ArticleDrug and alcohol dependence2019
Utility of routine alcohol screening for monitoring changes in alcohol consumption.
Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The association between changes in AUDIT-C scores and acute mental healthcare utilization over the next year in a primary care population.Alcohol, clinical & experimental research · 2025Article
- Association between change in alcohol use reported during routine healthcare screening and change in subsequent hospitalization: A retrospective cohort study.Addiction (Abingdon, England) · 2025Article
- Associations between clinical AUDIT-C screens and HDL cholesterol are observed across primary care patient subgroups.Alcohol, clinical & experimental research · 2025Article
- High-density lipoprotein (HDL) as an indicator for alcohol use in a psychiatrically ill population.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Observational
- USING MACHINE LEARNING METHODS TO ASSESS THE RISK OF ALCOHOL MISUSE IN OLDER ADULTS.Research square · 2023Article
- Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People.JMIR human factors · 2023Article
- Changes in alcohol consumption reported on routine healthcare screenings are associated with changes in depression symptoms.Alcohol, clinical & experimental research · 2023Article
- Change in Alcohol Use Based on Self-Report and a Quantitative Biomarker, Phosphatidylethanol, in People With HIV.AIDS and behavior · 2022Article
- Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans.JAMA network open · 2020Article
- Cannabis use, other drug use, and risk of subsequent acute care in primary care patients.Drug and alcohol dependence · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundRoutine alcohol screening scores are increasingly available in electronic health records (EHRs). Changes in such scores could be useful for monitoring response to brief intervention or treatment of alcohol use disorder. However, it is unclear whether changes in clinically-documented AUDIT-C alcohol screening scores reflect true changes in drinking. This study evaluated associations between changes in EHR AUDIT-C scores and changes in high density lipoprotein cholesterol (HDL), a laboratory test that reflects average alcohol consumption.
methodsNational U.S. Veterans Affairs EHR data (2004-2007) were used to identify patients screened with the AUDIT-C (0-12 points), on two occasions at least a year apart, who had HDL measured in the year after each screen. First differencing linear regression estimated associations between changes in AUDIT-C score (-12 to 12 points; modeled categorically to allow for non-linear associations) and subsequent changes in HDL (mg/dL), adjusting for baseline HDL. Additional analyses evaluated whether associations between changes in AUDIT-C and changes in HDL were modified by baseline AUDIT-C.
resultsAmong 316,712 patients, increases-but not decreases-in AUDIT-C scores were associated with commensurate changes in HDL. However, a significant interaction was observed with baseline AUDIT-C score (p < 0.00001), which revealed that decreases in AUDIT-C scores were also associated with commensurate decreases in HDL (p-values<0.05) except among the 1.5% of patients with the highest baseline AUDIT-C scores (10-12).
conclusionsFindings suggest that changes in EHR AUDIT-C scores reflect changes in drinking. These results support the use of clinically-documented alcohol screening scores for monitoring patients' alcohol use over time.
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