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Yet, alcohol screening and treatment are frequently overlooked in perioperative care. This study examines how patient risk for unhealthy alcohol use is associated with the likelihood of receiving any treatment for the purpose of alcohol risk reduction or cessation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      All records from surgical patients with quantifiable Alcohol Use Disorders Identification Test\u2014Consumption (AUDIT\u2010C) scores in the\n                      <jats:italic>All of Us<\/jats:italic>\n                      Research Program, a precision medicine\u2010focused database harmonizing surveys and electronic health records, were evaluated. The association between treatment for at\u2010risk alcohol use, including psychotherapy and pharmacologic therapy, and categorical AUDIT\u2010C risk was estimated using adjusted multivariable logistic regression models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Any alcohol use treatments were initiated in 0.5% of patients within 90\u2009days of a procedure. Patients in high\u2010risk and severe\u2010risk AUDIT\u2010C groups had significantly increased odds of receiving any treatment (aOR 2.37, 95% CI 1.06, 4.74; aOR 10.1, 95% CI 6.02, 16.8). Similarly, participants with an alcohol use disorder (AUD) diagnosis were nine times more likely to receive any treatment than those without a diagnosis (aOR 9.33, 95% CI 5.97, 14.70). Yet only 0.7% of high\u2010risk, 4% of severe\u2010risk AUDIT\u2010C participants, and 1.7% of participants diagnosed with AUD received any treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Surgical patients with identified severe risk for unhealthy alcohol consumption are more likely to receive perioperative alcohol\u2010specific treatment. However, even for high\u2010risk patients, the provision of perioperative treatments to reduce alcohol intake is rare. Future work should focus on overcoming barriers to reduce unhealthy alcohol use after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70231","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:25:03Z","timestamp":1768292703000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol use\u2010specific treatment initiation among patients undergoing surgical procedures: A retrospective cohort analysis"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1947-1393","authenticated-orcid":false,"given":"Megan L.","family":"Rolfzen","sequence":"first","affiliation":[{"name":"Department of Anesthesiology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Muellner","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah V.","family":"Mattioli","sequence":"additional","affiliation":[{"name":"SporeData, Inc.  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. Jerrod","family":"Anzalone","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, College of Public Health University of Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9129-7318","authenticated-orcid":false,"given":"Anne C.","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne P.","family":"Ehlers","sequence":"additional","affiliation":[{"name":"Center for Healthcare Outcomes &amp; Policy University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Surgery University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2028-4664","authenticated-orcid":false,"given":"Karsten","family":"Bartels","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"36","article-title":"Development and validation of an individual socioeconomic deprivation index (ISDI) in the NIH's all of us data network","volume":"2024","author":"Acharya N.","year":"2024","journal-title":"AMIA Summits on Translational Science Proceedings"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","unstructured":"American Society of Anesthesiologists. 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