Evidence map›Paper›PMID 30484101›Full record

Observational studyJournal of general internal medicine2019

Rates and Impact of Adherence to Recommended Care for Unhealthy Alcohol Use.

Kimberly A Hepner, Susan M Paddock, Katherine E Watkins, Katherine J Hoggatt, Lisa V Rubenstein, Andy Bogart, Praise O Iyiewuare, Susan C Rosenbluth, Harold Alan Pincus

Open access · bronzeAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Parallel process modeling of posttraumatic stress disorder symptoms and alcohol use severity in returning veterans.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
    Article
  7. Article
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

9 authors at 2 institutions in 1 country.

Kimberly A HepnerRAND Corporation, Santa Monica, CA, USA. hepner@rand.org.
Susan M PaddockRAND Corporation, Santa Monica, CA, USA.
Katherine E WatkinsRAND Corporation, Santa Monica, CA, USA.
Katherine J HoggattVA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Lisa V RubensteinRAND Corporation, Santa Monica, CA, USA.
Andy BogartRAND Corporation, Santa Monica, CA, USA.
Praise O IyiewuareRAND Corporation, Santa Monica, CA, USA.
Susan C RosenbluthVA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Harold Alan PincusRAND Corporation, Santa Monica, CA, USA.
RAND Corporation · USVA Greater Los Angeles Healthcare System · US

Funding

Validating Quality Measures for the Treatment of Alcohol Use DisordersR01AA019440 · NIAAA · RAND CORPORATION · PI HEPNER, KIMBERLY A · 2010 to 2013
$2.6M
NIAAA NIH HHS R01 AA019440
6 · The paper itself

Abstract

backgroundUnhealthy alcohol use is a major worldwide health problem. Yet few studies have assessed provider adherence to the alcohol-related care recommended in clinical practice guidelines, nor links between adherence to recommended care and outcomes.

objectivesTo describe quality of care for unhealthy alcohol use and its impacts on drinking behavior RESEARCH

designProspective observational cohort study of quality of alcohol care for the population of patients screening positive for unhealthy alcohol use in a large Veterans Affairs health system.

participantsA total of 719 patients who screened positive for unhealthy alcohol use at one of 11 primary care practices and who completed baseline and 6-month telephone interviews. MAIN MEASURES: Using administrative encounter and medical record data, we assessed three composite and 21 individual process-based measures of care delivered across primary and specialty care settings. We assessed self-reported daily alcohol use using telephone interviews at baseline and 6-month follow-up. KEY

resultsThe median proportion of patients who received recommended care across measures was 32.8% (range < 1% for initiating pharmacotherapy to 93% for depression screening). There was negligible change in drinking for the study population between baseline and 6 months. In covariate-adjusted analyses, no composites were significantly associated with changes in heavy drinking days or drinks per week, and just one of nine individual measures tested was significantly associated. In a subsample of patients drinking above recommended weekly limits prior to screening, two of nine individual measures were significantly associated.

conclusionsThis study shows wide variability in receipt of recommended care for unhealthy alcohol use. Receipt of recommended interventions for reducing drinking was frequently not associated with decreased drinking. Results suggest deficits in provision of comprehensive alcohol care and in understanding how to improve population-based drinking outcomes.

Indexed as

Patient ComplianceVeteransAdultAgedAlcohol DrinkingAlcoholismCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesVeterans Health Servicesalcoholism and addictive behaviorprimary carequality assessmentsubstance abuseveterans

Identifiers

PMID30484101
PMCPMC6374244
OpenAlexW2903417180

What OpenQuestion holds

Textmetadata
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.