Evidence map›Paper›PMID 26475403›Full record

Trial reportDrug and alcohol dependence2015

Using ethyl glucuronide in urine to detect light and heavy drinking in alcohol dependent outpatients.

Michael G McDonell, Jordan Skalisky, Emily Leickly, Sterling McPherson, Samuel Battalio, Jenny R Nepom, Debra Srebnik, John Roll, Richard K Ries

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04893044 (Alcohol Misuse Intervention in Active Duty US Navy Personnel), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
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.

NCT04893044 nacompletednot on this mapstarted 2019, after this paper: background citation

Alcohol Misuse Intervention in Active Duty US Navy Personnel

TypeinterventionalSponsorUniversity of New MexicoRan2019 to 2019Enrolled100ConditionsAlcohol Drinking, Alcohol Use DisorderArmsVideo
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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  12. Age and Sex Differences in Alcohol Withdrawal Syndrome.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
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  19. Novel medications for problematic alcohol use.The Journal of clinical investigation · 2024
    Review
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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

9 authors at 4 institutions in 1 country.

Michael G McDonellInitiative for Research and Education to Advance Community Health (I-REACH), Washington State University, Box 1495, Spokane, WA 99210, United States. Electronic address: mmcdonell@wsu.edu.
Jordan SkaliskyInitiative for Research and Education to Advance Community Health (I-REACH), Washington State University, Box 1495, Spokane, WA 99210, United States.
Emily LeicklyHarborview Medical Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Box 359911, 325 9th Avenue, Seattle, WA 98195, United States.
Sterling McPhersonProgram of Excellence in Addictions Research, Washington State University, PO Box 1495, Spokane, WA 99210 and Providence Medical Research Center, Providence Health Care, Spokane, WA 99210, United States.
Samuel BattalioHarborview Medical Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Box 359911, 325 9th Avenue, Seattle, WA 98195, United States.
Jenny R NepomInitiative for Research and Education to Advance Community Health (I-REACH), Washington State University, Box 1495, Spokane, WA 99210, United States.
Debra SrebnikHarborview Medical Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Box 359911, 325 9th Avenue, Seattle, WA 98195, United States.
John RollProgram of Excellence in Addictions Research, Washington State University, PO Box 1495, Spokane, WA 99210 and Providence Medical Research Center, Providence Health Care, Spokane, WA 99210, United States.
Richard K RiesHarborview Medical Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Box 359911, 325 9th Avenue, Seattle, WA 98195, United States.
Washington State University Spokane · USHarborview Medical Center · USProvidence College · USUniversity of Washington · US

Funding

Novel EtG BasedContingency Management for Alcohol in the Severely Mentally IllR01AA020248 · NIAAA · WASHINGTON STATE UNIVERSITY · PI MCDONELL, MICHAEL G · 2012 to 2021
$4.6M
NIAAA NIH HHS R01 AA020248NIAAA NIH HHS R01AA02024801A1
6 · The paper itself

Abstract

aimsThis study investigated which ethyl glucuronide immunoassay (EtG-I) cutoff best detects heavy versus light drinking over five days in alcohol dependent outpatients.

methodsA total of 121 adults with alcohol use disorders and co-occurring psychiatric disorders took part in an alcohol treatment study. Participants provided self-reported drinking data and urine samples three times per week for 16-weeks (total samples=2761). Agreement between low (100 ng/mL, 200 ng/mL), and moderate (500 ng/mL) EtG-I cutoffs and light (women ≤3 standard drinks, men ≤4 standard drinks) and heavy drinking (women >3, men >4 standard drinks) were calculated over one to five days.

resultsThe 100 ng/mL cutoff detected >76% of light drinking for two days, and 66% at five days. The 100 ng/mL cutoff detected 84% (1 day) to 79% (5 days) of heavy drinking. The 200 ng/mL cutoff detected >55% of light drinking across five days and >66% of heavy drinking across five days. A 500 ng/mL cutoff identified 68% of light drinking and 78% of heavy drinking for one day, with detection of light (2-5 days <58%) and heavy drinking (2-5 days <71%) decreasing thereafter. Relative to 100 ng/mL, the 200 ng/mL and 500 ng/mL cutoffs were less likely to result in false positives.

conclusionsAn EtG-I cutoff of 100 ng/mL is most likely to detect heavy drinking for up to five days and any drinking during the previous two days. Cutoffs of ≥500 ng/mL are likely to only detect heavy drinking during the previous day.

Indexed as

AdultAlcohol DrinkingAlcoholismBiomarkersFemaleGlucuronatesHumansImmunoassayMaleMiddle AgedOutpatientsReference StandardsSelf ReportSpectrophotometrySubstance Abuse DetectionBiomarkersethyl glucuronideGlucuronatesAlcohol biomarkersAssessment of cut-offEthyl glucuronide in urineHeavy drinking

Identifiers

PMID26475403
PMCPMC4663163
OpenAlexW2189147211

What OpenQuestion holds

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Registered trials

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.