Navigation Links
Doctors Often Miss Signs of Problem Drinking in Patients, Study Finds
Date:1/15/2013

TUESDAY, Jan. 15 (HealthDay News) -- Doctors fail to diagnose most patients with alcohol problems when they rely solely on their suspicions, rather than using proven screening methods, a new study finds.

Researchers looked at almost 1,700 patients, and found that about 14 percent screened positive for hazardous or harmful drinking.

Primary care doctors had suspected hazardous or harmful drinking in just 5 percent of the patients, however. And of those patients, less than two-thirds actually screened positive for a drinking problem.

In other words, the primary care doctors failed to diagnose more than 70 percent of patients with drinking problems when they relied on their suspicions rather than using screening tools, the authors reported.

According to the team, led by Dr. Daniel Vinson of the University of Missouri, the findings support the routine use of screening tools to supplement doctors' suspicions that a patient may have a drinking problem.

Two experts not connected to the study had divergent views on the findings.

Bruce Goldman is director of Substance Abuse Services at the Zucker Hillside Hospital in Glen Oaks, N.Y. He noted that, "high-risk drinking is a major contributor to preventable health and social problems," and primary care doctors "are uniquely positioned to screen and assess all patients' patterns of alcohol and drug use."

He agreed with the study authors that, "a few standardized screening questions, consistently asked of all patients, could quickly identify those who would benefit from either education or referral to specialized care."

But another expert said that's easier said than done in real-world settings.

Dr. Neil Calman, chairman of family medicine and community health at the Icahn School of Medicine at Mount Sinai, in New York City, agreed that validated screening methods undoubtedly beat doctors' suspicions in uncovering problem drinking in patients.

He added, however, that it's tougher to discern how well they might be incorporated into physicians' everyday practice.

"First, most practices do not have the ability to deal with the conditions that are being detected," Calman noted. "Second, they identify many patients who do not choose to seek help for the detected issues and resources may be wasted on people who do not see the problem as something that needs to be addressed or that they want to have addressed."

Finally, Calman said, "we run the risk of keeping people out of care for other critical conditions, as patients may report that when they come in for an upper respiratory infection they do not want or expect to be asked about other issues which they consider highly personal and irrelevant to the reason for their visit."

As with many innovations in medicine, more research needs to be done on how to best deploy these screening methods into everyday clinical practice, Calman said.

More information

The U.S. National Institute on Alcohol Abuse and Alcoholism has more about alcohol use disorders.

-- Robert Preidt

SOURCES: Bruce Goldman, director, Substance Abuse Services, The Zucker Hillside Hospital in Glen Oaks, N.Y.; Neil Calman, M.D., professor and chairman, department of family medicine and community health, Icahn School of Medicine at Mount Sinai, New York City; Annals of Family Medicine, news release, Jan. 14, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Better care from doctors who are culturally aware
2. U.S. Efforts to Boost Number of Primary Care Doctors Have Failed
3. DoctorSites (Websites for Doctors) Announce a New Scheduling Calendar Feature Available in 2013
4. Time Spent on Malpractice Suits May Take Toll on Doctors
5. US Drug Watchdog Now Fears Thousands Of Transvaginal Mesh, Tape Product Failure Victims Are Being Misinformed By Their Doctors-Erosion Is Not A Normal Outcome
6. Three Surgeons of Los Angeles Colon and Rectal Surgical Associates Have Received the Prestigious 2013 Los Angeles SuperDoctors Award for the Second Year in a Row
7. Breastfeeding tips women share intrigue doctors
8. Virtual patient may help future doctors prevent suicide
9. Car Crashes Common for Sleepy Doctors in Training: Study
10. Doctors call for evidence-based appropriateness criteria for elective procedures
11. Doctors Advice People to Get Zoster Vaccine During Winters – VyGone Introduces Ultimate Zoster Vaccine
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Doctors Often Miss Signs of Problem Drinking in Patients, Study Finds
(Date:10/13/2017)... ... ... While it’s often important to take certain medications during the night, finding ... identified a solution. , She developed a prototype for MOTION LIGHT-UP PILL BOX to ... the need to turn on a light when taking medication during the night, allowing ...
(Date:10/13/2017)... Nevada (PRWEB) , ... October 13, 2017 , ... ... Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil ... required and providing a CBD form that can be easily incorporated into liquid products, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Apple Rehab Shelton Lakes , which ... evacuation of the facility as part of a disaster drill on October 3rd. , ... and Shelton City Emergency Manager, as well as the Connecticut Long Term Care ...
(Date:10/13/2017)... ... October 13, 2017 , ... Ellevate Network, the leading network ... advocate for action towards gender equality at their inaugural Summit in New York City ... and reached a social audience of over 3 million. To watch the Mobilize Women ...
(Date:10/13/2017)... ... 2017 , ... Talented host, actor Rob Lowe, is introducing ... new episode of "Success Files," which is an award-winning educational program broadcasted on ... subject in-depth with passion and integrity. , Sciatica occurs when the sciatic nerve ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Oct. 2, 2017 Diplomat Pharmacy, Inc. (NYSE: ... Software and Consulting, LLC , and named its founder ... based in Tennessee , will operate ... expands EnvoyHealth,s service offerings for health care partners to ... "In an interoperable world, technology ...
(Date:10/2/2017)... , Oct. 2, 2017  AllianceRx Walgreens Prime, ... formed by Walgreens and pharmacy benefit manager Prime Therapeutics ... new brand, which included the unveiling of new signage ... , as well as at a few other company-owned ... new brand to patients, some of whom will begin ...
(Date:10/2/2017)... , Oct. 2, 2017 The Rebound mobile ... the struggle to reverse the tide of prescription drug addiction. ... regulating their medicine intake and stepping down their dosage in ... to launch in December 2017; the first 100,000 people to ... more at http://www.rebound-solution.com/ ...
Breaking Medicine Technology: