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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 4 of 4 Research Studies DisplayedSayre M, Lapham GT, Lee AK
Routine assessment of symptoms of substance use disorders in primary care: prevalence and severity of reported symptoms.
This study looked at the prevalence and severity of DSM-5 substance use disorders (SUDs) reported by primary care (PC) patients as part of routine care. This cross-sectional study used data from 241,265 adult patients who visited one of 25 PC sites in an integrated health system in Washington state and had alcohol, cannabis, or other drug use screening documented in their electronic health records from March 2015-July 2018. A scale of Symptom Checklists (0-11) was used based on DSM-5 with 2-3 rated as mild, 4-5 moderate, and 6-11 severe. Out of those screened patients, 16,775 (5.7%) reported high-risk use of alcohol (2.4%), cannabis (3.9%), and/or other drugs (1.7%) with 65-70% completing the Symptom Checklists. Of those with high-risk alcohol use, 52.5% reported 2 or more symptoms consistent with mild-severe alcohol use disorders. Mild-severe symptoms were reported by 29.8% of patients reporting daily cannabis use, and 37.5% of patients reporting any other drug use had 2 or greater symptoms.
AHRQ-funded; HS023173.
Citation: Sayre M, Lapham GT, Lee AK .
Routine assessment of symptoms of substance use disorders in primary care: prevalence and severity of reported symptoms.
J Gen Intern Med 2020 Apr;35(4):1111-19. doi: 10.1007/s11606-020-05650-3..
Keywords: Substance Abuse, Alcohol Use, Primary Care, Diagnostic Safety and Quality
Richards JE, Bobb JF, Lee AK
Integration of screening, assessment, and treatment for cannabis and other drug use disorders in primary care: an evaluation in three pilot sites.
This pilot study examined whether integrating evidence-based implementation strategies to implement Behavioral Health Integration (BHI) into primary care to increase diagnosis and treatment of substance use disorders (SUDs). Three pilot sites were used and patients were given annual screening for past-year cannabis and drug use, a Symptom Checklist for DSM-5 SUDs, and shared decision-making about different treatment options. Out of 39,599 eligible patients, almost 60% were screened for cannabis and other drug use. Daily cannabis use was reported with 2% of patients, and other drug use 1%. Of those patients, 51% and 37% completed an SUD Symptom Checklist. There was a higher proportion of patients diagnosed with cannabis use disorder (CUD) but not drug use disorder. However, the reverse was true for patients receiving treatment for drug-use disorders.
AHRQ-funded; HS023173.
Citation: Richards JE, Bobb JF, Lee AK .
Integration of screening, assessment, and treatment for cannabis and other drug use disorders in primary care: an evaluation in three pilot sites.
Drug Alcohol Depend 2019 Aug 1;201:134-41. doi: 10.1016/j.drugalcdep.2019.04.015..
Keywords: Substance Abuse, Behavioral Health, Evidence-Based Practice, Primary Care, Patient-Centered Healthcare, Screening, Diagnostic Safety and Quality
Heslin KC, Barrett ML
AHRQ Author: Heslin KC
Shifts in alcohol-related diagnoses after the introduction of International Classification of Diseases, Tenth Revision, clinical modification coding in U.S. hospitals: implications for epidemiologic research.
This study examined the impact of the ICD-10-CM coding system on estimates of hospital stays involving alcohol-related diagnoses. Using 2014 to 2017 HCUP data, results indicated that, on average, the number of stays involving any alcohol-related diagnosis in the 6 quarters before and after the ICD-10-CM transition was stable. However, substantial shifts in stays occurred for alcohol abuse, alcohol-induced mental disorders, and intoxication or toxic effects. Researchers conducting trend analyses of inpatient stays involving alcohol-related diagnoses should consider how ongoing modifications in the ICD-10-CM code system and coding guidelines might affect their work.
AHRQ-authored; AHRQ-funded.
Citation: Heslin KC, Barrett ML .
Shifts in alcohol-related diagnoses after the introduction of International Classification of Diseases, Tenth Revision, clinical modification coding in U.S. hospitals: implications for epidemiologic research.
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Keywords: Healthcare Cost and Utilization Project (HCUP), Alcohol Use, Diagnostic Safety and Quality, Substance Abuse
Heslin KC, Barrett ML
AHRQ Author: Heslin KC
Shifts in alcohol-related diagnoses after the introduction of International Classification of Diseases, Tenth Revision, clinical modification coding in U.S. hospitals: implications for epidemiologic research.
This study examined the impact of the ICD-10-CM coding system on estimates of hospital stays involving alcohol-related diagnoses. This analysis used 2014 to 2017 administrative data from the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project State Inpatient Databases for 17 states. The investigators found that on average, the number of stays involving any alcohol-related diagnosis in the 6 quarters before and after the ICD-10-CM transition was stable. However, substantial shifts in stays occurred for alcohol abuse, alcohol-induced mental disorders, and intoxication or toxic effects.
AHRQ-authored.
Citation: Heslin KC, Barrett ML .
Shifts in alcohol-related diagnoses after the introduction of International Classification of Diseases, Tenth Revision, clinical modification coding in U.S. hospitals: implications for epidemiologic research.
Alcohol Clin Exp Res 2018 Nov;42(11):2205-13. doi: 10.1111/acer.13866..
Keywords: Alcohol Use, Diagnostic Safety and Quality, Healthcare Cost and Utilization Project (HCUP), Substance Abuse