Published online Dec 28, 2017. doi: 10.4254/wjh.v9.i36.1332
Peer-review started: August 31, 2017
First decision: September 26, 2017
Revised: October 15, 2017
Accepted: November 3, 2017
Article in press: November 3, 2017
Published online: December 28, 2017
Processing time: 118 Days and 16.7 Hours
To evaluate prior hospital contacts with alcohol problems in patients with alcoholic liver cirrhosis and pancreatitis.
This was a register-based study of all patients diagnosed with alcoholic liver cirrhosis or pancreatitis during 2008-2012 in Denmark. Hospital contacts with alcohol problems (intoxication, harmful use, or dependence) in the 10-year period preceding the diagnosis of alcoholic liver cirrhosis and pancreatitis were identified.
In the 10 years prior to diagnosis, 40% of the 7719 alcoholic liver cirrhosis patients and 40% of the 1811 alcoholic pancreatitis patients had at least one prior hospital contact with alcohol problems. Every sixth patient (15%-16%) had more than five contacts. A similar pattern of prior hospital contacts was observed for alcoholic liver cirrhosis and pancreatitis. Around 30% were diagnosed with alcohol dependence and 10% with less severe alcohol diagnoses. For the majority, admission to somatic wards was the most common type of hospital care with alcohol problems. Most had their first contact with alcohol problems more than five years prior to diagnosis.
There may be opportunities to reach some of the patients who later develop alcoholic liver cirrhosis or pancreatitis with preventive interventions in the hospital setting.
Core tip: Alcohol-related liver and pancreatic disease are preceded by many years of heavy drinking. Hospital contacts with obvious alcohol problems prior to development of alcohol-related liver or pancreatic disease may constitute opportunities for prevention if alcohol problems were to be consistently managed. In this study of all Danish alcoholic liver cirrhosis and alcoholic pancreatitis patients, forty percent had at least one previous hospital contact with obvious alcohol problems in the 10 years prior to diagnosis. Most of these patients had their first contact with alcohol problems more than five years prior to diagnosis.