{"id":3594,"date":"2017-01-01T13:10:30","date_gmt":"2017-01-01T18:10:30","guid":{"rendered":"https:\/\/www.bu.edu\/aodhealth\/?p=3594"},"modified":"2017-03-01T14:39:13","modified_gmt":"2017-03-01T19:39:13","slug":"does-alcohol-screening-score-predict-alcohol-related-health-outcomes","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2017\/01\/01\/does-alcohol-screening-score-predict-alcohol-related-health-outcomes\/","title":{"rendered":"Does Alcohol Screening Score Predict Alcohol-Related Health Outcomes?"},"content":{"rendered":"<p>A validated surrogate marker that predicts alcohol-related health outcomes would be useful for patient monitoring, research, and program evaluation. The 3-question Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) is increasingly available in electronic health records. This retrospective cohort study analyzed data from 486,115 outpatients at 24 Veterans Affairs health care systems from 2004\u20132007 to determine the AUDIT-C\u2019s predictive validity for high-density lipoprotein (HDL, an alcohol biomarker) and 2 alcohol-related health outcomes: gastrointestinal (GI) hospitalizations and physical trauma (any fractures or hospital discharge diagnosis of trauma) over the subsequent year.<\/p>\n<ul>\n<li>A baseline AUDIT-C score of 0 was associated with a subsequent mean HDL of 41.4 mg\/l and a score of 12 with an HDL of 53.5 mg\/l in the follow-up year.<\/li>\n<li>The probability of GI hospitalization increased from 0.49% for a baseline AUDIT-C score of 0, to 1.8% for a score of 12. Similarly, the probability of physical trauma increased from 3% for an AUDIT-C score of 0, to 6% for a score of 12.<\/li>\n<li>Compared with stable patients, those whose AUDIT-C score increased over time experienced increased HDL, and vice-versa. Probabilities of GI hospitalization and trauma increased with increases in AUDIT-C.<\/li>\n<\/ul>\n<h2>Comments:<\/h2>\n<p>Although this descriptive study suggests that changes in AUDIT-C correlate with changes in some alcohol-related health outcomes, measures of association, explanatory power and predictive ability are not presented. AUDIT-C might be a useful surrogate outcome for research and evaluation, but the prognostic importance of AUDIT-C, beyond its role as an indicator of alcohol consumption, remains difficult to infer for individual patients.<\/p>\n<p><em>Peter D. Friedmann, MD, MPH<\/em><\/p>\n<h2>Reference:<\/h2>\n<p>Bradley KA, Rubinsky AD, Lapham GT, et al. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Predictive+validity+of+clinical+AUDIT-C+alcohol+screening+scores+and+changes+in+scores+for+three+objective+alcohol-related+outcomes+in+a+Veterans+Affairs+population\">Predictive validity of clinical AUDIT-C alcohol screening scores and changes in scores for three objective alcohol-related outcomes in a Veterans Affairs population<\/a>. <em>Addiction<\/em>. 2016;111:1975\u20131984.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A validated surrogate marker that predicts alcohol-related health outcomes would be useful for patient monitoring, research, and program evaluation. The 3-question Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) is increasingly available in electronic health records. This retrospective cohort study analyzed data from 486,115 outpatients at 24 Veterans Affairs health care systems from 2004\u20132007 to determine the [&hellip;]<\/p>\n","protected":false},"author":4441,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[107],"tags":[77],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/3594"}],"collection":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/users\/4441"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/comments?post=3594"}],"version-history":[{"count":2,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/3594\/revisions"}],"predecessor-version":[{"id":3655,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/3594\/revisions\/3655"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=3594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=3594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=3594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}