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Community detoxification for alcohol dependence: A systematic review
Abhijit Nadkarni1,2, Paige Endsley3, Urvita Bhatia1,2
1Sangath, Goa, India.
Community detoxification for alcohol dependence is safe, effective, and cheaper than facility-based care. This approach increases access to treatment for many patients, though more research is needed.
Area of Science:
- Addiction Medicine
- Public Health
Background:
- Specialist services for alcohol dependence are resource-intensive and difficult to access.
- Community detoxification offers a potential alternative with advantages in accessibility and cost.
Purpose of the Study:
- To systematically review the literature on community detoxification for alcohol dependence.
- To examine its effectiveness, safety, acceptability, and feasibility.
Main Methods:
- Systematic review guided by the PRISMA statement.
- Searched multiple databases including Cochrane, Medline, EMBASE, PsycINFO, Global Health, and CINAHL.
- Qualitative synthesis of data from 20 eligible studies due to heterogeneity.
Main Results:
- Community detoxification demonstrated high completion rates and was reported as safe.
- Patients in community settings showed better drinking outcomes compared to facility-based detoxification.
- Community detoxification was more cost-effective and generally well-accepted by stakeholders.
Conclusions:
- Community detoxification is a viable option to improve access to care for specific patient groups.
- Further randomized controlled trials are needed to compare the cost-effectiveness of community versus inpatient detoxification.
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