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Cited by 216Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentChronic Disease Management Strategies

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Medical and Psychiatric Conditions of Alcohol and Drug Treatment Patients in an HMO: Comparison With Matched Controls

Mertens, Jennifer R., Lu, Yun W., Parthasarathy, Sujaya, Moore, Charles, Weisner, Constance M.·2003·Archives of Internal Medicine
DOI 10.1001/archinte.163.20.2511
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Abstract

BACKGROUND: Substance abuse and health problems seem to be inextricably related. Yet, prior research on the health conditions related to substance abuse is largely focused on alcohol and is from patients treated in publicly funded programs, inpatients, and the general population. METHODS: This study compares the prevalence of medical and psychiatric conditions among 747 substance abuse patients and 3690 demographically matched controls from the same health maintenance organization, and examines whether any heightened prevalence for substance abuse patients (relative to controls) varies according to demographic subgroups and type of substance. RESULTS: Approximately one third of the conditions examined were more common among substance abuse patients than among matched controls, and many of these conditions were among the most costly. We also found that pain-related diagnoses, including arthritis, headache, and lower back pain, were more prevalent among such patients, particularly those dependent on narcotic analgesics. CONCLUSIONS: Our findings point to the importance of examining comorbid medical conditions and substance abuse in both primary and specialty care. Our findings regarding pain-related diagnoses among patients dependent on narcotic analgesics highlight the need for linkages between primary care and substance abuse treatment. Moreover, optimal treatment of many common medical disorders may require identification, intervention, and treatment of an underlying substance abuse disorder.

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Crossref · 10.1001/archinte.163.20.2511

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Metadata

Authors
Mertens, J. R., Lu, Y. W., Parthasarathy, S., Moore, C., & Weisner, C. M.
Affiliations
Kaiser Permanente (US)
ORCID
Venue
Archives of Internal Medicine
Publisher
American Medical Association (AMA)
Published
2003-11-10
Volume
163
Issue
20
Pages
2511
ISSN
0003-9926 (ISSN-L)
DOI
10.1001/archinte.163.20.2511
OpenAlex
W2114931837
Cited by
216
References
33
Citations by year
2026: 1 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 9 · 2020: 5 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 11 · 2015: 9 · 2014: 20 · 2013: 13 · 2012: 23
FWCI
5.87
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords
substance abuse, comorbidities, health conditions, psychiatric conditions, alcoholism, drug addiction, health maintenance organizations, arthritis, headache, low back pain, primary care, addiction treatment, health care costs
MeSH terms
Adult, Alcoholism, Mental Disorders, Female, Health Maintenance Organizations, Health Status, Humans, Male, Primary Health Care, Surveys and Questionnaires, Comorbidity, Prevalence, Odds Ratio, Case-Control Studies, Substance Abuse Treatment Centers, Substance-Related Disorders

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