Safety, quality & education

Initiation of substance use-related treatments in surgical patients with risky alcohol use

J Clin AnesthPublished Retrospective cohort study

Authors' conclusion

Although surgical patients with high or severe risk alcohol use were more likely to receive perioperative treatment or referrals than moderate-risk peers, overall rates of treatment initiation remained low.

Study context

Population
Surgical patients at risk for alcohol use disorder by preoperative Alcohol Use Disorders Identification Test - Consumption (AUDIT-C), without substance use-related treatment in the 90 days before surgery, 2011–2025
Participants
18,887 surgical encounters
Exposure
High or severe vs moderate risk AUDIT-C
Outcome
New psychotherapy or pharmacotherapy treatment or referral
Follow-up
During the stay or within 90 days after discharge
Methodological detailselectronic health record data, multivariable logistic regression, quaternary health system
  • Electronic health record data
  • Multivariable logistic regression
  • Quaternary health system

Main finding

As reported in the abstract

Each group vs moderate riskAdjusted odds ratio (95% CI)P value
High risk
1.44(1.25–1.65)
P < 0.001
Severe risk
2.04(1.80–2.31)
P < 0.001
Encounters with documented behavioral or pharmacologic treatment or referral, overall
22.4%

Observational data: associations, not effects.

Original publication

Initiation of substance use-related treatments in surgical patients with risky alcohol use. J Clin Anesth. Published 17 September 2026. doi:10.1016/j.jclinane.2026.112324

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