Provider Attitudes and Practices for Alcohol Screening, Treatment, and Education in Patients With Liver Disease: A Survey From the American Association for the Study of Liver Diseases Alcohol-Associated Liver Disease Special Interest Group

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dc.contributor.authorIm, Gene Y.
dc.contributor.authorMellinger, Jessica L.
dc.contributor.authorWinters, Adam
dc.contributor.authorAby, Elizabeth S.
dc.contributor.authorLominadze, Zurabi
dc.contributor.authorRice, John
dc.contributor.authorLucey, Michael R.
dc.contributor.authorArab, Juan P.
dc.contributor.authorGoel, Aparna
dc.contributor.authorJophlin, Loretta L.
dc.contributor.authorSherman, Courtney B.
dc.contributor.authorParker, Richard
dc.contributor.authorChen, Po-Hung
dc.contributor.authorDevuni, Deepika
dc.contributor.authorSidhu, Sandeep
dc.contributor.authorDunn, Winston
dc.contributor.authorSzabo, Gyongyi
dc.contributor.authorSingal, Ashwani K.
dc.contributor.authorShah, Vijay H.
dc.date.accessioned2025-01-20T22:06:04Z
dc.date.available2025-01-20T22:06:04Z
dc.date.issued2021
dc.description.abstractBACKGROUND & AIMS: While abstinence-promoting behavioral and pharmacotherapies are part of the therapeutic foundation for alcohol use disorder (AUD) and alcohol-associated liver disease (ALD), these therapies, along with alcohol screening and education, are often underutilized. Our aim was to examine provider attitudes and practices for alcohol screening, treatment and education in patients with liver disease.
dc.description.abstractMETHODS: We conducted a survey of primarily (89%) hepatology and gastroenterology providers within (80%) and outside the United States (20%). Surveys were sent to 921 providers with 408 complete responses (44%), of whom 343 (80%) work in a tertiary liver transplant center.
dc.description.abstractRESULTS: While alcohol screening rates in liver disease patients was nearly universal, less than half of providers reported practicing with integrated addiction providers, using alcohol biomarkers and screening tools. Safe alcohol use by liver disease patients was felt to exist by 40% of providers. While 60% of providers reported referring AUD patients for behavioral therapy, 71% never prescribed AUD pharmacotherapy due to low comfort (84%). Most providers (77%) reported low addiction education and 90% desired more during GI/hepatology fellowship training. Amongst prescribers, baclofen was preferred, but with gaps in pharmacotherapy knowledge. Overall, there was low adherence to the 2019 AASLD practice guidance for ALD, although higher in hepatologists and experienced providers.
dc.description.abstractCONCLUSIONS: While our survey of hepatology and gastroenterology providers demonstrated higher rates of alcohol screening and referrals for behavioral therapy, we found low rates of prescribing AUD pharmacotherapy due to knowledge gaps from insufficient education. Further studies are needed to assess interventions to improve provider alignment with best practices for treating patients with AUD and ALD.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.cgh.2020.10.026
dc.identifier.eissn1542-7714
dc.identifier.issn1542-3565
dc.identifier.urihttps://doi.org/10.1016/j.cgh.2020.10.026
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94186
dc.identifier.wosidWOS:000710115200028
dc.issue.numero11
dc.language.isoen
dc.pagina.final+
dc.pagina.inicio2407
dc.revistaClinical gastroenterology and hepatology
dc.rightsacceso restringido
dc.subjectAlcohol Use Disorder
dc.subjectAlcohol-Associated Liver Disease
dc.subjectAlcohol Pharmacotherapy
dc.subjectAddiction Medicine
dc.subjectAlcohol Survey
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleProvider Attitudes and Practices for Alcohol Screening, Treatment, and Education in Patients With Liver Disease: A Survey From the American Association for the Study of Liver Diseases Alcohol-Associated Liver Disease Special Interest Group
dc.typeartículo
dc.volumen19
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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