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2015 ; 61
(6
): 509-14
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Primary care management of alcohol use disorder and at-risk drinking: Part 1:
screening and assessment
#MMPMID26071154
Spithoff S
; Kahan M
Can Fam Physician
2015[Jun]; 61
(6
): 509-14
PMID26071154
show ga
OBJECTIVE: To provide primary care physicians with evidence-based information and
advice on the screening and assessment of at-risk drinking and alcohol use
disorder (AUD). A companion article outlines the management of at-risk drinking
and AUD. SOURCES OF INFORMATION: We conducted a nonsystematic literature review,
using search terms on primary care, AUD, alcohol dependence, alcohol abuse,
alcohol misuse, unhealthy drinking, and primary care screening, identification,
and assessment. MAIN MESSAGE: Family physicians should screen all patients at
least yearly for unhealthy drinking with a validated screening test. Screen
patients who present with medical or psychosocial problems that might be related
to alcohol use. Determine if patients who have positive screening results are
at-risk drinkers or have AUD. If patients have AUD, categorize it as mild,
moderate, or severe using the Diagnostic and Statistical Manual of Mental
Disorders, 5th edition, criteria. Share this diagnosis with the patient and offer
assistance. Do a further assessment for patients with AUD. Screen for other
substance use, concurrent disorders, and trauma. Determine whether there is a
need to report to child protection services or the Ministry of Transportation.
Determine the need for medical management of alcohol withdrawal. Conduct a brief
physical examination and order laboratory tests to assess complete blood count
and liver transaminase levels, including ?-glutamyl transpeptidase. CONCLUSION:
Primary care is well suited to screening and assessment of alcohol misuse.