Evidence map›Paper›PMID 26844279›Full record

SynthesisEBioMedicine2015

Alcohol Consumption as a Risk Factor for Acute and Chronic Pancreatitis: A Systematic Review and a Series of Meta-analyses.

Andriy V Samokhvalov, Jürgen Rehm, Michael Roerecke

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in EBioMedicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 4 pooled it
11.2field-weighted citation impact, top 1% 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.

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

82 citing papers in PubMed, 4 syntheses or guidelines pooled it, 192 citations in OpenAlex.

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  3. Coexistence of alcohol-related pancreatitis and alcohol-related liver disease: A systematic review and meta-analysis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2020
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 2 countries.

Andriy V SamokhvalovCentre for Addiction and Mental Health, Social and Epidemiological Research Department, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Institute of Medical Science, University of Toronto, Toronto, Canada.
Jürgen RehmCentre for Addiction and Mental Health, Social and Epidemiological Research Department, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Institute of Medical Science, University of Toronto, Toronto, Canada; Dalla Lana School of Public Health (DLSPH), University of Toronto, Toronto, Canada; Institute for Clinical Psychology and Psychotherapy, TU Dresden, Dresden, Germany; WHO Collaborating Centre on Mental Health and Addiction, Toronto, Canada.
Michael RoereckeCentre for Addiction and Mental Health, Social and Epidemiological Research Department, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada; Dalla Lana School of Public Health (DLSPH), University of Toronto, Toronto, Canada; WHO Collaborating Centre on Mental Health and Addiction, Toronto, Canada.
Centre for Addiction and Mental Health · CA

Funding

Drinking patterns and chronic diseases: a series of meta-analysesR21AA023521 · NIAAA · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI ROERECKE, MICHAEL · 2015 to 2016
$258k
NIAAA NIH HHS R21 AA023521NIAAA NIH HHS R21AA023521
6 · The paper itself

Abstract

backgroundPancreatitis is a highly prevalent medical condition associated with a spectrum of endocrine and exocrine pancreatic insufficiencies. While high alcohol consumption is an established risk factor for pancreatitis, its relationship with specific types of pancreatitis and a potential threshold have not been systematically examined.

methodsWe conducted a systematic literature search for studies on the association between alcohol consumption and pancreatitis based on PRISMA guidelines. Non-linear and linear random-effect dose-response meta-analyses using restricted cubic spline meta-regressions and categorical meta-analyses in relation to abstainers were conducted.

findingsSeven studies with 157,026 participants and 3618 cases of pancreatitis were included into analyses. The dose-response relationship between average volume of alcohol consumption and risk of pancreatitis was monotonic with no evidence of non-linearity for chronic pancreatitis (CP) for both sexes (p = 0.091) and acute pancreatitis (AP) in men (p = 0.396); it was non-linear for AP in women (p = 0.008). Compared to abstention, there was a significant decrease in risk (RR = 0.76, 95%CI: 0.60-0.97) of AP in women below the threshold of 40 g/day. No such association was found in men (RR = 1.1, 95%CI: 0.69-1.74). The RR for CP at 100 g/day was 6.29 (95%CI: 3.04-13.02).

interpretationThe dose-response relationships between alcohol consumption and risk of pancreatitis were monotonic for CP and AP in men, and non-linear for AP in women. Alcohol consumption below 40 g/day was associated with reduced risk of AP in women. Alcohol consumption beyond this level was increasingly detrimental for any type of pancreatitis.

fundingThe work was financially supported by a grant from the National Institute on Alcohol Abuse and Alcoholism (R21AA023521) to the last author.

Indexed as

Acute DiseaseAlcohol DrinkingChronic DiseaseFemaleHumansMaleOdds RatioPancreatitisPublication BiasRisk FactorsAcute pancreatitisAlcoholChronic pancreatitisMeta-analysisPancreatitis

Identifiers

PMID26844279
PMCPMC4703772
OpenAlexW2213789509

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.