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Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities

AIM: Resuming drinking is a main contributant to recurrence in alcoholic pancreatitis. We assessed current clinical practice in the Netherlands regarding alcohol in managing patients with a first episode of acute alcoholic pancreatitis. METHODS: A survey was distributed to 35 hospitals affiliated wi...

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Autores principales: Sissingh, Noor J, Umans, Devica S, Goudriaan, Anna E, Sijbom, Martijn, Verdonk, Robert C, van Hooft, Jeanin E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686671/
https://www.ncbi.nlm.nih.gov/pubmed/33765143
http://dx.doi.org/10.1093/alcalc/agab014
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author Sissingh, Noor J
Umans, Devica S
Goudriaan, Anna E
Sijbom, Martijn
Verdonk, Robert C
van Hooft, Jeanin E
author_facet Sissingh, Noor J
Umans, Devica S
Goudriaan, Anna E
Sijbom, Martijn
Verdonk, Robert C
van Hooft, Jeanin E
author_sort Sissingh, Noor J
collection PubMed
description AIM: Resuming drinking is a main contributant to recurrence in alcoholic pancreatitis. We assessed current clinical practice in the Netherlands regarding alcohol in managing patients with a first episode of acute alcoholic pancreatitis. METHODS: A survey was distributed to 35 hospitals affiliated with the Dutch Pancreatitis Study Group. We evaluated current support based on various components of brief interventions, the participation of psychosocial healthcare providers, the cooperation with the primary care physicians and the presence of a protocol and its implementation. RESULTS: The response rate was 100% (n = 35). Psychoeducation is the most frequently performed intervention in current support treatment (97% of hospitals). In 17% of hospitals, healthcare providers with a psychosocial background routinely participate in current support treatment; 37% of hospitals create an individual treatment plan in which goals regarding alcohol cessation are specified and only 46% of hospitals provide the primary care physician with specific discharge information; 31% of hospitals indicate that the treatment is uniformly performed within their division of Gastroenterology. Protocols are available in 3% of the hospitals surveyed. Opportunities to involve the patient’s social network were not given sufficient priority. CONCLUSION: Among Dutch hospitals, there is no routine management strategy with regard to enhancing treatment for heavy alcohol use in alcoholic pancreatitis patients. There is a need to test a validated support program in randomized studies. Meanwhile, possible opportunities for effecting change are often missed.
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spelling pubmed-86866712021-12-21 Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities Sissingh, Noor J Umans, Devica S Goudriaan, Anna E Sijbom, Martijn Verdonk, Robert C van Hooft, Jeanin E Alcohol Alcohol Original Manuscript AIM: Resuming drinking is a main contributant to recurrence in alcoholic pancreatitis. We assessed current clinical practice in the Netherlands regarding alcohol in managing patients with a first episode of acute alcoholic pancreatitis. METHODS: A survey was distributed to 35 hospitals affiliated with the Dutch Pancreatitis Study Group. We evaluated current support based on various components of brief interventions, the participation of psychosocial healthcare providers, the cooperation with the primary care physicians and the presence of a protocol and its implementation. RESULTS: The response rate was 100% (n = 35). Psychoeducation is the most frequently performed intervention in current support treatment (97% of hospitals). In 17% of hospitals, healthcare providers with a psychosocial background routinely participate in current support treatment; 37% of hospitals create an individual treatment plan in which goals regarding alcohol cessation are specified and only 46% of hospitals provide the primary care physician with specific discharge information; 31% of hospitals indicate that the treatment is uniformly performed within their division of Gastroenterology. Protocols are available in 3% of the hospitals surveyed. Opportunities to involve the patient’s social network were not given sufficient priority. CONCLUSION: Among Dutch hospitals, there is no routine management strategy with regard to enhancing treatment for heavy alcohol use in alcoholic pancreatitis patients. There is a need to test a validated support program in randomized studies. Meanwhile, possible opportunities for effecting change are often missed. Oxford University Press 2021-03-26 /pmc/articles/PMC8686671/ /pubmed/33765143 http://dx.doi.org/10.1093/alcalc/agab014 Text en © The Author(s) 2021. Medical Council on Alcohol and Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Manuscript
Sissingh, Noor J
Umans, Devica S
Goudriaan, Anna E
Sijbom, Martijn
Verdonk, Robert C
van Hooft, Jeanin E
Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
title Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
title_full Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
title_fullStr Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
title_full_unstemmed Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
title_short Alcohol Reduction to Reduce Relapse in Acute Alcoholic Pancreatitis—Missed Opportunities
title_sort alcohol reduction to reduce relapse in acute alcoholic pancreatitis—missed opportunities
topic Original Manuscript
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686671/
https://www.ncbi.nlm.nih.gov/pubmed/33765143
http://dx.doi.org/10.1093/alcalc/agab014
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