Systematic Review of Guidelines on Managing Patients with Harmful Use of Alcohol in Primary Healthcare Settings
To appraise existing alcohol guidelines for identifying and managing harmful alcohol use in primary healthcare settings. Seven databases and 18 health organization or medical society websites were systematically searched from inception to 31 October 2016. Guidelines in English language, developed by...
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Published in | Alcohol and alcoholism (Oxford) Vol. 52; no. 5; pp. 595 - 609 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.09.2017
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Subjects | |
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Abstract | To appraise existing alcohol guidelines for identifying and managing harmful alcohol use in primary healthcare settings.
Seven databases and 18 health organization or medical society websites were systematically searched from inception to 31 October 2016. Guidelines in English language, developed by a national or international medical specialty society, government or health organization, and containing recommendations for identifying and managing harmful use of alcohol in primary healthcare settings, were included. The Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument was used to appraise the guidelines.
Of the 970 literature identified, 17 were included for review, with 13 guidelines developed for use in Western countries and 4 for international use. The AGREE II scores ranged from 2.0 to 5.3, out of 7. Variations in terminology of harmful alcohol use were seen, with 'harmful drinking' and 'problem drinking' being mostly used. All guidelines were in favor of screening and brief interventions due to their effectiveness and cost-effectiveness. Potential benefits and costs of applying screening and brief interventions were found, but there was a lack of evidence for long-term effects or specific populations.
All 17 guidelines recommended screening and brief interventions due to its associated health and financial benefits. Policy makers are highly encouraged to integrate these practices into primary healthcare settings taking the drinking status, culture and resources into account.
Screening and brief interventions were recommended by all 17 guidelines on managing patients with harmful use of alcohol in primary healthcare settings. Policy makers and healthcare practitioners are highly encouraged to implement these recommendations. |
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AbstractList | To appraise existing alcohol guidelines for identifying and managing harmful alcohol use in primary healthcare settings.
Seven databases and 18 health organization or medical society websites were systematically searched from inception to 31 October 2016. Guidelines in English language, developed by a national or international medical specialty society, government or health organization, and containing recommendations for identifying and managing harmful use of alcohol in primary healthcare settings, were included. The Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument was used to appraise the guidelines.
Of the 970 literature identified, 17 were included for review, with 13 guidelines developed for use in Western countries and 4 for international use. The AGREE II scores ranged from 2.0 to 5.3, out of 7. Variations in terminology of harmful alcohol use were seen, with 'harmful drinking' and 'problem drinking' being mostly used. All guidelines were in favor of screening and brief interventions due to their effectiveness and cost-effectiveness. Potential benefits and costs of applying screening and brief interventions were found, but there was a lack of evidence for long-term effects or specific populations.
All 17 guidelines recommended screening and brief interventions due to its associated health and financial benefits. Policy makers are highly encouraged to integrate these practices into primary healthcare settings taking the drinking status, culture and resources into account.
Screening and brief interventions were recommended by all 17 guidelines on managing patients with harmful use of alcohol in primary healthcare settings. Policy makers and healthcare practitioners are highly encouraged to implement these recommendations. |
Author | Li, Shannon Tsz-Shan Lee, Queenie Kwan-Yee Zhang, De-Xing Liang, Miaoyin Chan, Koey Hoi-Shuen Chung, Roger Yat-Nork Yip, Benjamin Hon-Kei Wong, Alvin Ho-Cheuk Fang, Yuan Wong, Martin Chi-Sang Kim, Jean Hee |
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Cites_doi | 10.2105/AJPH.2013.301214 10.7326/0003-4819-157-9-201211060-00544 10.1093/alcalc/agt170 10.3399/bjgp11X613287 10.1176/appi.books.9780890425596 10.1111/acer.12422 10.1093/alcalc/agw054 10.1016/S1701-2163(16)34633-3 10.1080/14659890410001665096 10.1176/appi.books.9780890423349 10.1111/j.1360-0443.2011.03601.x 10.1177/0020764014562051 10.1016/S2215-0366(14)00023-6 |
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Seven databases and 18 health... |
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Title | Systematic Review of Guidelines on Managing Patients with Harmful Use of Alcohol in Primary Healthcare Settings |
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