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:5/3/2016)... ... May 03, 2016 , ... ... industry, announced today that Legacy Health is expanding its use of Intrigma’s cloud-based ... a highly successful initial proof of concept. The Portland, Oregon based health system ...
(Date:5/3/2016)... ... 03, 2016 , ... AvePoint, the Microsoft Cloud ... 6 Service Pack (SP) 7, the enterprise-class infrastructure management platform for SharePoint. ... of the platform’s latest features – whether in an on-premises, cloud, or hybrid ...
(Date:5/3/2016)... MD (PRWEB) , ... May 03, 2016 , ... ... line of reusable bags to replace billions of single-use, throw away plastic baggies. The ... devastating our oceans and sea life. , “The LunchSkins mission is all ...
(Date:5/2/2016)... FL (PRWEB) , ... May 03, 2016 , ... ... version of its FDA approved sSOIP telemedicine stethoscope software that enables the stethoscope ... version is called PCP-SSP and works with RNK’s flagship PCP-USB stethoscope. , Remote ...
(Date:5/2/2016)... ... May 02, 2016 , ... As directed by its ... Pennsylvania (HAP) issues its full support to allow certified nurse practitioners (CNP) to practice ... they have worked under such supervision for three years and 3,600 hours. , In ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... -- Pharmaceutical giant Johnson & Johnson has ... who says its talc-based powder products caused ovarian cancer. ... $5 million in compensatory damages and $50 million in ... ) , This is the second in ... the same court awarded $72 million to the family ...
(Date:5/3/2016)... Intec Pharma Ltd. (NASDAQ: ... today announced the appointment of Pnina Strauss-Levy ... "Ms. Strauss-Levy has 15 years of experience in clinical ... track record, having supported the advancement of several products ... the United States and ...
(Date:5/3/2016)... 2016 Norgine B.V. ... einen entscheidenden Meilenstein durch diese Veröffentlichung zur  ... Handeln, um Patientenresultate  bei Verdauungs- und Lebererkrankungen ... im Verständnis der Hepatischen Enzephalopathie bei und ... Hepatische Enzephalopathie in der Öffentlichkeit zu schaffen ...
Breaking Medicine Technology: