J Clin Outcomes Manage
Identification and management of alcohol use disorders in primary care
Gordon Aj, Saitz R
Alcohol use disorders (AUDs) constitute a range of problem alcohol drinking, from consumption of “at-risk” amounts to alcohol abuse and dependence. These disorders are common and contribute to significant preventable disability, disease, and mortality. National authorities, including the Institute of Medicine, suggest that primary care physicians identify and manage the range of AUDs. Almost three fourths of at-risk drinkers escape the detection of their primary care physician. The following case illustrates the current best evidence for the identification and management of AUDs in primary care practice. Once identified, primary care providers can address AUDs with brief counseling, pharmacologic therapy, referral specialty services, monitoring response, and assistance with relapse prevention.
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