National Healthcare Quality and Disparities Report
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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 1 of 1 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