Alcoholic liver disease screening
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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Overview
Screening
- Patient should be asked about daily or weekly alcohol consumption.[1]
- Patient should be asked about the CAGE questions (Sensitivity ≥ 70% and Specificity > 90%):[1]
- Have you ever felt the need to cut down on your drinking?
- Are you easily annoyed by criticism of your drinking?
- Have you ever felt guilty about you drinking?
- Have you ever needed an eye opener?
- Two positive CAGE answers indicate dependence on alcohol.
- Alcohol use disorders identification test (AUDIT-C) should also be implemented to detect alcohol abuse:[2]
- Men should score ≥ four points (Sensitivity = 86% and Specificity = 89%).
- Women should score ≥ three points (Sensitivity = 73% and Specificity = 91%).
References
- ↑ 1.0 1.1 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.