TY - JOUR
KW - Adrenergic beta-Antagonists/therapeutic use
KW - Alcoholism/complications/diagnosis
KW - Analgesics, Opioid/therapeutic use
KW - Behavior, Addictive/complications
KW - Buprenorphine/therapeutic use
KW - Cardiovascular Diseases/complications
KW - Chronic Pain/drug therapy
KW - Humans
KW - Mass Screening
KW - Narcotic Antagonists/therapeutic use
KW - Primary Health Care/organization & administration
KW - Risk Factors
KW - Substance-Related Disorders/complications/diagnosis/therapy
AU - A. J. Gordon
AU - N. Bertholet
AU - J. McNeely
AU - J. L. Starrels
AU - J. M. Tetrault
AU - A . Y. Walley
A1 - 
AB - Increasingly, patients with unhealthy alcohol and other drug use are being seen in primary care and other non-specialty addiction settings. Primary care providers are well positioned to screen, assess, and treat patients with alcohol and other drug use because this use, and substance use disorders, may contribute to a host of medical and mental health harms. We sought to identify and examine important recent advances in addiction medicine in the medical literature that have implications for the care of patients in primary care or other generalist settings. To accomplish this aim, we selected articles in the field of addiction medicine, critically appraised and summarized the manuscripts, and highlighted their implications for generalist practice. During an initial review, we identified articles through an electronic Medline search (limited to human studies and in English) using search terms for alcohol and other drugs of abuse published from January 2010 to January 2012. After this initial review, we searched for other literature in web-based or journal resources for potential articles of interest. From the list of articles identified in these initial reviews, each of the six authors independently selected articles for more intensive review and identified the ones they found to have a potential impact on generalist practice. The identified articles were then ranked by the number of authors who selected each article. Through a consensus process over 4 meetings, the authors reached agreement on the articles with implications for practice for generalist clinicians that warranted inclusion for discussion. The authors then grouped the articles into five categories: 1) screening and brief interventions in outpatient settings, 2) identification and management of substance use among inpatients, 3) medical complications of substance use, 4) use of pharmacotherapy for addiction treatment in primary care and its complications, and 5) integration of addiction treatment and medical care. The authors discuss each selected articles' merits, limitations, conclusions, and implication to advancing addiction screening, assessment, and treatment of addiction in generalist physician practice environments.
BT - Addiction science & clinical practice
C5 - Opioids & Substance Use; Education & Workforce
CY - England
DO - 10.1186/1940-0640-8-18
JF - Addiction science & clinical practice
N2 - Increasingly, patients with unhealthy alcohol and other drug use are being seen in primary care and other non-specialty addiction settings. Primary care providers are well positioned to screen, assess, and treat patients with alcohol and other drug use because this use, and substance use disorders, may contribute to a host of medical and mental health harms. We sought to identify and examine important recent advances in addiction medicine in the medical literature that have implications for the care of patients in primary care or other generalist settings. To accomplish this aim, we selected articles in the field of addiction medicine, critically appraised and summarized the manuscripts, and highlighted their implications for generalist practice. During an initial review, we identified articles through an electronic Medline search (limited to human studies and in English) using search terms for alcohol and other drugs of abuse published from January 2010 to January 2012. After this initial review, we searched for other literature in web-based or journal resources for potential articles of interest. From the list of articles identified in these initial reviews, each of the six authors independently selected articles for more intensive review and identified the ones they found to have a potential impact on generalist practice. The identified articles were then ranked by the number of authors who selected each article. Through a consensus process over 4 meetings, the authors reached agreement on the articles with implications for practice for generalist clinicians that warranted inclusion for discussion. The authors then grouped the articles into five categories: 1) screening and brief interventions in outpatient settings, 2) identification and management of substance use among inpatients, 3) medical complications of substance use, 4) use of pharmacotherapy for addiction treatment in primary care and its complications, and 5) integration of addiction treatment and medical care. The authors discuss each selected articles' merits, limitations, conclusions, and implication to advancing addiction screening, assessment, and treatment of addiction in generalist physician practice environments.
PP - England
PY - 2013
SN - 1940-0640; 1940-0632
SP - 0640
EP - 18
EP - 18+
T1 - 2013 Update in addiction medicine for the generalist
T2 - Addiction science & clinical practice
TI - 2013 Update in addiction medicine for the generalist
U1 - Opioids & Substance Use; Education & Workforce
U2 - 24499640
U3 - 10.1186/1940-0640-8-18
VL - 8
VO - 1940-0640; 1940-0632
Y1 - 2013
ER -