The evidence-based memory aid for the periodic health examination1 looks wonderfully user-friendly and convenient. I would like to comment on the strategy for the detection of problem drinking and alcohol addiction. The approach noted in Figure 1 of the article appears to be that recommended by the College of Family Physicians of Canada.2 A nice study showed that the CAGE questionnaire’s sensitivity is enhanced if preceded by a simple open-ended question rather than by pointed questions about the drinking pattern.3 It might be prudent to inquire about drinking volume and frequency following rather than before the CAGE questions.
Footnotes
References
- 1.Milone SD, Lopes Milone S. Evidence-based periodic health examination of adults. Memory aid for primary care physicians. Can Fam Physician. 2006;52:40–47. [PMC free article] [PubMed] [Google Scholar]
- 2.Peters C, Wilson D, Bruneau A, Butt P, Hart S, Mayhew J. Alcohol risk assessment and intervention for family physicians. Project of the College of Family Physicians of Canada. Can Fam Physician. 1996;42:681–689. [PMC free article] [PubMed] [Google Scholar]
- 3.Steinweg DL, Worth H. Alcoholism: the keys to the CAGE. Am J Med. 1993;94:520–523. doi: 10.1016/0002-9343(93)90088-7. [DOI] [PubMed] [Google Scholar]
