PMID- 32934536
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220416
IS  - 1458-6126 (Electronic)
IS  - 1455-0725 (Print)
IS  - 1455-0725 (Linking)
VI  - 35
IP  - 5
DP  - 2018 Oct
TI  - Care outcomes and alcohol-related treatment utilisation profiles of patients with 
      alcohol-use disorder: A prospective cohort study using electronic health records.
PG  - 329-343
LID - 10.1177/1455072518783972 [doi]
AB  - BACKGROUND: We examined the probabilities of longitudinal care outcomes of 
      working-aged patients with alcohol-use disorder (AUD) and their alcohol-related 
      treatment utilisation patterns across the healthcare services, by using linked 
      electronic health records. METHODS: A random sample (n = 396) of patients with 
      alcohol-related visits to healthcare services in 2011-2012 was collected 
      retrospectively from the electronic health record data in the North Karelia 
      region of Finland and followed prospectively in time until the end of 2016. Data 
      on care outcomes and alcohol-related healthcare use were gathered from the 
      electronic health records. Three outcome groups were identified: (1) dead, (2) 
      present AUD, and (3) remission. Group differences in alcohol-related health 
      service use were compared. RESULTS: At the end of the follow-up period, an 
      increased mortality rate of 22.9% was observed, and 18.4% had achieved stable 
      remission, while for the majority (56%), the AUD remained. Most of those in 
      remission had contact with either specialised AUD services or mental health 
      services. Conversely, the majority of those who had died had no contact with 
      specialised AUD services during the follow-up period. CONCLUSIONS: The 
      electronic-health-record-based register analysis captured mainly individuals with 
      advanced forms of AUD. An excess mortality rate and other negative health 
      consequences were observed. Training providers to identify and treat earlier the 
      less severe forms of AUD could have major benefit to patients and also reduce 
      health system costs.
CI  - (c) The Author(s) 2018.
FAU - Rautiainen, Elina
AU  - Rautiainen E
AD  - University of Eastern Finland, Finland.
FAU - Ryynanen, Olli-Pekka
AU  - Ryynanen OP
AD  - University of Eastern Finland, Finland.
FAU - Laatikainen, Tiina
AU  - Laatikainen T
AD  - University of Eastern Finland, Finland.
LA  - eng
PT  - Journal Article
DEP - 20180905
PL  - United States
TA  - Nordisk Alkohol Nark
JT  - Nordisk alkohol- & narkotikatidskrift : NAT
JID - 100937320
PMC - PMC7434146
OTO - NOTNLM
OT  - alcohol-use disorder
OT  - care outcomes
OT  - electronic health records
OT  - register study
OT  - treatment utilisation
COIS- Declaration of conflicting interests: The authors declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2018/10/01 00:00
MHDA- 2018/10/01 00:01
PMCR- 2018/09/05
CRDT- 2020/09/16 05:38
PHST- 2018/03/15 00:00 [received]
PHST- 2018/05/22 00:00 [accepted]
PHST- 2020/09/16 05:38 [entrez]
PHST- 2018/10/01 00:00 [pubmed]
PHST- 2018/10/01 00:01 [medline]
PHST- 2018/09/05 00:00 [pmc-release]
AID - 10.1177_1455072518783972 [pii]
AID - 10.1177/1455072518783972 [doi]
PST - ppublish
SO  - Nordisk Alkohol Nark. 2018 Oct;35(5):329-343. doi: 10.1177/1455072518783972. Epub 
      2018 Sep 5.