Alkoholabhängigkeit in der primärärztlichen Versorgung: Welche Patienten werden erkannt?

Kuitunen‐Paul, Sören; Manthey, Jakob; Trautmann, Sebastian; Pieper, Lars; Wittchen, Hans‐Ulrich; Rehm, Jürgen

doi:10.1055/s-0042-113143

Cited by 4 publications

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“…Previous estimates of treatment rates in Germany were based on diagnoses from aggregated data, such as hospital diagnosis statistics and the diagnosis portal of the Central Institute of Statutory Health Insurance Physicians [Zentralinstitut für die kassenärztliche Versorgung (Zi)] ( 16 ), were derived from per capita consumption ( 17 ) or based on survey data ( 15 ). In addition, several studies reported differences in diagnoses depending on the setting and the diagnostic instrument ( 18 , 19 ). A study among primary care patients showed that general practitioners diagnose alcohol dependence more often in male and older patients compared to a standardized, self-administered closed-ended clinical diagnostic questionnaire ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, several studies reported differences in diagnoses depending on the setting and the diagnostic instrument ( 18 , 19 ). A study among primary care patients showed that general practitioners diagnose alcohol dependence more often in male and older patients compared to a standardized, self-administered closed-ended clinical diagnostic questionnaire ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Estimating the prevalence of alcohol-related disorders and treatment utilization in Bremen 2016/2017 through routine data linkage

et al. 2023

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BackgroundIn Germany, most individuals with alcohol dependence are recognized by the health care system and about 16% per year receive addiction-specific care. This paper aimed to analyze the prevalence and treatment utilization rate of people with alcohol dependence by type of addiction-specific care in the federal state of Bremen using routine and survey data.MethodsThe number of individuals with alcohol dependence was estimated using data from the 2018 Epidemiological Survey of Substance Abuse (ESA). Furthermore, linked routine data of two statutory health insurances (SHIs), the German pension insurance (GPI), and the communal hospital group Gesundheit Nord – Bremen Hospital Group (GeNo), from 2016/2017, were analyzed. Based on SHI data, the administrative prevalence of various alcohol-related diagnoses according to the International Classification of Diseases (ICD-10), in various treatment settings, was extrapolated to the total population of Bremen. Based on all routine data sources, treatment and care services for individuals with alcohol dependence were also extrapolated to Bremen’s total population. Care services included outpatient addiction care visits and addiction-specific treatments, [i.e., qualified withdrawal treatment (QWT), outpatient pharmacotherapy as relapse prevention, and rehabilitation treatment].ResultsOf the survey-estimated 15,792 individuals with alcohol dependence in Bremen, 72.4% (n = 11,427) had a diagnosis documented with an ICD-10 code for alcohol dependence (F10.2) or withdrawal state (F10.3–4). One in 10 individuals with alcohol dependence (n = 1,577) used one or more addiction-specific care services during the observation period. Specifically, 3.7% (n = 675) received outpatient addiction care, 3.9% (n = 736) initiated QWT, 0.8% (n = 133) received pharmacotherapy, and 2.6% (n = 405) underwent rehabilitation treatment. The share of seeking addiction-specific treatment after diagnosis was highest among younger and male patients.ConclusionAlthough more than half of the individuals with alcohol dependence are documented in the health system, utilization rates of addiction-specific treatments are low. These low utilization rates suggest that there are existing barriers to transferring patients with alcohol dependence into addiction-specific care. Strengthening primary medical care provision in dealing with alcohol-related disorders and improving networking within the addiction support system appear to be particularly appropriate.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Estimating the prevalence of alcohol-related disorders and treatment utilization in Bremen 2016/2017 through routine data linkage

et al. 2023

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“…Die darin enthaltenen Behandlungskosten für SUDs könnten deutlich höher ausfallen, da SUDs selbst von behandelnden Hausärztinnen und Hausärzten oft nicht oder erst nach Jahren erkannt werden (z. B. Alkoholabhängigkeit: [13]) und mit ca. 500 000 Personen pro Jahr [14] nur ein Bruchteil der ca.…”

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Trends in der Verbreitung des Konsums psychoaktiver Substanzen in Deutschland: Ein deskriptives Review von Bevölkerungsstudien vor, während und nach der COVID-19 Pandemie

Kuitunen-Paul,

Schwarzbach,

Atzendorf

2024

Suchttherapie

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Zusammenfassung Hintergrund Zwischen 2020 und 2023 galten in Deutschland aufgrund der COVID-19 Pandemie mehrere teils bundesweite und gravierende Einschränkungen der Bewegungsfreiheit und sozialer Kontakte. Ausgelöste Belastungen könnten den Konsum psychoaktiver Substanzen befördern. Ob sich dies über verschiedene bevölkerungsrepräsentative Studien hinweg und für verschiedene psychoaktive Substanzen zeigen, soll überblicksartig betrachtet werden. Methode Ein deskriptives Review longitudinaler, prospektiver, bevölkerungsrepräsentativer Studien sowie retrospektiver Querschnittsstudien, bei dem deutsche Teilnehmende zum Konsum von Alkohol, Tabak sowie verschiedener illegaler Substanzen/Substanzgruppen einschließlich Cannabis befragt wurden. Ergebnisse Beim Alkoholkonsum zeigten sich gegenläufige Entwicklungen mit häufigerer Abstinenz sowie häufigerem regelmäßigen Konsum bei Erwachsenen und schwacher Prävalenzabnahme bei Jugendlichen und jungen Erwachsenen. Die Abnahme der Tabakkonsum-Prävalenz bis einschließlich 2021 hat sich anschließend umgekehrt hin zu einer tendenziell zunehmenden Verbreitung. Cannabiskonsum-Prävalenzen stiegen während der Pandemie bei Erwachsenen, ebenso die Verbreitung zahlreicher anderer illegaler Substanzen, für die keine Schätzungen zu Veränderungen im Jugendalter vorliegen. Schlussfolgerung Die Ergebnisse weisen auf eine komplexe Dynamik im Substanzkonsum hin, die möglicherweise pandemie-bedingten Veränderungen unterworfen wurde und sich je nach Substanz und Altersgruppe unterschiedlich darstellte. Gleichzeitig fehlen derzeit noch relevante Kennzahlen insbesondere für Jugendliche und den Zeitraum nach der Pandemie (2022–2023).

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Analysing Patient Trajectories of Individuals with Alcohol Use Disorders (PRAGMA)

Manthey,

Becher,

Gallinat

et al. 2024

SUCHT

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Aim: Alcohol use is causing a considerable health burden for individuals and society in Germany. To reduce the burden from alcohol use, ensuring optimal treatment for those who are in need, is key. With this data-linkage study, we aim to provide a comprehensive description of healthcare service use among individuals with alcohol use disorders (AUD) in Hamburg, the second-largest German city. Methods: The study population is defined as adults living in Hamburg, currently insured by one of two statutory health insurance funds and with at least one alcohol-specific ICD-10 code between 2016 and 2021. Additionally, we will obtain data from pension funds and the Hamburg basic data monitoring system of outpatient addiction aid. By using unique identifiers, individual register data from these three sources will be linked. Hypotheses and qualitative analyses are presented in the form of research questions to analyse administrative prevalence rates, patient trajectories and predictors of treatment success as well as to estimate the impact of prototypical care pathways and the COVID-19 pandemic on utilization of alcohol-specific healthcare services. Discussion: The study ‘Patient Routes of People with Alcohol Use Disorders in Germany’ (PRAGMA) will be the first to provide an in-depth understanding of treatment provision for people with AUD in Germany. Following up a heterogeneous sample of people with AUD for six years will provide a unique opportunity to compare current with recommended care pathways as well to identify options for care improvements.

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Alkoholabhängigkeit in der primärärztlichen Versorgung: Welche Patienten werden erkannt?

Cited by 4 publications

References 20 publications

Estimating the prevalence of alcohol-related disorders and treatment utilization in Bremen 2016/2017 through routine data linkage

Estimating the prevalence of alcohol-related disorders and treatment utilization in Bremen 2016/2017 through routine data linkage

Trends in der Verbreitung des Konsums psychoaktiver Substanzen in Deutschland: Ein deskriptives Review von Bevölkerungsstudien vor, während und nach der COVID-19 Pandemie

Analysing Patient Trajectories of Individuals with Alcohol Use Disorders (PRAGMA)

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