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Alcohol & Alcoholism Vol. 39, No. 4, pp. 325-328, 2004
Alcohol & Alcoholism Vol. 39, No. 4 © Medical Council on Alcohol 2004; all rights reserved

SELF-REPORT AND BIOMARKER ALCOHOL SCREENING BY PRIMARY CARE PHYSICIANS: THE NEED TO TRANSLATE RESEARCH INTO GUIDELINES AND PRACTICE

PETER M. MILLER1,*, STEVEN M. ORNSTEIN2, PAUL J. NIETERT3 and RAYMOND F. ANTON1

1 Center for Drug and Alcohol Programs, Medical University of South Carolina, Charleston, 2 Department of Family Medicine, Medical University of South Carolina, Charleston and 3 Department of Medicine and Center for Health Care Research, Medical University of South Carolina, Charleston, SC 29425, USA

* Author to whom correspondence should be addressed at: Center for Drug and Alcohol Programs, Medical University of South Carolina, 67 President Street, P.O. Box 250861, Charleston, SC 29425, USA. E-mail: millerpm{at}musc.edu

(Received 20 December 2003; first review notified 6 March 2004; in revised form 2 April 2004; accepted 5 April 2004)

Aims: To assess knowledge and use of alcohol self-report and biomarker screening by physicians. Methods: Forty-eight primary care physicians were surveyed. Results: Knowledge of MCV and GGT was as good as that for non-biomarker screening tools (CAGE, AUDIT) although use was significantly less. Knowledge and use of carbohydrate-deficient transferrin (CDT) was extremely low. Conclusions: Little translation of alcohol biomarker research into guidelines for primary care medicine has occurred. Most physicians report they would utilize these tests more frequently with additional knowledge about availability and use.


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