Evidence map›Paper›PMID 42683224›Full record

ArticleJournal of orthopaedic reports2026

Screening older adults for alcohol use in orthopaedic care: Healthcare team perspectives, current practices, and barriers.

Ashley C Helle, Bryce Rizvanović, Kylee Rucinski, Samantha M Portis

Abstract read
In one paragraph

Article in Journal of orthopaedic reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Incidence of Alcohol Use Disorder and Management in Orthopaedic Patients: A Retrospective Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    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

4 authors.

Ashley C HelleDepartment of Psychological Sciences, University of Missouri, Columbia, MO, USA.ORCID 0000-0002-9115-777X
Bryce RizvanovićDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.ORCID 0000-0002-6878-8899
Kylee RucinskiDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.ORCID 0000-0002-8627-1500
Samantha M PortisDepartment of Psychological Sciences, University of Missouri, Columbia, MO, USA.

Funding

The College Alcohol Intervention Matrix (College AIM): Adoption and Implementation Across College CampusesK08AA028543 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI HELLE, ASHLEY COLLEEN · 2021 to 2025
$805k
NIAAA NIH HHS K08 AA028543
6 · The paper itself

Abstract

Background: Alcohol use disorder (AUD) is rising among older adults at a concerning rate and is considered an emerging public health problem. Despite this, validated screening is infrequently implemented in orthopaedic settings despite evidence that alcohol use negatively affects fracture risk and postoperative outcomes. Limited knowledge, training, and workflow integration may contribute to inconsistent practices. The purpose of this study is to evaluate orthopaedic healthcare professionals' perceptions of older adult alcohol use, current screening behaviors, familiarity with validated tools, and barriers and supports relevant to implementing evidence-based screening practices. Methods: Seventy-five medical professionals from a university-based orthopaedic clinic completed questionnaires during clinical staff meetings. Measures included perceptions of older adult drinking, attitudes toward screening, current screening practices, familiarity with validated instruments, and implementation outcomes. Open-ended items assessed barriers and needed support. Descriptive statistics summarized quantitative responses, and ANOVAs examined group differences. Two independent coders conducted thematic analysis of qualitative data. Results: Most participants agreed that alcohol affects orthopaedic outcomes and endorsed screening older adults, but fewer than 5% reported using validated tools. Physicians reported higher screening rates than clinical or administrative staff, though overall familiarity with screeners, including older-adult-specific measures, was low. Barriers included limited time, workflow constraints, training gaps, uncertainty regarding tool selection, and variable perceptions of role relevance. Participants identified needs for standardized workflows, education, and clear referral pathways. Conclusions: Despite broad support for alcohol screening, validated tools are rarely used in orthopaedic practice. Addressing workflow integration, training deficits, and tool familiarity may enhance implementation, improve detection of risky alcohol use, and support better outcomes for older adult orthopaedic patients.

Indexed as

Alcohol screeningOlder adult alcohol useOrthopaedic care

Identifiers

PMID42683224
PMCPMC13533407

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.