Financial Costs of Alcoholism Treatment Programs: A Longitudinal and Comparative Evaluation Among Four Specialized Centers

Nalpas, Bertrand; Combescure, Christophe; Pierre, Beatrice; Ledent, T.; Gillet, Claudine; Playoust, D.; Danel, Thierry; Bozonnat, M. C.; Martin, Sandrine; Balmes, Jean-Louis; Daurès, Jean‐Pierre

doi:10.1111/j.1530-0277.2003.tb02720.x

Cited by 16 publications

(13 citation statements)

References 9 publications

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“…The overall proportion of patients who were abstinent at M12, 35.9% in the ITT analysis and 54% in the per protocol analysis, is similar to that reported previously in series of patients with cancer (Ostroff et al, 1995;Potash, Karnell, Christensen, Vander Weg, & Funk, 2010) but is higher than that usually observed in series of patients without cancer (Nalpas et al, 2003). This suggests that the occurrence of a severe alcohol-/tobacco-related disease has a positive motivational impact on the decision to stop and also that the existence of a life-threatening disease does not suppress the desire to change (Christensen et al, 1999).…”

Section: Discussionsupporting

confidence: 87%

Feasibility and Efficacy of an Addiction Treatment Program in Patients With Upper Aerodigestive Tract Cancer

Perney

Duny

Nalpas

et al. 2013

Substance Use & Misuse

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Background: Continuing to smoke or to drink after the treatment of an upper aerodigestive tract (UADT) cancer is known to worsen the prognosis. We assessed the feasibility and efficacy of an addiction treatment program integrated into the cancer treatment. Method: In four units devoted to UADT tumors, we proposed an addiction treatment to all patients still drinking or smoking at the end of the cancer treatment; the abstinence rate was assessed 6 and 12 months later. Results: One hundred and sixteen patients were included. Among the 73 patients still drinking and/or smoking at the end of the cancer treatment, 46.6% accepted an addiction treatment. In the latter, abstinence rate was increased, 52.2% versus 31.03% ( p = .07) at M12. In patients both drinking and smoking, addiction treatment doubled the rate of abstinence of both products (31% vs. 14%). Conclusion: Offering addiction treatment to patients with UADT cancer improves abstinence rate and helps maintain long-term withdrawal.

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Section: Discussionsupporting

confidence: 87%

Feasibility and Efficacy of an Addiction Treatment Program in Patients With Upper Aerodigestive Tract Cancer

Perney

Duny

Nalpas

et al. 2013

Substance Use & Misuse

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“…On admission, in terms of age and sex ratio, the patient sample had the typical sociodemographic profile of alcohol-dependent people (or with severe alcohol use disorder according to the new DSM5 classification) seeking therapy in our geographical area [23, 36, 37]. …”

Section: Discussionmentioning

confidence: 99%

Investigation of Cognitive Improvement in Alcohol-Dependent Inpatients Using the Montreal Cognitive Assessment (MoCA) Score

Pelletier¹,

Nalpas

Alarcon³

et al. 2016

Journal of Addiction

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Background. Cognitive dysfunction is a common feature in alcohol use disorders. Its persistence following alcohol detoxification may impair quality of life and increase the risk of relapse. We analyzed cognitive impairment changes using the Montreal Cognitive Assessment (MoCA) score in a large sample of alcohol-dependent inpatients hospitalized for at least 4 weeks. Method. This was an observational longitudinal survey. Inclusion criteria were alcohol dependence (DSM-IV) and alcohol abstinence for at least one week. The MoCA test was administered on admission and at discharge. Results. 236 patients were included. The mean MoCA score significantly increased from 22.1 ± 3.7 on admission to 25.11 ± 3.12 at discharge. The corresponding effect-size of improvement was high, 1.1 [95% CI 1.0–1.2]. The degree of improvement was inversely correlated with the baseline MoCA score. The rate of high and normal, that is, >26, MoCA values increased from 15.8% on admission to 53.8% at discharge. MoCA score improvement was not correlated with the total length of abstinence prior to admission. Conclusion. The MoCA score seems to be a useful tool for measuring changes in cognitive performance in alcohol-dependent patients. A significant improvement in cognitive function was observed whatever the degree of impairment on admission and even after a long abstinence period.

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“…The robustness of our results could be questioned. First, as stated above our sample had a similar educational level as the parent population and the patients studied did not differ from those included in previous works from our group (Alarcon et al., ; Nalpas et al., ; Pelletier et al., ). We excluded any patient who had, or was suspected of having, a neurological disease unrelated to alcohol consumption as were those patients with a co‐addiction to any psychoactive drug.…”

Section: Discussionmentioning

confidence: 91%

Determination of MoCA Cutoff Score in Patients with Alcohol Use Disorders

Ewert¹,

Pelletier

Alarcon³

et al. 2017

Alcoholism Clin & Exp Res

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Our results confirm that the MoCA test is a convenient and reliable screening tool to measure cognition defects in alcoholic patients. As using the 1-point education adjustment increases the cutoff score by 1 point, it is suggested to use the noncorrected score and the usual cutoff, that is, 26. Being easy to administer and only moderately time-consuming, the MoCA score should be used extensively in addiction treatment centers.

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Financial Costs of Alcoholism Treatment Programs: A Longitudinal and Comparative Evaluation Among Four Specialized Centers

Abstract: This work emphasizes the heterogeneity of the costs and effectiveness of alcoholism treatment programs and suggests that research should be conducted to determine which program is the most rational, cost-efficient, and beneficial for patients and the public health office economy.

Cited by 16 publications

References 9 publications

Feasibility and Efficacy of an Addiction Treatment Program in Patients With Upper Aerodigestive Tract Cancer

Feasibility and Efficacy of an Addiction Treatment Program in Patients With Upper Aerodigestive Tract Cancer

Investigation of Cognitive Improvement in Alcohol-Dependent Inpatients Using the Montreal Cognitive Assessment (MoCA) Score

Determination of MoCA Cutoff Score in Patients with Alcohol Use Disorders

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