Alcoholic liver disease primary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Alcoholic liver disease}} | {{Alcoholic liver disease}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MKA}} | ||
==Overview== | ==Overview== | ||
Effective measures for the [[primary prevention]] of alcoholic liver disease include [[Screening (medicine)|screening]] and [[counseling]] for [[Alcohol abuse|alcohol abuse disorder]]. Physicians must have a low threshold for screening as many patients would not be comfortable about discussing their [[alcohol dependence]]. | |||
==Primary Prevention== | ==Primary Prevention== | ||
Effective measures for the primary prevention of alcoholic liver disease include:<ref name="urlapps.who.int">{{cite web |url=http://apps.who.int/gb/archive/pdf_files/WHA60/A60_14-en.pdf |title=apps.who.int |format= |work= |accessdate=}}</ref><ref name="pmid19621845">{{cite journal |vauthors=Willenbring ML, Massey SH, Gardner MB |title=Helping patients who drink too much: an evidence-based guide for primary care clinicians |journal=Am Fam Physician |volume=80 |issue=1 |pages=44–50 |year=2009 |pmid=19621845 |doi= |url=}}</ref> | |||
*Patient should be asked about the '''[[CAGE questionnaire|CAGE]]''' questions ([[Sensitivity]] ≥ 70% and [[Specificity]] > 90%)<ref name="pmid19621845">{{cite journal |vauthors=Willenbring ML, Massey SH, Gardner MB |title=Helping patients who drink too much: an evidence-based guide for primary care clinicians |journal=Am Fam Physician |volume=80 |issue=1 |pages=44–50 |year=2009 |pmid=19621845 |doi= |url=}}</ref><ref name="pmid17451397">{{cite journal |vauthors=Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR |title=AUDIT-C as a brief screen for alcohol misuse in primary care |journal=Alcohol. Clin. Exp. Res. |volume=31 |issue=7 |pages=1208–17 |year=2007 |pmid=17451397 |doi=10.1111/j.1530-0277.2007.00403.x |url=}}</ref> | |||
*Counseling about [[Alcohol abuse|alcohol abuse disorder]] | |||
*Screening for [[alcohol abuse]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WS}} | |||
{{WH}} | |||
[[Category: | [[Category:Surgery]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Medicine]] | |||
Latest revision as of 20:20, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Effective measures for the primary prevention of alcoholic liver disease include screening and counseling for alcohol abuse disorder. Physicians must have a low threshold for screening as many patients would not be comfortable about discussing their alcohol dependence.
Primary Prevention
Effective measures for the primary prevention of alcoholic liver disease include:[1][2]
- Patient should be asked about the CAGE questions (Sensitivity ≥ 70% and Specificity > 90%)[2][3]
- Counseling about alcohol abuse disorder
- Screening for alcohol abuse
References
- ↑ "apps.who.int" (PDF).
- ↑ 2.0 2.1 Willenbring ML, Massey SH, Gardner MB (2009). "Helping patients who drink too much: an evidence-based guide for primary care clinicians". Am Fam Physician. 80 (1): 44–50. PMID 19621845.
- ↑ Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR (2007). "AUDIT-C as a brief screen for alcohol misuse in primary care". Alcohol. Clin. Exp. Res. 31 (7): 1208–17. doi:10.1111/j.1530-0277.2007.00403.x. PMID 17451397.