+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A new century approach for alcohol screen in the insurance industry



A new century approach for alcohol screen in the insurance industry



Journal of Insurance Medicine 33(2): 183-188



Several recent studies point to the value of using combinations of biochemical markers for the identification of alcohol abuse. The Early Detection of Alcohol Consumption (EDAC) test uses a statistical method that combines the results of several routine laboratory tests to form a metabolic fingerprint for each subject. In this study, we evaluated the use of the EDAC test as a screening tool to assess heavy drinking in insurance applicants. The EDAC was calculated by linear discriminate function analysis using the results of 14 routine tests including liver enzymes, lipids, proteins, and blood sugars. We collected and analyzed 1680 random samples at Heritage Laboratories (Olathe, Kan). Alcohol Detection Services (Brookfield, Wis) and Millennium Strategies (Madison, Wis) collaborated in the data analysis and interpretation of laboratory tests results. Ninety-three percent of applicants showed a negative EDAC test. The 7% (n = 134) who screened positive for the EDAC test were then reflexed to carbohydrate deficient transferin (CDT) and whole blood associated acetaldehyde (WBAA). Sixteen percent (22/134) showed a positive confirmatory test. Among these 16% of subjects, 41% (9/22) showed no elevations in liver enzymes or HDL-C results. Four of these subjects were among the top one third with the highest elevations for the CDT test in the entire group and one of them was positive for both the CDT and WBAA tests. These results suggest that the EDAC screen may provide an efficient alternative screening tool for the identification of heavy alcohol consumption not HBA as it identifies applicants with both normal or abnormal liver enzymes and HDL-C.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 045079326

Download citation: RISBibTeXText

PMID: 11510515


Related references

Hospitals and insurance industry speak up on malpractice liability insurance. II. The insurance industry is in the squeeze. Modern Hospital 80(4): 65; Passim-65; Passim, 1953

The role of physicians in the life insurance industry in the 19th century. New York State Journal of Medicine 87(10): 546-552, 1987

Strategies for designing an efficient insurance fertility benefit: a 21st century approach. Fertility and Sterility 91(6): 2295-2297, 2008

An insurance approach to risk management in the ethanol industry. Agricultural And Resource Economics Review: 1, 51-62. Ef, 2008

Corporate social responsibility in the healthcare insurance industry: a cause-branding approach. International Journal of Electronic Healthcare 5(3): 284-302, 2016

A dendro-archaeological approach to understanding the nineteenth century saltpeter mining industry in the Southeastern United States. Proceedings of the International Congress of Speleology 15, . 1: 51-57, 2009

Looking back to bamboo industry for the 20th century, looking forward to bamboo industry for the 21st century. Journal of Bamboo Research 18(4): 1-4, 10, 1999

Bhumi Shakti - a novel approach to zero pollution in alcohol industry and sustainable agriculture. Proceedings of the 63rd Annual Convention of the Sugar Technologists' Association of India, Jaipur, India, 25th-27th August, 2001: C38-C51, 2001

Occupational Medicine: Employee Drug and Alcohol Abuse-Industry's Approach. Western Journal of Medicine 143(4): 514-515, 1985

The Problems Of Medical Care Insurance As Seen By The Insurance Industry In Canada. Proceedings, Annual Meeting of the Medical Section of the American Life Convention 52: 15-22, 1964

The health insurance story from the insurance industry's point of view. Journal of the Maine Medical Association 49(11): 402-4 Passim, 1958

Obesity and insurance risk: the insurance industry's viewpoint. Pharmacoeconomics 5(Suppl 1): 62-65, 1993

Genomewide SNP screen to detect quantitative trait loci for alcohol preference in the high alcohol preferring and low alcohol preferring mice. Alcoholism, Clinical and Experimental Research 33(3): 531-537, 2009

Depression in diabetes mellitus to screen or not to screen? A patient-centred approach. The British Journal of Diabetes & Vascular Disease 11(6): 276-281, 2011

The medical insurance in the private insurance industry. Versicherungsmedizin 65(1): 26-26, 2013