Abstract
The performances of 134 primary care physicians at initial screening about alcohol use and screening with the CAGE questions were assessed using 17 standardized patients. For three-fourths of the standardized patients, more than 50% of the physicians asked an initial alcohol screening question. However, use of the CAGE questions with six patients who reported drinking more than one drink per day was less consistent; for most of these patients, few physicians asked any CAGE questions. Fewer than 50% of the physicians included alcohol abuse in the differential diagnosis for three of four patients who drank four or more drinks per day. Methods are needed to incorporate the CAGE questions into primary care practices in a more systematic manner.
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References
West LJ, Maxwell DS, Noble EP, et al. Alcoholism. Ann Intern Med. 1984;100:405–16.
Magruder HK, Durand AM, Frey KA. Alcohol abuse and alcoholism in primary health care settings. J Fam Pract. 1991;32:406–13.
Ewing JA, Rouse BA. Identifying the hidden alcoholic. Presented at the 29th International Congress on Alcohol and Drug Dependence, Sydney, Australia, Feb 3, 1970.
Ewing JA. Detecting alcoholism. JAMA. 1984;252:1905–7.
Girela E, Villanueva E, Hernandez-Cueto C, Luna JD. Comparison of the CAGE questionnaire versus some biochemical markers in the diagnosis of alcoholism. Alcohol Alcohol. 1994;29:337–43.
Mayfield D. McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry: 1974;131:1121–3.
Bush B, Shaw S, Cleary P, Delbanco TL, Aronson MD. Screening for alcohol abuse using the CAGE questionnaire. Am J Med. 1987;82:231–5.
Bradley KA. Screening and diagnosis of alcoholism in the primary care setting. West J Med. 1992;156:166–71.
van der Vleuten CP, Swanson DB. Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med. 1990;2:58–76.
Ford DE, Klag MJ, Whelton PK, Goldsmith M, Levine D. Physician knowledge of the CAGE alcohol screening questions and its impact on practice. Alcohol Alcohol. 1994;29:329–36.
Glaze LW, Coggan PG. Efficacy of an alcoholism self-report questionnaire in a residency clinic. J Fam Pract. 1987;25:60–4.
Olfson M, Braham RL. The detection of alcohol problems in a primary care setting. J Community Health. 1992;17:323–31.
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Supported by grant number HS-06454-03 from the Agency for Health Care Policy and Research.
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Wenrich, M.D., Paauw, D.S., Carline, J.D. et al. Do primary care physicians screen patients about alcohol intake using the CAGE questions?. J Gen Intern Med 10, 631–634 (1995). https://doi.org/10.1007/BF02602748
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DOI: https://doi.org/10.1007/BF02602748