Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System

Bahorik, Amber L.; Satre, Derek D.; Kline-Simon, Andrea H.; Weisner, Constance M.; Campbell, Cynthia I.

doi:10.1097/adm.0000000000000260

Cited by 126Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentChronic Disease Management Strategies

Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System

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Bahorik, Amber L., Satre, Derek D., Kline-Simon, Andrea H., Weisner, Constance M., Campbell, Cynthia I.·2017·Journal of Addiction Medicine

DOI 10.1097/adm.0000000000000260PMC PMC5291754

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Abstract

OBJECTIVES: We examined prevalence of major medical conditions and extent of disease burden among patients with and without substance use disorders (SUDs) in an integrated health care system serving 3.8 million members. METHODS: Medical conditions and SUDs were extracted from electronic health records in 2010. Patients with SUDs (n = 45,461; alcohol, amphetamine, barbiturate, cocaine, hallucinogen, and opioid) and demographically matched patients without SUDs (n = 45,461) were compared on the prevalence of 19 major medical conditions. Disease burden was measured as a function of 10-year mortality risk using the Charlson Comorbidity Index. P-values were adjusted using Hochberg's correction for multiple-inference testing within each medical condition category. RESULTS: The most frequently diagnosed SUDs in 2010 were alcohol (57.6%), cannabis (14.9%), and opioid (12.9%). Patients with these SUDs had higher prevalence of major medical conditions than non-SUD patients (alcohol use disorders, 85.3% vs 55.3%; cannabis use disorders, 41.9% vs 23.0%; and opioid use disorders, 44.9% vs 26.1%; all P < 0.001). Patients with these SUDs also had higher disease burden than non-SUD patients; patients with opioid use disorders (M = 0.48; SE = 1.46) had particularly high disease burden (M = 0.23; SE = 0.09; P < 0.001). CONCLUSIONS: Common SUDs, particularly opioid use disorders, are associated with substantial disease burden for privately insured individuals without significant impediments to care. This signals the need to explore the full impact SUDs have on the course and outcome of prevalent conditions and initiate enhanced service engagement strategies to improve disease burden.

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Individuals receiving integrated care experience enhanced treatment engagement, reduced substance use, improved mental health, and an overall better quality of life.
“individuals receiving integrated care experience enhanced treatment engagement, reduced substance use, improved mental health, and an overall better quality of life [20,21].”
From Navigating the Complex Intersection of Substance Use and Psychiatric Disorders: A Comprehensive Review (2024) · cites this paper as [20]
The Discussion (page unavailable) reports prior studies finding better alcohol and drug use outcomes when SUD treatment is integrated with primary care, and suggests enhanced services may help patients obtain treatment. It does not establish improved mental health or quality of life, and presents treatment engagement as a possibility rather than an observed outcome. (LLM, conf=0.87)
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Alcohol, Marijuana, and Opioid use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters
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Authors: Bahorik, A. L., Satre, D. D., Kline-Simon, A. H., Weisner, C. M., & Campbell, C. I.
Affiliations: University of California, San Francisco (US)
Corresponding author: Bahorik, Amber L.
ORCID: Bahorik, Amber L.
Satre, Derek D.
Weisner, Constance M.
Campbell, Cynthia I.
Venue: Journal of Addiction Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017-01
Volume: 11
Issue: 1
Pages: 3-9
ISSN: 1932-0620 (ISSN-L)
1935-3227
DOI: 10.1097/adm.0000000000000260
PMC: PMC5291754
OpenAlex: W2518262606
Cited by: 126
References: 33
Citations by year: 2026: 4 · 2025: 3 · 2024: 14 · 2023: 22 · 2022: 25 · 2021: 21 · 2020: 20 · 2019: 8 · 2018: 4 · 2017: 5
FWCI: 5.30
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Addiction Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institute on Drug Abuse (T32DA007250)
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 use disorders, alcoholism, cannabis use disorder, opioid use disorder, disease burden, comorbidities, Charlson Comorbidity Index, mortality risk, integrated care, privately insured patients
MeSH terms: Adult, California, Marijuana Abuse, Female, Humans, Male, Middle Aged, Mortality, Opioid-Related Disorders, Comorbidity, Delivery of Health Care, Integrated, Alcohol-Related Disorders, Electronic Health Records

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Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System

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