Evidence map›Paper›PMID 36283843›Full record

Trial reportSurgery2022

Preoperative alcohol interventions for elective surgical patients: Results from a randomized pilot trial.

Anne C Fernandez, Lyndsay Chapman, Tom Y Ren, Catherine Baxley, Alexander K Hallway, Michael J Tang, Jennifer F Waljee, Peter D Friedmann, Michael Mello, Brian Borsari and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 20% 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, 10 citations in OpenAlex.

  1. Bridging the Gap: Implementation and Uptake of AUDIT-C Alcohol Screening for Inpatient Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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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

11 authors at 5 institutions in 2 countries.

Anne C FernandezDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI. Electronic address: acfernan@umich.edu.
Lyndsay ChapmanDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI.
Tom Y RenCentral Michigan University College of Medicine, Mt. Pleasant, MI.
Catherine BaxleySan Francisco Veterans Affairs Health Care System, San Francisco, CA; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA.
Alexander K HallwayDepartment of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Michael J TangUniversity of Michigan Medical School, Ann Arbor, MI.
Jennifer F WaljeeDepartment of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Peter D FriedmannOffice of Research and Department of Medicine, University of Massachusetts Chan Medical School, Baystate, Springfield, MA.
Michael MelloDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI; Department of Health Services, Practice and Policy, Brown University School of Public Health, Providence, RI.
Brian BorsariSan Francisco Veterans Affairs Health Care System, San Francisco, CA; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA.
Frederic BlowDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI; VA Center for Clinical Management Research, Ann Arbor, MI.
University of Michigan · USUniversity of California, San Francisco · USBaystate Medical Center · USBrown University · USCentral Michigan University · US

Funding

Integrating Alcohol Screening, Brief Intervention, and Referral to Treatment into Presurgical CareK23AA023869 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FERNANDEZ, ANNE CHRISTIE · 2016 to 2020
$857k
NIAAA NIH HHS K23 AA023869
6 · The paper itself

Abstract

backgroundHigh-risk alcohol use is a common surgical risk factor. Stopping or reducing alcohol use in the weeks before and after surgery could improve surgical health and outcomes. The purpose of this study was to evaluate the feasibility and acceptability of 2 interventions that address high-risk alcohol use in the context of surgery.

methodsParticipants included patients scheduled for elective surgeries at an academic health system in the Midwestern United States. Recruitment took place by phone and text. Participants were included if they were 18 to 75 years old, scheduled for elective surgeries, and scored ≥5 on the Alcohol Use Disorders Identification Test-Consumption Tool. Participants were randomized to either a low-intensity intervention, brief advice (10-minute phone-based psychoeducation plus feedback session), or a higher-intensity intervention, health coaching (two 45-minute sessions including education, feedback, motivational interviewing, and goal setting). Assessments took place at baseline and at 1-month and 4-month follow-ups. Alcohol biomarkers were collected the day of surgery.

resultsThe final study sample included (n = 51) participants randomized to brief advice and health coaching conditions. Participants in both conditions rated interventions as satisfactory and personally relevant. Trial retention was high (86.3%) at 4 months. Attrition was significantly higher in brief advice (n = 6) relative to health coaching (n = 1). Average weekly alcohol use decreased 50% to 60% between baseline and follow-ups in both conditions. Biomarkers corroborated self-report.

conclusionThe trial demonstrated intervention feasibility and acceptability. Alcohol use changed in expected directions. The next steps include a randomized controlled trial to test intervention efficacy in reducing alcohol use and surgical complications.

Indexed as

AlcoholismMotivational InterviewingAdolescentAdultAgedAlcohol DrinkingElective Surgical ProceduresHumansMiddle AgedPilot ProjectsYoung Adult

Identifiers

PMID36283843
PMCPMC10686250
OpenAlexW4307140358

What OpenQuestion holds

Textmetadata
LicenceTDM
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.