Reid et al reported the Alcohol-Tobacco-related Comorbidities (ATC) index to describe the comorbidities seen in tobacco and ethanol enthusiasts. The comorbidities include those identified by the U.S. Surgeon General and IARC. The authors are from the University of Maryland, Johns Hopkins University, University of North Carolina at Chapel Hill and NIH.
Smoking-related:
(1) chronic pulmonary disease
Alcohol-related:
(2) alcoholic gastritis
(3) pancreatitis
(4) alcoholic cirrhosis
Cardiovascular disease:
(5) alcoholic cardiomyopathy
(6) cardiovascular disease
(7) hypertension
(8) peripheral vascular disease
Cancer
(9) lung cancer
(10) esophageal cancer
(11) bladder cancer
Response |
Points |
---|---|
absent |
0 |
present |
1 |
where:
• Additional cancers (oral, laryngeal) could be included.
total index =
= SUM(points for all 11 comorbidities)
Interpretation:
• minimum score: 0
• maximum score: 11
• The higher the index the greater the comorbidity.
Purpose: To evaluate a patient who drinks or smokes for comorbid conditions as reported by Reid et al.
Objective: disease progression, comorbid conditions, quality of life
ICD-10: C15, C34, C67, D53.8, D69.5, D75.9, F10, F17, F19, G31.2, G40.5, G62.1, G72.1, H47.0, I10-I15, I30-I52, J44, K03.6, K29.2, K70, K85.2, K86.0, L24.2, O35.4, O99.3, P04.2, P04.3, Q86.0, R68, R78.0, T50.6, T51, T65.2, Z13.8, Z63, Z81, Z86.4,