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Sunday, March 30, 2008

Diagnosis and management of alcohol use disorders
BMJ 2008;336:496-501

Alcohol use disorders account for 4% of the global burden of disease and cause 1.8 million deaths (3.2% of total) each year. The overall economic cost to society is huge—around £20bn ({euro}26.7bn; $39bn) each year in the United Kingdom—mostly as a result of lost productivity and alcohol related crime.

Healthcare professionals have a vital role to play in implementing secondary prevention, and in identifying those who need specialist treatment.

Well validated screening tools have recently become available, and the effectiveness of early brief interventions and more intensive treatments, together with the cost effectiveness of intensive treatments provide a strong impetus for improving the identification and management of disorders of alcohol misuse.

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