Cited by 52Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsAlcoholism and Thiamine Deficiency

The DOI matches its Crossref record; 101 of the 101 references it cites were found in a registry or an index.

Management of alcohol use disorder in patients with chronic liver disease

Open access
Mellinger, Jessica L., Fernandez, Anne C., Winder, G. Scott·2023·Hepatology Communications

Abstract

Alcohol use disorder (AUD) rates have risen dramatically in the United States, resulting in increasing rates of alcohol-associated liver disease (ALD), but many patients struggle to access alcohol use treatment. AUD treatment improves outcomes, including mortality, and represents the most urgent means by which care can be improved for those with liver disease (including ALD and others) and AUD. AUD care for those with liver disease involves 3 steps: detecting alcohol use, diagnosing AUD, and directing patients to alcohol treatment. Detecting alcohol use can involve questioning during the clinical interview, the use of standardized alcohol use surveys, and alcohol biomarkers. Identifying and diagnosing AUD are interview-based processes that should ideally be performed by a trained addiction professional, but nonaddiction clinicians can use surveys to determine the severity of hazardous drinking. Referral to formal AUD treatment should be made, especially where more severe AUD is suspected or identified. Therapeutic modalities are numerous and include different forms of one-on-one psychotherapy, such as motivational enhancement therapy or cognitive behavior therapy, group therapy, community mutual aid societies (such as Alcoholics Anonymous), inpatient addiction treatment, and relapse prevention medications. Finally, integrated care approaches that build strong relationships between addiction professionals and hepatologists or medical providers caring for those with liver disease are crucial to improving care for this population.

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Registry

Crossref · 10.1097/hc9.0000000000000145

Cites

101 of 101 references verified0 citation errors · 0 not checkable

Statistics

Figures

FIGURE 1 Number of standard drinks in commonly sold alcohol container volumes. Abbreviations: NIAAA, National Institute on Alcohol Abuse and Alcoholism.
FIGURE 1 Number of standard drinks in commonly sold alcohol container volumes. Abbreviations: NIAAA, National Institute on Alcohol Abuse and Alcoholism.CC BY · PubMed Central
FIGURE 2 Diagnosis of alcohol use disorder, according to criteria from the Diagnostic and Statistical Manual of Mental Disorders.
FIGURE 2 Diagnosis of alcohol use disorder, according to criteria from the Diagnostic and Statistical Manual of Mental Disorders.CC BY · PubMed Central

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Metadata

Authors
Mellinger, J. L., Fernandez, A. C., & Winder, G. S.
Affiliations
University of Michigan (US)
Corresponding author
Mellinger, Jessica L.
Venue
Hepatology Communications
Published
2023-06-14
Volume
7
Issue
7
ISSN
2471-254X (ISSN-L)
OpenAlex
W4380576976
Cited by
52
References
101
Citations by year
2026: 14 · 2025: 16 · 2024: 17 · 2023: 4
FWCI
10.18
Type
journal article
Language
en
Open access
Locations
  • Hepatology Communications (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Institute on Alcohol Abuse and Alcoholism
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Medicine › Clinical Neurology › Alcoholism and Thiamine Deficiency
Keywords
alcoholism, chronic liver disease, alcoholic liver disease, alcohol use detection, alcohol biomarkers, motivational enhancement therapy, cognitive behavioral therapy, group therapy, Alcoholics Anonymous, integrated care, addiction professionals, hepatologists
MeSH terms
Gastroenterologists, Alcohol Drinking, Ethanol, Alcoholism, Humans, Liver Diseases, Alcoholic

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