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April 2, 2003

Definitions of Binge Drinking—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(13):1636-1637. doi:10.1001/jama.289.13.1636-a

In Reply: Dr Gandjour suggests that, because we used a validated questionnaire capable of detecting clinically meaningful changes in patients' HRQL, it is self-evident that the provision of such feedback will be of use.

Although the questionnaire has proven its usefulness in clinical research (eg, in comparing the HRQL of groups of patients), little is known about its value when used at the level of the individual patient. Rather than simply assuming the value of structured HRQL information in daily clinical practice, we believe that it is essential to demonstrate this empirically.