Evidence map›Paper›PMID 27085097›Full record

ArticleAddiction (Abingdon, England)2016

Alcohol-attributed disease burden in four Nordic countries: a comparison using the Global Burden of Disease, Injuries and Risk Factors 2013 study.

Emilie E Agardh, Anna-Karin Danielsson, Mats Ramstedt, Astrid Ledgaard Holm, Finn Diderichsen, Knud Juel, Stein Emil Vollset, Ann Kristin Knudsen, Jonas Minet Kinge, Richard White and 7 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 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

17 authors.

Emilie E AgardhDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. emilie.agardh@ki.se.
Anna-Karin DanielssonDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Mats RamstedtSwedish Council for Information on Alcohol and Drugs (CAN), Stockholm, Sweden.
Astrid Ledgaard HolmDepartment of Public Health Sciences, University of Copenhagen, Section of Social Medicine, Copenhagen, Denmark.
Finn DiderichsenDepartment of Public Health Sciences, University of Copenhagen, Section of Social Medicine, Copenhagen, Denmark.
Knud JuelNational Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Stein Emil VollsetThe Norwegian Institute of Public Health, Centre for Disease Burden, Oslo/Bergen, Norway.
Ann Kristin KnudsenThe Norwegian Institute of Public Health, Centre for Disease Burden, Oslo/Bergen, Norway.
Jonas Minet KingeDepartment of Health Statistics, The Norwegian Institute of Public Health, Oslo, Norway.
Richard WhiteDepartment of Health Statistics, The Norwegian Institute of Public Health, Oslo, Norway.
Vegard SkirbekkThe Norwegian Institute of Public Health, Centre for Disease Burden, Oslo/Bergen, Norway.
Pia MäkeläAlcohol and Drugs Unit, National Institute for Health and Welfare, Helsinki, Finland.
Mohammad Hossein ForouzanfarInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Matthew M CoatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Daniel C CaseyInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Mohesen NaghaviInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Peter AllebeckDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims(1) To compare alcohol-attributed disease burden in four Nordic countries 1990-2013, by overall disability-adjusted life years (DALYs) and separated by premature mortality [years of life lost (YLL)] and health loss to non-fatal conditions [years lived with disability (YLD)]; (2) to examine whether changes in alcohol consumption informs alcohol-attributed disease burden; and (3) to compare the distribution of disease burden separated by causes.

designA comparative risk assessment approach.

settingSweden, Norway, Denmark and Finland.

participantsMale and female populations of each country. MEASUREMENTS: Age-standardized DALYs, YLLs and YLDs per 100 000 with 95% uncertainty intervals (UIs).

findingsIn Finland, with the highest burden over the study period, overall alcohol-attributed DALYs were 1616 per 100 000 in 2013, while in Norway, with the lowest burden, corresponding estimates were 634. DALYs in Denmark were 1246 and in Sweden 788. In Denmark and Finland, changes in consumption generally corresponded to changes in disease burden, but not to the same extent in Sweden and Norway. All countries had a similar disease pattern and the majority of DALYs were due to YLLs (62-76%), mainly from alcohol use disorder, cirrhosis, transport injuries, self-harm and violence. YLDs from alcohol use disorder accounted for 41% and 49% of DALYs in Denmark and Finland compared to 63 and 64% in Norway and Sweden 2013, respectively.

conclusionsFinland and Denmark has a higher alcohol-attributed disease burden than Sweden and Norway in the period 1990-2013. Changes in consumption levels in general corresponded to changes in harm in Finland and Denmark, but not in Sweden and Norway for some years. All countries followed a similar pattern. The majority of disability-adjusted life years were due to premature mortality. Alcohol use disorder by non-fatal conditions accounted for a higher proportion of disability-adjusted life years in Norway and Sweden, compared with Finland and Denmark.

Indexed as

Cost of IllnessAdultAgedAlcohol-Related DisordersFemaleGlobal Burden of DiseaseHumansMaleMiddle AgedMortality, PrematurePersons with DisabilitiesQuality-Adjusted Life YearsRisk FactorsScandinavian and Nordic CountriesWounds and InjuriesAlcoholcomparativecomparative risk assessmentconsumptiondisease burdenNordic countries

Identifiers

PMID27085097
PMCPMC5089612

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.