Evidence map›Paper›PMID 26610535›Full record

ArticleInternational journal of environmental research and public health2015

Harm Reduction as "Continuum Care" in Alcohol Abuse Disorder.

Icro Maremmani, Mauro Cibin, Pier Paolo Pani, Alessandro Rossi, Giuseppe Turchetti

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

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  5. 'But … Would I Be Able to Toast With Friends?' When Service Users Ask for New Care Pathways.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

5 authors at 4 institutions in 2 countries.

Icro MaremmaniVincent P. Dole Dual Disorders Unit, Department of Neurosciences, Santa Chiara University Hospital, University of Pisa, Pisa 56126, Italy. icro.maremmani@med.unipi.it.
Mauro CibinMental Health and Addictive Behaviors Department, Local Health Authority, Venice 30010, Italy. m.cibin@libero.it.
Pier Paolo PaniSocial and Health Services, Health District 8 (Local Health Authority), Cagliari 09121, Italy. pallolo@tin.it.
Alessandro RossiItalian Society of General Practitioners, Firenze 50142, Italy. rossi.alessandro@simg.it.
Giuseppe TurchettiInstitute of Management, ©Scuola Superiore Sant'Anna, Pisa 56126, Italy. giuseppe.turchetti@sssup.it.
Azienda Sanitaria Locale Roma 3 · ITRegional Health · USScuola Superiore Sant'Anna · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol abuse is one of the most important risk factors for health and is a major cause of death and morbidity. Despite this, only about one-tenth of individuals with alcohol abuse disorders receive therapeutic intervention and specific rehabilitation. Among the various dichotomies that limit an effective approach to the problem of alcohol use disorder treatment, one of the most prominent is integrated treatment versus harm reduction. For years, these two divergent strategies have been considered to be opposite poles of different philosophies of intervention. One is bound to the search for methods that aim to lead the subject to complete abstinence; the other prioritizes a progressive decline in substance use, with maximum reduction in the damage that is correlated with curtailing that use. Reduction of alcohol intake does not require any particular setting, but does require close collaboration between the general practitioner, specialized services for addiction, alcohology services and psychiatry. In patients who reach that target, significant savings in terms of health and social costs can be achieved. Harm reduction is a desirable target, even from an economic point of view. At the present state of neuroscientific knowledge, it is possible to go one step further in the logic that led to the integration of psychosocial and pharmacological approaches, by attempting to remove the shadows of social judgment that, at present, are aiming for a course of treatment that is directed towards absolute abstention.

Indexed as

Continuity of Patient CareHarm ReductionPrimary Health CareAlcohol DrinkingAlcoholismAlcohol-Related DisordersBehavior, AddictiveBehavior TherapyHumansMotivationPsychiatryRisk FactorsSubstance-Related Disordersalcohol dependencealcoholismanti-craving medicationscompliance with treatmentcomprehensive treatmentdetoxificationeconomic costsharm reduction strategyopioid receptorspublic healthreduction in alcohol consumptionstigma

Identifiers

PMID26610535
PMCPMC4661682
OpenAlexW2180211318

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.