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
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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“We identified common chronic medical conditions (Ornstein, Nietert, Jenkins, & Litvin, 2013), many of which are known to be associated with SUDs (Mertens, Lu, Parthasarathy, Moore, & Weisner, 2003) using ICD-9/10 codes recorded within the first year after initial enrollment.”
From Healthcare utilization of individuals with substance use disorders following Affordable Care Act implementation in a California healthcare system (2020) · cites this paper as Mertens, Lu, Parthasarathy, Moore, & Weisner, 2003
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Cites
No adjustments are needed for multiple comparisons.
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Pharmacology and effects of cannabis: A brief review
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Predicting Response to Alcohol and Drug Abuse Treatments
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Integrating Primary Medical Care With Addiction Treatment
Weisner, C. M., Mertens, J. R., Parthasarathy, S., Moore, C. D., & Lu, Y. (2001) · JAMA · doi:10.1001/jama.286.14.1715 · Cited by 368
Self-citationBenefits of Linking Primary Medical Care and Substance Abuse Services
Samet, J. H., Friedmann, P. D., & Saitz, R. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.1.85 · Cited by 226
Predictors of substance abuse treatment retention among women and men in an HMO
Mertens, J. R., & Weisner, C. M. (2000) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.2000.tb04571.x · Cited by 225
Self-citationPreparedness for Clinical Practice
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Methadone Maintenance in Primary Care
Fiellin, D. A., O’Connor, P. G., Chawarski, M. C., Pakes, J. P., Pantalon, M. V., & Schottenfeld, R. S. (2001) · JAMA · doi:10.1001/jama.286.14.1724 · Cited by 183
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Hasin, D. S., Stinson, F. S., Ogburn, E., & Grant, B. F. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.7.830 · Cited by 2,908
Office of National Drug Control Policy
Madras, B. K. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05278.x · Cited by 859
Madras, B. K., Compton, W. M., Avula, D., Stegbauer, T., Stein, J. B., & Clark, H. W. (2009) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2008.08.003 · Cited by 663
Mitchell, A. J., Malone, D., & Carney, C. P. (2009) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.045732 · Cited by 359
The duration and correlates of addiction and treatment careers.
Dennis, M. L., Scott, C. K., Funk, R. R., & Foss, M. A. (2005) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2004.10.013 · Cited by 366
Metadata
- Authors
- Mertens, J. R., Lu, Y. W., Parthasarathy, S., Moore, C., & Weisner, C. M.
- Affiliations
- Kaiser Permanente (US)
- 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)
- 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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