What question did this study set out to answer?

To evaluate the validity and determine optimal screening cutoffs for the 3-item AUDIT-C questionnaire in detecting alcohol misuse among general primary care outpatients.

April 19, 2007Alcoholism Clinical and Experimental Research

AUDIT‐C as a Brief Screen for Alcohol Misuse in Primary Care

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Authors

KBKatharine A. BradleyWashington State Department of Health ADAnna F. DeBenedettiUniversity of Washington RVRobert J. VolkThe University of Texas MD Anderson Cancer Center

Discussion

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Implication

Cross-sectional study demonstrates high diagnostic accuracy of AUDIT-C for alcohol misuse in primary care outpatients, indicating its utility outside veteran populations.

Key Points

To evaluate the validity and determine optimal screening cutoffs for the 3-item AUDIT-C questionnaire in detecting alcohol misuse among general primary care outpatients.
Conducted a cross-sectional validation study among 392 men and 927 women attending an academic family practice clinic between 1993 and 1994.
Compared the AUDIT-C, full AUDIT, single-item frequency question, and augmented CAGE against standardized diagnostic interviews assessing past-year DSM-IV alcohol use disorder and drinking above recommended limits.
Alcohol misuse was identified in 33% of men (128/392) and 19% of women (177/927), with AUDIT-C AUROCs of 0.94 (95% CI: 0.91, 0.96) in men and 0.90 (95% CI: 0.87, 0.93) in women (p=0.04).
AUDIT-C discrimination matched the full AUDIT and significantly exceeded self-reported risky drinking, AUDIT question #3, and the augmented CAGE (all p<0.001).
Optimal cutoffs balancing sensitivity and specificity were ≥4 in men (sensitivity 0.86, specificity 0.89) and ≥3 in women (sensitivity 0.73, specificity 0.91).

Cite This Study

Bradley et al. (2007) studied this question.

synapsesocial.com/papers/6974c8fcfb5fcd29594e1f77 https://doi.org/10.1111/j.1530-0277.2007.00403.x

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Implication

Cross-sectional study demonstrates high diagnostic accuracy of AUDIT-C for alcohol misuse in primary care outpatients, indicating its utility outside veteran populations.

AUDIT‐C as a Brief Screen for Alcohol Misuse in Primary Care

Discussion

Member takes

Implication

Key Points

Cite This Study

AUDIT‐C as a Brief Screen for Alcohol Misuse in Primary Care

Discussion

Member takes

Implication

Key Points

Cite This Study

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