TY - JOUR T1 - Predicting the onset of hazardous alcohol drinking in primary care: development and validation of a simple risk algorithm JF - British Journal of General Practice JO - Br J Gen Pract SP - e280 LP - e292 DO - 10.3399/bjgp17X690245 VL - 67 IS - 657 AU - Juan Ángel Bellón AU - Juan de Dios Luna AU - Michael King AU - Irwin Nazareth AU - Emma Motrico AU - María Josefa GildeGómez-Barragán AU - Francisco Torres-González AU - Carmen Montón-Franco AU - Marta Sánchez-Celaya AU - Miguel Ángel Díaz-Barreiros AU - Catalina Vicens AU - Patricia Moreno-Peral Y1 - 2017/04/01 UR - http://bjgp.org/content/67/657/e280.abstract N2 - Background Little is known about the risk of progressing to hazardous alcohol use in abstinent or low-risk drinkers.Aim To develop and validate a simple brief risk algorithm for the onset of hazardous alcohol drinking (HAD) over 12 months for use in primary care.Design and setting Prospective cohort study in 32 health centres from six Spanish provinces, with evaluations at baseline, 6 months, and 12 months.Method Forty-one risk factors were measured and multilevel logistic regression and inverse probability weighting were used to build the risk algorithm. The outcome was new occurrence of HAD during the study, as measured by the AUDIT.Results From the lists of 174 GPs, 3954 adult abstinent or low-risk drinkers were recruited. The ‘predictAL-10’ risk algorithm included just nine variables (10 questions): province, sex, age, cigarette consumption, perception of financial strain, having ever received treatment for an alcohol problem, childhood sexual abuse, AUDIT-C, and interaction AUDIT-C*Age. The c-index was 0.886 (95% CI = 0.854 to 0.918). The optimal cutoff had a sensitivity of 0.83 and specificity of 0.80. Excluding childhood sexual abuse from the model (the ‘predictAL-9’), the c-index was 0.880 (95% CI = 0.847 to 0.913), sensitivity 0.79, and specificity 0.81. There was no statistically significant difference between the c-indexes of predictAL-10 and predictAL-9.Conclusion The predictAL-10/9 is a simple and internally valid risk algorithm to predict the onset of hazardous alcohol drinking over 12 months in primary care attendees; it is a brief tool that is potentially useful for primary prevention of hazardous alcohol drinking. ER -