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STREAM: Elucidating How Alcohol Use Disorders are Managed in UK General Practice Today
Florence Coste1, Nora Rahhali2, Paul Wallace3
1Global Epidemiology, Lundbeck A/S, Issy-les-Moulineaux, France.
Aims:
To characterize a contemporaneous cohort of UK general practice patients with alcohol use disorder and describe their management.
Methods:
Prospective observational study in 25 primary care practices in England and Scotland. Adult patients with known or suspected alcohol dependence (Alcohol Use Disorders Identification Test score ≥8) were followed for 6 months and were profiled using baseline data. Changes over time in treatment for alcohol dependence (strategy, goals, modality) and the level of compliance were examined.
Results:
Targeted case identification was a feasible means of identifying patients with DSM-IV confirmed alcohol dependence in general practice. In the cohort (n = 218), mean total alcohol consumption was high (men: 86.9 g/day; women: 62.7 g/day) and psychiatric co-morbidities were common (depression: 25.8% of patients; anxiety disorders: 25.8% of patients). At baseline, about half of patients reported ongoing or planned treatment for alcohol dependence. Over 6 months' observation, treatment modalities did not change and most patients retained their original stated treatment goal of abstinence or reduced alcohol intake.
Conclusions:
Targeted case identification in general practice identifies patients with alcohol use disorder in need of treatment.
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