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Related Experiment Videos

Screening for drinking disorders in the elderly using the CAGE questionnaire.

D G Buchsbaum1, R G Buchanan, J Welsh

  • 1Division of General Medicine, Virginia Commonwealth University, Richmond.

Journal of the American Geriatrics Society
|July 1, 1992
PubMed
Summary

The CAGE questionnaire effectively identifies drinking problems in elderly outpatients. Its performance varies by chosen cut-off score, highlighting the need to consider population prevalence for accurate screening.

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Area of Science:

  • Geriatric Medicine
  • Addiction Psychiatry
  • Clinical Screening Tools

Background:

  • Alcohol use disorders are prevalent in elderly populations.
  • Early identification of drinking problems in older adults is crucial for timely intervention.
  • Validated screening tools are needed for effective clinical practice.

Purpose of the Study:

  • To evaluate the diagnostic performance of the CAGE questionnaire.
  • To assess the CAGE questionnaire's utility in identifying alcohol problems among elderly medical outpatients.
  • To determine optimal cut-off scores for this demographic.

Main Methods:

  • Cross-sectional study design.
  • Utilized the Diagnostic Interview Schedule's alcohol module as the criterion standard.

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  • Recruited 323 elderly (≥60 years) outpatients from an urban university hospital.

    • Main Results:

    • 33% of elderly patients screened positive for drinking problems (63% males, 22% females).
    • CAGE demonstrated good sensitivity (86%) and specificity (78%) at a cut-off of one.
    • Receiver Operating Characteristic (ROC) analysis yielded an area of 0.86, indicating strong discriminative ability.

    Conclusions:

    • The CAGE questionnaire is a valuable tool for discriminating drinking problems in elderly patients.
    • The effectiveness of CAGE screening is influenced by the prevalence of alcohol use disorders within the specific patient population.
    • Clinicians should consider population-specific prevalence rates when interpreting CAGE scores in older adults.