A predictive microsimulation model to estimate the clinical relevance of reducing alcohol consumption in alcohol dependence

作者: Samuel Aballéa , Aurélie Millier , Sébastien Bineau , Mondher Toumi , Jürgen Rehm

DOI: 10.1159/000362408

关键词:

摘要: BACKGROUND: Alcohol consumption is one of the most important factors for disease and disability in Europe. In clinical trials, nalmefene has resulted a significant reduction number heavy-drinking days (HDDs) per month total alcohol (TAC) among alcohol-dependent patients versus placebo. METHODS: A microsimulation model was developed to estimate alcohol-attributable diseases injuries with dependence explore relevance reducing consumption. RESULTS: For all considered, events (inpatient episodes) increased HDDs TAC year. The predicted that 20 year would result 941 fewer 100,000 patients, while intake 3,000 g/year pure (ethanol) 1,325 patients. CONCLUSION: potential gains were considerable. © 2014 S. Karger AG, Basel. Language: en

参考文章(55)
Jean McQueen, Tracey E Howe, Linda Allan, Diane Mains, Victoria Hardy, Brief interventions for heavy alcohol users admitted to general hospital wards Cochrane Database of Systematic Reviews. ,vol. 2011, ,(2011) , 10.1002/14651858.CD005191.PUB3
A. V. SAMOKHVALOV, H. M. IRVING, J. REHM, Alcohol consumption as a risk factor for pneumonia: a systematic review and meta-analysis. Epidemiology and Infection. ,vol. 138, pp. 1789- 1795 ,(2010) , 10.1017/S0950268810000774
Marc A Schuckit, Alcohol-use disorders The Lancet. ,vol. 373, pp. 492- 501 ,(2009) , 10.1016/S0140-6736(09)60009-X
H.U. Wittchen, F. Jacobi, J. Rehm, A. Gustavsson, M. Svensson, B. Jönsson, J. Olesen, C. Allgulander, J. Alonso, C. Faravelli, L. Fratiglioni, P. Jennum, R. Lieb, A. Maercker, J. van Os, M. Preisig, L. Salvador-Carulla, R. Simon, H.-C. Steinhausen, The size and burden of mental disorders and other disorders of the brain in Europe 2010 European Neuropsychopharmacology. ,vol. 21, pp. 655- 679 ,(2011) , 10.1016/J.EURONEURO.2011.07.018
Michael Roerecke, Jürgen Rehm, Alcohol use disorders and mortality: a systematic review and meta-analysis. Addiction. ,vol. 108, pp. 1562- 1578 ,(2013) , 10.1111/ADD.12231
David A Leon, Laurent Chenet, Vladimir M Shkolnikov, Sergei Zakharov, Judith Shapiro, Galina Rakhmanova, Sergei Vassin, Martin McKee, Huge variation in Russian mortality rates 1984-94: artefact, alcohol, or what? The Lancet. ,vol. 350, pp. 383- 388 ,(1997) , 10.1016/S0140-6736(97)03360-6
Wim van den Brink, Per Sørensen, Lars Torup, Karl Mann, Antoni Gual, , Long-term efficacy, tolerability and safety of nalmefene as-needed in patients with alcohol dependence: A 1-year, randomised controlled study Journal of Psychopharmacology. ,vol. 28, pp. 733- 744 ,(2014) , 10.1177/0269881114527362
Janet B. W. Williams, Michael First, Diagnostic and Statistical Manual of Mental Disorders Encyclopedia of Social Work. ,(2013) , 10.1093/ACREFORE/9780199975839.013.104
David J Nutt, Leslie A King, Lawrence D Phillips, Drug harms in the UK: a multicriteria decision analysis The Lancet. ,vol. 376, pp. 1558- 1565 ,(2010) , 10.1016/S0140-6736(10)61462-6
Jürgen Rehm, Colin Mathers, Svetlana Popova, Montarat Thavorncharoensap, Yot Teerawattananon, Jayadeep Patra, Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet. ,vol. 373, pp. 2223- 2233 ,(2009) , 10.1016/S0140-6736(09)60746-7