{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:50:52Z","timestamp":1791183052459,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["EACB\u201038286"],"award-info":[{"award-number":["EACB\u201038286"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R18HS029366"],"award-info":[{"award-number":["R18HS029366"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Medication treatment for moderate to severe alcohol withdrawal syndrome (AWS) is evolving, particularly with renewed phenobarbital use. However, little research has examined how hospitalists manage AWS. We conducted a multiple\u2010methods study involving hospitalists from a national US Hospital Medicine research network. Thirty\u2010three hospitalists from 27 tertiary hospitals completed surveys and participated in seven focus groups on August 8, 2025. Benzodiazepines remained the most common treatment, but phenobarbital use was reported in 67% of emergency departments and 44% of inpatient medical units. Four themes emerged: hospitalists are adaptable in responding to changing practices and drug shortages; a lack of consensus on AWS treatment practices leads to a \u201cwild west approach\u201d to therapy selection; hospitalists prioritize care\u2010delivery outcomes when selecting medications; and patients are minimally involved in shared decision\u2010making. Participants strongly supported additional research to guide evidence\u2010based AWS care. These findings highlight uncertainty and the need for standardized, patient\u2010centered approaches to AWS management.<\/jats:p>","DOI":"10.1002\/jhm.70499","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:51:30Z","timestamp":1791179490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospitalist perspectives and practices in treating hospitalized patients with alcohol withdrawal syndrome in the era of phenobarbital re\u2010emergence"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-8506","authenticated-orcid":false,"given":"James C.","family":"Willey","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of General Internal Medicine University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3230-8670","authenticated-orcid":false,"given":"Julia E.","family":"Szymczak","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Epidemiology University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8440-0527","authenticated-orcid":false,"given":"Andrew D.","family":"Auerbach","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine University of California San Francisco, San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7072-0781","authenticated-orcid":false,"given":"Jeffrey L.","family":"Schnipper","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston Massachusetts USA"},{"name":"Hospital Medicine Unit, Division of General Internal Medicine and Primary Care Brigham and Women's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4214-7129","authenticated-orcid":false,"given":"Sunil","family":"Kripalani","sequence":"additional","affiliation":[{"name":"Section of Hospital Medicine, Division of General Internal Medicine and Public Health Vanderbilt University Medical Center Nashville Tennessee USA"},{"name":"Center for Health Services Research Vanderbilt University Medical Center Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy E.","family":"Madsen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Utah Salt Lake City Utah USA"},{"name":"Department of Emergency Medicine Intermountain Health Park City Hospital Park City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Done","sequence":"additional","affiliation":[{"name":"Utah Support Advocates for Recovery Awareness Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1468-930X","authenticated-orcid":false,"given":"Michael A.","family":"Incze","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of General Internal Medicine University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4362-7842","authenticated-orcid":false,"given":"Valerie M.","family":"Vaughn","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of General Internal Medicine University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7761-7039","authenticated-orcid":false,"given":"James D.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine University 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