Alcohol Use Disorders (3) How to identify people with AUD

13 February, 2024

Dear Efe,

Many thanks for mentioning the CAGE Questionnaire. This is a tool for use by health professionals and consists of four questions:

Have you ever felt you should Cut down on your drinking?

Have people Annoyed you by criticising your drinking?

Have you ever felt bad or Guilty about your drinking?

Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)?

https://patient.info/doctor/cage-questionnaire

'A total score of 2 Yes or greater is considered clinically significant (sensitivity of 93% and a specificity of 76% for the identification of problem drinking);[3] compared with GGT liver function test which detected only a third of patients having more than 16 'drinks' per day.'

Has anyone used this questionnaire in their work? Can you give examples of how you have used it?

The questionnaire is offered as a 'screening test'. Is it feasible to apply it to everyone, or might it be applied to selected people when a problem is suspected.

How honest are people when answering these questions?

HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org