Evidence map›Paper›PMID 23692391›Full record

ArticleAddiction (Abingdon, England)2013

Comparative performance of biomarkers of alcohol consumption in a population sample of working-aged men in Russia: the Izhevsk Family Study.

Helen McDonald, Svetlana Borinskya, Nikolay Kiryanov, Artyom Gil, Anders Helander, David A Leon

Abstract readComparative Study
In one paragraph

Article in Addiction (Abingdon, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Helen McDonaldLondon School of Hygiene and Tropical Medicine, Keppel St., London, UK.
Svetlana Borinskya
Nikolay Kiryanov
Artyom Gil
Anders Helander
David A Leon

Funding

Wellcome TrustWellcome Trust 078557
6 · The paper itself

Abstract

aimsTo assess the performance of a range of biomarkers of alcohol consumption in a heavy-drinking population of working-aged Russian men.

designCross-sectional study of men originally sampled at random from a population register.

settingIzhevsk, a Russian city with a population of 650 000 people.

participantsA total of 1023 men aged 27-59 years living in Izhevsk who took part in a health check examination in 2008-2009. MEASUREMENTS: Self-reported alcohol consumption, hazardous drinking behaviours, socio-economic position, anthropometric measurements plus blood levels of alcohol biomarkers [carbohydrate-deficient transferrin (CDT, gamma-glutamyl transferase (GGT), alanine aminotransferase (ALT), aspartate aminotransferase (AST) and mean cell volume of erythrocytes (MCV)] and hepatitis B and C status.

findingsIn the year before interview there was a high prevalence of high-risk alcohol consumption indicated by consumption of non-beverage alcohols (5%), problem drinking behaviours (4.4%) and alcohol consumption exceeding an average 40 g per day (12.6%). All biomarkers were associated strongly with total beverage alcohol consumption even after adjustment for confounders. CDT performed best as an alcohol biomarker, with a sensitivity of 67% and specificity of 71% for detecting an average consumption of more than 40 g per day versus less. For all biomarkers sensitivity was considerably lower than specificity. Hazardous drinking patterns per se were not well detected by any of the biomarkers, all with sensitivity below 60%.

conclusionsIn a Russian population with high levels of alcohol consumption, carbohydrate-deficient transferrin (CDT) might be the most sensitive and specific biomarker for detecting ethanol consumption above 40 g/day. A biomarker reflecting hazardous drinking patterns has yet to be established.

Indexed as

AdultAge DistributionAlanine TransaminaseAlcohol DrinkingAspartate AminotransferasesBiomarkersEpidemiologic Methodsgamma-GlutamyltransferaseHumansMaleMiddle AgedRussiaTransferrinAlanine TransaminaseAspartate AminotransferasesBiomarkerscarbohydrate-deficient transferringamma-GlutamyltransferaseTransferrinAlcohol drinking/bloodbiological markersmaleRussia/epidemiology

Identifiers

PMID23692391
PMCPMC3992900

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.