Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study

Objectives The objective was to clarify the relationship between alcohol consumption/alcohol use disorders and patient complexity.Design Cross-sectional study.Setting A clinic located on a remote island in Okinawa, Japan, providing general outpatient practices and round-the-clock emergency services....

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Main Authors: Masato Matsushima, Yoshifumi Sugiyama, Hisashi Yoshimoto
Format: Article
Language:English
Published: BMJ Publishing Group 2020-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/8/e034665.full
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author Masato Matsushima
Yoshifumi Sugiyama
Hisashi Yoshimoto
author_facet Masato Matsushima
Yoshifumi Sugiyama
Hisashi Yoshimoto
author_sort Masato Matsushima
collection DOAJ
description Objectives The objective was to clarify the relationship between alcohol consumption/alcohol use disorders and patient complexity.Design Cross-sectional study.Setting A clinic located on a remote island in Okinawa, Japan, providing general outpatient practices and round-the-clock emergency services.Participants Patients who lived on the island, visited Tarama Clinic from 1 April 2018 to 30 June 2018, were aged ≥20 years and had decision-making capacity were judged to be eligible for this study.Main outcome measures Alcohol consumption/alcohol use disorders as measured by the Alcohol Use Disorders Identification Test (AUDIT) and patient complexity as scored by the Patient Centered Assessment Method (PCAM).Results During the 3-month study period, 355 patients (163 women and 192 men) with mean (SD) age of 66.4 (13.6) years were included. Multiple regression analysis of PCAM scores showed that, after adjusting for age, sex, education, occupation, physical activity, smoking, annual medical expenses and number of family members living with the patient, AUDIT scores classified as ‘dependence likely’ were associated with PCAM scores (p value=0.040).Conclusions Alcohol consumption and alcohol use disorders classified as dependence likely are associated with patient complexity.
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spelling doaj-art-64af3e6ffa0d46f7b9c3dbd88952f2af2025-08-20T02:19:50ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2019-034665Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional studyMasato Matsushima0Yoshifumi Sugiyama1Hisashi Yoshimoto21 Division of Clinical Epidemiology, Jikei University School of Medicine, Minato-ku, Tokyo, JapanTarama Clinic, Okinawa Miyako Hospital, Miyakojima, Okinawa, JapanDepartment of Family Medicine, General Practice and Community Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, JapanObjectives The objective was to clarify the relationship between alcohol consumption/alcohol use disorders and patient complexity.Design Cross-sectional study.Setting A clinic located on a remote island in Okinawa, Japan, providing general outpatient practices and round-the-clock emergency services.Participants Patients who lived on the island, visited Tarama Clinic from 1 April 2018 to 30 June 2018, were aged ≥20 years and had decision-making capacity were judged to be eligible for this study.Main outcome measures Alcohol consumption/alcohol use disorders as measured by the Alcohol Use Disorders Identification Test (AUDIT) and patient complexity as scored by the Patient Centered Assessment Method (PCAM).Results During the 3-month study period, 355 patients (163 women and 192 men) with mean (SD) age of 66.4 (13.6) years were included. Multiple regression analysis of PCAM scores showed that, after adjusting for age, sex, education, occupation, physical activity, smoking, annual medical expenses and number of family members living with the patient, AUDIT scores classified as ‘dependence likely’ were associated with PCAM scores (p value=0.040).Conclusions Alcohol consumption and alcohol use disorders classified as dependence likely are associated with patient complexity.https://bmjopen.bmj.com/content/10/8/e034665.full
spellingShingle Masato Matsushima
Yoshifumi Sugiyama
Hisashi Yoshimoto
Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study
BMJ Open
title Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study
title_full Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study
title_fullStr Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study
title_full_unstemmed Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study
title_short Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study
title_sort association between alcohol consumption alcohol use disorders and patient complexity a cross sectional study
url https://bmjopen.bmj.com/content/10/8/e034665.full
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