Treating the “Unhealthy Alcohol User” on Medical Wards

Rivest, Jacynthe; Jutras‐Aswad, Didier; Shapiro, Peter A.

doi:10.1097/01.pra.0000430505.52391.48

Cited by 6 publications

(4 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…AUDs and depressive symptoms may both contribute to non-adherence, and from a purely clinical perspective, it is therefore essential to screen for and treat both disorders simultaneously in order to optimize treatment outcomes. This is particularly relevant since both disorders are under-diagnosed [80,81] and under-treated[82,83] in clinical settings, yet they are amenable to behavioral and/or pharmacotherapeutic interventions.…”

Section: Discussionmentioning

confidence: 99%

Alcohol use disorders negatively influence antiretroviral medication adherence among men who have sex with men in Peru

et al. 2014

View full text Add to dashboard Cite

Objective-As international guidelines increase access to antiretroviral therapy (ART) globally, ART adherence becomes increasingly important to achieve HIV treatment as prevention (TasP) goals. In the concentrated HIV epidemic among men who have sex with men (MSM) and transgendered women (TGW) in Lima, Peru, the independent correlates of ART non-adherence were examined to inform treatment intervention priorities.Design-Cross sectional survey of HIV-infected MSM and TGW who are engaged in clinical care in Lima, Peru. Methods-FromJune to August 2012, 302 HIV-infected Peruvian MSM/TGW from three clinical care sites were recruited using convenience sampling to participate in a cross-sectional computer-assisted adherence survey. Several standardized screening measures associated with ART non-adherence were examined in order to determine the independent correlates of optimal (≥90%) and perfect (100%) adherence, which were assessed using logistic regression.Results-Of the 302 participants recruited, 263 (87.1%) were prescribed ART. Among those prescribed ART, 229 (87.1%) reported optimal and 146 (55.5%) reported perfect adherence. The prevalence of alcohol use disorders (AUD; 43.2%), alcohol dependence (5.3%), recent drug use (6.0%) and depression (44.5%) was high and most participants had some evidence of neurocognitive impairment. Meeting criteria for having an AUD and depression were collinear (p<0.001). On multivariate analysis, having an AUD was inversely related and the only Conclusions-AUDs are highly prevalent among Peruvian HIV-infected MSM and contribute significantly to ART non-adherence. These findings support the need for screening and treating underlying AUDs. In order to meet HIV TasP goals, evidence-based strategies targeting AUDs are likely to directly improve ART adherence and indirectly improve overall individual health, HIV treatment engagement and reduce transmission to sexual partners among this vulnerable and disproportionally affected population.

show abstract

Section: Discussionmentioning

confidence: 99%

Alcohol use disorders negatively influence antiretroviral medication adherence among men who have sex with men in Peru

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Cross‐sectional studies have shown that problem drinking is around 2‐ to 3‐fold more common among hospital inpatients than among the general population (Foy and Kay, ; Kouimtsidis et al., ; Reynaud et al., ). However, despite the potential and feasibility of alcohol screening, brief intervention and referral to treatment within hospitals (McQueen et al., ; Rivest et al., ; Rumpf et al., ; Smothers et al., ), detection rates of problem drinking in these settings remain low (Fagan et al., ; Rosón et al., ; Smothers et al., ). It is, therefore, paramount to further improve ways to identify high‐risk problem drinkers among patients admitted to hospitals (Fagan et al., ; NCEPOD, ).…”

mentioning

confidence: 99%

Hospital Admissions Before an Alcohol‐Related Death Among Middle‐Aged Employed Men and Women: A Cohort Study Using Routine Data

Paljärvi

Martikainen

Vahtera

et al. 2016

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

show abstract

“…Additionally, in the hospital, the medical inpatient admission to manage alcohol withdrawal also offers an opportunity to assess motivation for sobriety and make plans for addiction treatment and sober support (13). A consult-liaison psychiatrist could further explore underlying and comorbid mood and anxiety disorders that would be critical to identify as treatment of these conditions can help stabilize the AUD.…”

Section: Screening Tools To Identify and Intervene On Audmentioning

confidence: 99%

Multimodal multidisciplinary management of alcohol use disorder in liver transplant candidates and recipients

Shenoy¹,

Salajegheh²,

Shen³

2022

Transl Gastroenterol Hepatol

View full text Add to dashboard Cite

Alcohol-related liver disease (ALD) is the most common indication for liver transplantation (LT) in the United States. The judicious allocation of organs and improvement in outcomes requires identification and monitoring of patients with ALD at high-risk for relapse post-transplantation. The controversial movement toward early LT for severe alcohol-related hepatitis (SAH) has also raised concern for alcohol relapse. While LT cures ALD, treatment of alcohol use disorder (AUD) must be included in the care plan to prevent a return to drinking and subsequent graft ALD. Patients with underlying AUD must be recognized, offered brief interventions and referred for multimodal multidisciplinary treatment that includes medications and psychotherapies along with sober support groups, family engagement, and a new dedication to healthy living in order to help sustain remission. Such comprehensive care will increase LT candidacy in patients with ALD while optimizing clinical outcomes of patients transplanted with AUD.

show abstract

Treating the “Unhealthy Alcohol User” on Medical Wards

Cited by 6 publications

References 53 publications

Alcohol use disorders negatively influence antiretroviral medication adherence among men who have sex with men in Peru

Alcohol use disorders negatively influence antiretroviral medication adherence among men who have sex with men in Peru

Hospital Admissions Before an Alcohol‐Related Death Among Middle‐Aged Employed Men and Women: A Cohort Study Using Routine Data

Multimodal multidisciplinary management of alcohol use disorder in liver transplant candidates and recipients

Contact Info

Product

Resources

About