Evidence map›Paper›PMID 22134784›Full record

Trial reportDigestive diseases and sciences2012

An integrated alcohol abuse and medical treatment model for patients with hepatitis C.

Rae Jean Proeschold-Bell, Ashwin A Patkar, Susanna Naggie, Lesleyjill Coward, Paolo Mannelli, Jia Yao, Patricia Bixby, Andrew J Muir

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Digestive diseases and sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02176980 (Hepatitis C Alcohol Reduction Treatment - Randomized Controlled Trial), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02176980 nacompletednot on this mapstarted 2014, after this paper: background citation

Hepatitis C Alcohol Reduction Treatment - Randomized Controlled Trial (Hep ART-RCT)

TypeinterventionalSponsorDuke UniversityRan2014 to 2018Enrolled182ConditionsHepatitis C, Chronic, AUDArmsBrief alcohol counseling, Group and Individual Therapy Sessions
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Efficacy of Psychosocial Interventions in Inducing and Maintaining Alcohol Abstinence in Patients With Chronic Liver Disease: A Systematic Review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2016
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Diagnosis and Management of Alcohol Use Disorder in Patients with Liver Disease: Lights and Shadows.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  14. Article
  15. Article
  16. Review
  17. Development of a Measure of Hepatitis C-alcohol Knowledge.Journal of alcohol and drug education · 2014
    Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rae Jean Proeschold-BellDuke Global Health Institute, Center for Health Policy and Inequalities Research, Duke University, 2812 Erwin Rd., #403, Durham, NC 27705, USA. rae.jean@duke.edu
Ashwin A Patkar
Susanna Naggie
Lesleyjill Coward
Paolo Mannelli
Jia Yao
Patricia Bixby
Andrew J Muir

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Susanna Naggie, GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
RCT of an Integrated Treatment of Persons with Co-Occurring HCV and Alcohol AbuseR01AA021133 · NIAAA · DUKE UNIVERSITY · PI MUIR, ANDREW J., PROESCHOLD-BELL, RAE JEAN ELIZABETH · 2013 to 2017
$3.5M
Integrated Treatment of Persons with Co-Occurring HCV and Alcohol Use/AbuseR21AA017252 · NIAAA · DUKE UNIVERSITY · PI MUIR, ANDREW J. · 2008 to 2009
$410k
NIAAA NIH HHS 1R21AA017252-01A1NIAAA NIH HHS R01 AA021133NIAAA NIH HHS R21 AA017252NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

backgroundPatients with chronic hepatitis C virus (HCV) infection have high rates of alcohol consumption, which is associated with progression of fibrosis and lower response rates to HCV treatment.

aimsThis prospective cohort study examined the feasibility of a 24-week integrated alcohol and medical treatment to HCV-infected patients.

methodsPatients were recruited from a hepatology clinic if they had an Alcohol Use Disorders Identification Test score >4 for women and >8 for men, suggesting hazardous alcohol consumption. The integrated model included patients receiving medical care and alcohol treatment within the same clinic. Alcohol treatment consisted of 6 months of group and individual therapy from an addictions specialist and consultation from a study team psychiatrist as needed.

resultsSixty patients were initially enrolled, and 53 patients participated in treatment. The primary endpoint was the Addiction Severity Index (ASI) alcohol composite scores, which significantly decreased by 0.105 (41.7% reduction) between 0 and 3 months (P < 0.01) and by 0.128 (50.6% reduction) between 0 and 6 months (P < 0.01) after adjusting for covariates. Alcohol abstinence was reported by 40% of patients at 3 months and 44% at 6 months. Patients who did not become alcohol abstinent had reductions in their ASI alcohol composite scores from 0.298 at baseline to 0.219 (26.8% reduction) at 6 months (P = 0.08).

conclusionThis study demonstrated that an integrated model of alcohol treatment and medical care could be successfully implemented in a hepatology clinic with significant favorable impact on alcohol use and abstinence among patients with chronic HCV.

Indexed as

Patient Care TeamAdultAgedAlcoholismCounselingFemaleHepatitis C, ChronicHumansMaleMiddle AgedPsychotherapy, GroupTemperance

Identifiers

PMID22134784
PMCPMC3586548

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.