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The search for an elusive cutoff remains: Problems of binary classification of heavy drinking as an endpoint for alcohol clinical trials
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We attempted to create a clinically meaningful alcohol use cutoff. We conducted secondary data analyses using Project MATCH and COMBINE data. The results fail to provide support for a clinically meaningful alcohol use cutoff. Across a range of consequences, no cutoff resulted in high sensitivity/specificity. No specific level of alcohol use is a good proxy for alcohol consequences.

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