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Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
- Source :
- Alcohol and Alcoholism (Oxford, Oxfordshire), Alcohol and alcoholism (Oxford, Oxfordshire), 56(6), 678-682. Oxford University Press, Alcohol and Alcoholism, 56(6), 678-682. OXFORD UNIV PRESS
- Publication Year :
- 2021
- Publisher :
- Oxford University Press, 2021.
-
Abstract
- Aim Resuming drinking is a main contributant to recurrence in alcoholic pancreatitis. We assessed current clinical practice in the Netherlands regarding alcohol in managing patients with a first episode of acute alcoholic pancreatitis. Methods A survey was distributed to 35 hospitals affiliated with the Dutch Pancreatitis Study Group. We evaluated current support based on various components of brief interventions, the participation of psychosocial healthcare providers, the cooperation with the primary care physicians and the presence of a protocol and its implementation. Results The response rate was 100% (n = 35). Psychoeducation is the most frequently performed intervention in current support treatment (97% of hospitals). In 17% of hospitals, healthcare providers with a psychosocial background routinely participate in current support treatment; 37% of hospitals create an individual treatment plan in which goals regarding alcohol cessation are specified and only 46% of hospitals provide the primary care physician with specific discharge information; 31% of hospitals indicate that the treatment is uniformly performed within their division of Gastroenterology. Protocols are available in 3% of the hospitals surveyed. Opportunities to involve the patient’s social network were not given sufficient priority. Conclusion Among Dutch hospitals, there is no routine management strategy with regard to enhancing treatment for heavy alcohol use in alcoholic pancreatitis patients. There is a need to test a validated support program in randomized studies. Meanwhile, possible opportunities for effecting change are often missed.
- Subjects :
- medicine.medical_specialty
Alcohol Drinking
Pancreatitis, Alcoholic
medicine.medical_treatment
Psychological intervention
Original Manuscript
Motivational Interviewing
03 medical and health sciences
0302 clinical medicine
Recurrence
Surveys and Questionnaires
Psychoeducation
Secondary Prevention
Medicine
Humans
AcademicSubjects/MED00860
030212 general & internal medicine
Netherlands
Response rate (survey)
First episode
business.industry
Primary care physician
Social Support
General Medicine
medicine.disease
Hospitals
Patient Discharge
Crisis Intervention
Emergency medicine
Pancreatitis
030211 gastroenterology & hepatology
Brief intervention
business
Psychosocial
Subjects
Details
- Language :
- English
- ISSN :
- 14643502 and 07350414
- Volume :
- 56
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Alcohol and Alcoholism (Oxford, Oxfordshire)
- Accession number :
- edsair.doi.dedup.....866468820be20192a853b71742f3d9fc