Skip to main content
Log in

Do primary care physicians screen patients about alcohol intake using the CAGE questions?

  • Brief Report
  • Published:
Journal of General Internal Medicine Aims and scope Submit manuscript

Abstract

The performances of 134 primary care physicians at initial screening about alcohol use and screening with the CAGE questions were assessed using 17 standardized patients. For three-fourths of the standardized patients, more than 50% of the physicians asked an initial alcohol screening question. However, use of the CAGE questions with six patients who reported drinking more than one drink per day was less consistent; for most of these patients, few physicians asked any CAGE questions. Fewer than 50% of the physicians included alcohol abuse in the differential diagnosis for three of four patients who drank four or more drinks per day. Methods are needed to incorporate the CAGE questions into primary care practices in a more systematic manner.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. West LJ, Maxwell DS, Noble EP, et al. Alcoholism. Ann Intern Med. 1984;100:405–16.

    PubMed  CAS  Google Scholar 

  2. Magruder HK, Durand AM, Frey KA. Alcohol abuse and alcoholism in primary health care settings. J Fam Pract. 1991;32:406–13.

    Google Scholar 

  3. Ewing JA, Rouse BA. Identifying the hidden alcoholic. Presented at the 29th International Congress on Alcohol and Drug Dependence, Sydney, Australia, Feb 3, 1970.

  4. Ewing JA. Detecting alcoholism. JAMA. 1984;252:1905–7.

    Article  PubMed  CAS  Google Scholar 

  5. Girela E, Villanueva E, Hernandez-Cueto C, Luna JD. Comparison of the CAGE questionnaire versus some biochemical markers in the diagnosis of alcoholism. Alcohol Alcohol. 1994;29:337–43.

    PubMed  CAS  Google Scholar 

  6. Mayfield D. McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry: 1974;131:1121–3.

    CAS  Google Scholar 

  7. Bush B, Shaw S, Cleary P, Delbanco TL, Aronson MD. Screening for alcohol abuse using the CAGE questionnaire. Am J Med. 1987;82:231–5.

    Article  PubMed  CAS  Google Scholar 

  8. Bradley KA. Screening and diagnosis of alcoholism in the primary care setting. West J Med. 1992;156:166–71.

    PubMed  CAS  Google Scholar 

  9. van der Vleuten CP, Swanson DB. Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med. 1990;2:58–76.

    Article  Google Scholar 

  10. Ford DE, Klag MJ, Whelton PK, Goldsmith M, Levine D. Physician knowledge of the CAGE alcohol screening questions and its impact on practice. Alcohol Alcohol. 1994;29:329–36.

    PubMed  CAS  Google Scholar 

  11. Glaze LW, Coggan PG. Efficacy of an alcoholism self-report questionnaire in a residency clinic. J Fam Pract. 1987;25:60–4.

    PubMed  CAS  Google Scholar 

  12. Olfson M, Braham RL. The detection of alcohol problems in a primary care setting. J Community Health. 1992;17:323–31.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by grant number HS-06454-03 from the Agency for Health Care Policy and Research.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wenrich, M.D., Paauw, D.S., Carline, J.D. et al. Do primary care physicians screen patients about alcohol intake using the CAGE questions?. J Gen Intern Med 10, 631–634 (1995). https://doi.org/10.1007/BF02602748

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02602748

Key words

Navigation