accountability partners, most widely established in Alcoholics Anonymous.…”

Section: Aud Treatment Optionsmentioning

confidence: 99%

“…Support groups encourage participation to develop a network, including sponsors and accountability partners, most widely established in Alcoholics Anonymous. 37 Skill development groups may use cognitive Figure 1 Brief intervention for patient with at risk drinking (modified from US Department of Health and Human Services 2 ). AUD, alcohol use disorder.…”

Section: Aud Treatment Optionsmentioning

confidence: 99%

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Management of Alcohol Misuse in Patients with Liver Diseases

Peng

Patel

McGee

et al. 2017

Journal of Investigative Medicine

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Excessive alcohol use not only causes alcoholic liver disease (ALD) but also increases the risk of liver-related mortality in patients who already have other chronic liver diseases. Screening for alcohol misuse or alcohol use disorder (AUD) among patients with underlying liver disease is essential. This clinical review covers what is known about ALD, the impact of alcohol in patients with underlying liver diseases, current management of alcohol misuse and AUD, and the management of alcohol misuse and AUD specifically in patients with liver diseases. Several treatment options for alcohol misuse and AUD exist such as psychosocial intervention and behavioral and pharmacological therapies. The strategies used in the treatment of alcohol misuse and AUD are still applicable in those who consume alcohol and have underlying liver disease. However, certain medications still need to be carefully used due to potentially worsening already compromised liver function. Screening of ongoing alcohol use in subjects with liver disease is important, and prompt intervention is needed to prevent the associated morbidity and mortality from the detrimental effects of continued alcohol use on underlying liver disease. Considering alcoholism is a complex disease, probably a multidisciplinary approach combining psychotherapy and comprehensive medical care will be the most effective. Future research could focus on identifying additional treatment options for addressing the psychotherapy component since the self-determination and will to quit drinking alcohol can play such a crucial role in promoting abstinence.

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Section: Screening For Alcohol Misuse and Audsmentioning

confidence: 99%

Section: Biomarkers To Identify Audmentioning

confidence: 99%

Section: Biomarkers To Identify Audmentioning

confidence: 99%

Section: Aud Treatment Optionsmentioning

confidence: 99%

Section: Aud Treatment Optionsmentioning

confidence: 99%

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Management of Alcohol Misuse in Patients with Liver Diseases

Peng

Patel

McGee

et al. 2017

Journal of Investigative Medicine

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The Multidisciplinary Approach to the Management of Substance Abuse

Sdrulla

Chen

2014

Substance Abuse

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Designation of Obesity as a Disease: Lessons Learned From Alcohol and Tobacco

Hurt

Varayil

Mundi

et al. 2014

Curr Gastroenterol Rep

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Obesity is a leading cause of preventable death in the USA. The American Medical Association recently recognized obesity as meeting the definition of a chronic disease. This declaration had the intention of improving screening and long-term treatment and is historically similar to the designation of tobacco and alcohol dependence as a chronic disease. Nevertheless, it has ignited a nationwide debate in both academia and public opinion. The current article reviews the implications of treating obesity as a chronic disease, comparing the similarities in pathophysiology of obesity and other addictions, and discusses the pros and cons of this designation as it pertains to health care workers and patients.

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Management of Alcohol Abuse

Cited by 7 publications

References 70 publications

Management of Alcohol Misuse in Patients with Liver Diseases

Management of Alcohol Misuse in Patients with Liver Diseases

The Multidisciplinary Approach to the Management of Substance Abuse

Designation of Obesity as a Disease: Lessons Learned From Alcohol and Tobacco

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