ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2026
Bridging the Gap: Implementation and Uptake of AUDIT-C Alcohol Screening for Inpatient Surgery.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To evaluate the feasibility of Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) screening among surgical inpatients following hospital-wide implementation of a quality improvement initiative. Background: Risky alcohol use increases postoperative complications, yet alcohol screening for surgery remains inconsistently applied. As a brief, validated screening tool, the AUDIT-C may improve risk assessment and guide timely intervention, but its adoption in surgical settings is understudied. Methods: We retrospectively analyzed electronic health record data from inpatient surgical admissions between April 2021 and September 2023. The primary outcome was completion of a valid AUDIT-C score during admission. Scores were categorized as no use (0), low-risk (1-4), moderate-risk (5-8), and high-risk (9-12). Multivariable logistic regression assessed independent associations with AUDIT-C screening completion. Results: Among 30,714 encounters, 9540 (31.1%) had a completed AUDIT-C score. Screening completion varied by surgical service (15.2%-52.4%) and was higher in emergent (51.7%) and urgent (48.4%) cases than elective (29.1%) cases. The 3 most frequently performed procedures screened 53.8% (cesarean), 42.8% (free flap), and 11.6% (aortic valve) of patients. In multivariable models, emergent case status [marginal effect (ME): 0.14], urgent case status (ME: 0.09), and Medicare insurance (ME: 0.03) were independently associated with higher odds of screening completion. Among those screened, 6.5% were classified as moderate- or high-risk. Conclusions: Perioperative alcohol screening using AUDIT-C is feasible but inconsistently implemented. System-wide integration could support identification of at-risk patients and improve perioperative outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.