Evidence map›Paper›PMID 32226573›Full record

ArticleCanadian geriatrics journal : CGJ2020

Canadian Guidelines on Alcohol Use Disorder Among Older Adults.

Peter R Butt, Marilyn White-Campbell, Sarah Canham, Ann Dowsett Johnston, Eunice O Indome, Bonnie Purcell, Jennifer Tung, Lisa Van Bussel

Open access · diamondAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  10. Unhealthy alcohol use in a 65-year-old man awaiting surgery.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  11. Evaluating and treating alcohol use in older adult patients.Canadian family physician Medecin de famille canadien
    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

8 authors at 7 institutions in 2 countries.

Peter R ButtDepartment of Family Medicine, University of Saskatchewan, Saskatoon, SK.
Marilyn White-CampbellBaycrest Health Sciences, North York, ON.
Sarah CanhamCollege of Social Work, University of Utah, Salt Lake City, UT, USA.
Ann Dowsett JohnstonDepartment of Family Medicine, University of Saskatchewan, Saskatoon, SK.
Eunice O IndomeSchool of Public Health and Health Systems, University of Waterloo, Waterloo, ON.
Bonnie PurcellLondon Health Sciences Centre, London, On.
Jennifer TungGrand River Hospital, Kitchener, ON.
Lisa Van BusselDepartment of Psychology, Western University, London, ON.
Western University · CABaycrest Hospital · CAGrand River Hospital · CASaskatchewan Health Authority · CAUniversity of Utah · USUniversity of Waterloo · CAWestern University of Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcohol use disorder (AUD) is an increasingly common, under-recognized, and under-treated health concern in older adults. Its prevalence is expected to reach unprecedented levels as the Canadian population ages. In response, Health Canada commissioned the Canadian Coalition of Seniors' Mental Health to create guidelines for the prevention, screening, assessment, and treatment of AUD in older adults.

methodsA systematic review of English language literature from 2008-2018 regarding AUD in adults was conducted. Previously published guidelines were evaluated using AGREE II, and key guidelines updated using ADAPTE method by drawing on current literature. Recommendations were created and assessed using the GRADE method.

resultsTwenty-two recommendations were created. Prevention recommendations: Best advice for older adults who choose to drink is to limit intake to well below the national Low-Risk Alcohol Drinking Guidelines. Screening recommendations: Alcohol consumption should be reviewed and discussed on an annual basis by primary care providers. This type of discussion needs to be normalized and approached in a simple, neutral, straight-forward manner. Assessment recommendations: Positive screens for AUD should be followed by a comprehensive assessment. Once more details are obtained an individualized treatment plan can be recommended, negotiated, and implemented. Treatment recommendations: AUD falls on a spectrum of mild, moderate, and severe. It can also be complicated by concurrent mental health, physical, or social issues, especially in older adults. Naltrexone and Acamprosate pharmacotherapies can be used for the treatment of AUD in older adults, as individually indicated. Psychosocial treatment and support should be offered as part of a comprehensive treatment plan.

conclusionThese guidelines provide practical and timely clinical recommendations on the prevention, assessment, and treatment of AUD in older adults within the Canadian context.

Indexed as

alcoholalcohol dependencealcohol use disordergeriatricguidelineolder adultsubstance abusesubstance use disordersystematic review

Identifiers

PMID32226573
PMCPMC7067152
OpenAlexW3150421042

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.