Navigation Links
New Guidelines Say Doctors Should Screen All Adults for 'Risky' Drinking
Date:5/14/2013

By Amy Norton
HealthDay Reporter

MONDAY, May 13 (HealthDay News) -- Primary care doctors should screen all adults for drinking problems, and offer them counseling if needed, new guidelines from the U.S. Preventive Services Task Force suggest.

Based on years of research, there is enough evidence that a quick screen at the doctor's office can spot "risky" drinking, according to the task force, an independent panel of medical experts that makes recommendations on screening and other preventive health services.

The new guidelines, published online May 14 in the Annals of Internal Medicine, are the panel's "final" recommendations on screening for problem drinking. The last recommendations came out in 2004.

Since then, more research has been conducted, explained task force member Dr. Michael LeFevre, a professor of family and community medicine at the University of Missouri School of Medicine in Columbia.

In particular, LeFevre said, there's evidence that doctors can catch risky drinking by asking just one question: How many times in the past year have you had five or more drinks in a day (if you're a man), or four or more drinks (if you're a woman or older than 65)?

If a patient acknowledges drinking that much, the doctor can ask more questions to see how deep the problem goes.

An alcohol abuse expert not involved in the recommendations said the advice to screen all adults is "right on."

"It's very well-supported by the literature," said Dr. Marc Schuckit, a professor of psychiatry at the University of California, San Diego, and editor of the Journal of Studies on Alcohol and Drugs.

The updated recommendations also clarify what doctors should be looking for: the full range of what the task force calls alcohol "misuse."

That ranges from "risky" drinking, where people down more alcohol than they should, to the more severe problems of alcohol abuse and alcohol dependence. Dependence involves a physical addiction to alcohol, while alcohol abuse means that drinking causes problems in people's personal and work lives.

LeFevre said there's good evidence that brief counseling from a primary care doctor -- even a single session of five to 15 minutes -- can be enough to get people to cut down on their drinking.

"Brief interventions are effective for people who are at the risky-drinking stage," LeFevre said. However, people with more serious drinking problems will likely need more help, or referral to a specialist program, he added.

Alcohol misuse is a common problem, Schuckit said. An estimated 21 percent of U.S. adults admit to risky drinking, while about 4 percent are thought to have full-blown alcohol dependence, according to the task force. Problem drinking is also blamed for more than 85,000 deaths each year in the United States, which makes it the third-leading cause of preventable deaths behind smoking and obesity.

"In my opinion, all clinicians should be screening for alcohol problems and offering brief interventions," Schuckit said.

He and LeFevre said any primary care doctor can learn brief counseling techniques. These might include helping patients find healthy ways to reduce stress or set goals for curbing their drinking.

When it comes to teenagers, though, the task force said there is not enough evidence to recommend routine screening.

"We don't know enough," LeFevre said. "We can't assume that what we've found to work for adults also works for kids." There's no agreement, for example, on whether there's a "safe" level of drinking for a teenager, he said. So would doctors have to intervene with all teens who admitted to any amount of drinking?

"We are not saying that adolescent drinking is an issue doctors should ignore. It is a problem," LeFevre said. "This is really a call to the research community that we need more evidence [on screening teenagers]."

The American Academy of Pediatrics disagrees, however. It recommends that doctors ask all adolescent patients about their drinking habits.

More information

Learn more about problem drinking from the U.S. National Institute on Alcohol Abuse and Alcoholism.

SOURCES: Michael LeFevre, M.D., professor, family and community medicine, University of Missouri School of Medicine, Columbia; Marc Schuckit, M.D., professor, psychiatry, University of California, San Diego; May 14, 2013 Annals of Internal Medicine, online


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

Related medicine news :

1. Fresh Healthy Vending Supports Washington State New Guidelines for Healthier Vending
2. New, essential Guidelines for decision-making on treatment and end-of-life care
3. New Canadian guidelines for treating fibromyalgia
4. Pediatricians Endorse New Acne Treatment Guidelines
5. Most Docs Dont Follow ADHD Treatment Guidelines for Preschoolers: Study
6. Urologists Group Issues Updated Guidelines on PSA Test
7. 90% of Pediatric Specialists Not Following Clinical Guidelines When Treating Preschoolers with ADHD
8. 90 percent of pediatric specialists not following clinical guidelines when treating preschoolers with ADHD
9. CPR hands-only guidelines may not be best for rural areas
10. ATS publishes clinical practice guidelines on exercise-induced bronchoconstriction
11. New Guidelines Suggest HIV Screening for All Adults
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
New Guidelines Say Doctors Should Screen All Adults for 'Risky' Drinking
(Date:10/13/2017)... ... 13, 2017 , ... As health professionals work to improve their approach to ... is doing more than filling out a survey; in many cases health professionals and ... in health care and research on the importance of active engagement with patients and ...
(Date:10/13/2017)... ... October 13, 2017 , ... The American Board of Family ... next President and Chief Executive Officer, succeeding Dr. James C. Puffer upon his retirement. ... 1, 2018 until Dr. Puffer’s retirement at the end of 2018. Upon assuming the ...
(Date:10/13/2017)... ... October 13, 2017 , ... PurhealthRX , a leading Health ... technology. Applying the Purzorb™process to full spectrum CBD oil will revolutionize the rapidly growing ... form that can be easily incorporated into liquid products, while reducing costs to end ...
(Date:10/13/2017)... QUEENS, N.Y (PRWEB) , ... October 13, 2017 , ... ... recently became a member of ElderCounsel, a national organization of elder law and special ... constantly changing laws and rules. It also provides a forum to network with elder ...
(Date:10/13/2017)... OBISPO, Calif. (PRWEB) , ... October 13, 2017 , ... ... or dementia. However, many long-term care insurance companies have a waiver for care if ... the 90-day elimination period, when the family pays for care, is often waived, so ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2, 2017  Eli Lilly and Company (NYSE: ... the third quarter of 2017 on Tuesday, October 24, ... that day with the investment community and media to ... conference call will begin at 9 a.m. Eastern time. ... live webcast of the conference call through a link ...
(Date:9/28/2017)... 28, 2017 Cohen Veterans Bioscience and Early ... of wearable and home sensors for real-time monitoring of ... Foundation, a nonprofit organization focused on disruptive health solutions ... affordable analytical system to record and integrate behavioral, cognitive, ... ...
(Date:9/23/2017)... Janssen Biotech, Inc. (Janssen) announced today that ... U.S. Food and Drug Administration (FDA) for the Biologics ... treatment of moderately to severely active rheumatoid arthritis (RA). ... needed to further evaluate the safety of sirukumab in ... "We are disappointed ...
Breaking Medicine Technology: