The Use of Administrative Data as a Substitute for Individual Screening Scores in Observational Studies Related to Problematic Alcohol or Drug Use

Details

• Personal Author:
  Dunn C ; Estee SL ; Ford Shah M ; He L ; Huber A ; Joesch JM ; Krupski A ; Ries R ; Roy-Byrne PP ; Sears JM
• Description:
  Administrative data provide a rich resource for improving our understanding of individuals with substance use disorders. The validation of administrative proxies for moderate or high risk alcohol or drug (AOD) use could enhance the ability to carry out rigorous observational research (for example, for use in the construction of comparison groups). This study used receiver operating characteristic (ROC) curve techniques to assess how well AOD-related administrative indicators predicted self-reported AOD use obtained from AUDIT/DAST screening scores. An administrative AOD indicator, derived from a combination of medical encounter and billing data, arrest records, and publicly funded AOD-related services data, demonstrated discrimination in the acceptable range (AUC: 0.72-0.78) for identifying self-reported AOD use consistent with potential need for either (1) any AOD-related intervention, or (2) intensive AOD-related intervention or treatment. These findings held up in two distinct samples: a statewide Medicaid-only sample and a single-site mixed-payer sample that included the uninsured. Our findings suggest that indicators of AOD-related problems derived from administrative data can be useful for identifying moderate or high risk AOD use in a research context. The findings further suggest that proxies for substance use disorders, such as those evaluated here, can enhance future observational studies intended to improve health care for this population. [Description provided by NIOSH]
• Subjects:
  Alcoholic Beverages Occupational Health Safety Substance-Related Disorders
• Keywords:
  Alcohol Alcohol Abuse Alcoholism AUDIT Author Keywords: Administrative Data DAST Drug Abuse Medical Records ROC Curve Screening Methods Substance Abuse

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• ISSN:
  0376-8716
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  89-96
• Volume:
  111
• Issue:
  1
• NIOSHTIC Number:
  nn:20057164
• Citation:
  Drug Alcohol Depend 2010 Sep; 111(1-2):89-96
• Contact Point Address:
  Jeanne M. Sears, Department of Health Services, University of Washington, Box 354809, Seattle, WA 98195, USA
• Email:
  jeannes@u.washington.edu
• Federal Fiscal Year:
  2010
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Drug and Alcohol Dependence
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:01738cbddb3bac2c7f2adba5911a7b3d37be1e37bfb60be2894d197379520d7969d7e051f69cfe8a48f17a0f6f6c8c11eea698f4607d7c8d95dff4e003f992aa
• Download URL:
  https://stacks.cdc.gov/view/cdc/214595/cdc_214595_DS1.pdf
• File Type:
  [PDF - 112.88 KB ]