Evidence map›Paper›PMID 27121289›Full record

ArticleBMC public health2016

Modelling the impact of alcohol consumption on cardiovascular disease mortality for comparative risk assessments: an overview.

Jürgen Rehm, Kevin D Shield, Michael Roerecke, Gerrit Gmel

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06634771 (Frontal E/I Balance Mediation of tACS Effects on Behavioral Flexibility), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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.

NCT06634771 naterminatednot on this mapstarted 2024, after this paper: background citation

Frontal E/I Balance Mediation of tACS Effects on Behavioral Flexibility

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2025Enrolled7ConditionsBehavioral Flexibility, Healthy Volunteers, High Risk Alcohol UseArms10 Hz transcranial alternating current stimulation (tACS), sham transcranial alternating current stimulation (tACS)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines 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

4 authors.

Jürgen RehmCentre for Addiction and Mental Health, 33 Russell Street, Toronto, M5S 2S1, ON, Canada. jtrehm@gmail.com.
Kevin D ShieldCentre for Addiction and Mental Health, 33 Russell Street, Toronto, M5S 2S1, ON, Canada.
Michael RoereckeCentre for Addiction and Mental Health, 33 Russell Street, Toronto, M5S 2S1, ON, Canada.
Gerrit GmelCentre for Addiction and Mental Health, 33 Russell Street, Toronto, M5S 2S1, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough alcohol consumption has long been considered as a risk factor for chronic disease, the relationship to cardiovascular disease (CVD) is complex and involves at least two dimensions: average volume of alcohol consumption and patterns of drinking. The objective of this contribution was to estimate the burden of CVD mortality caused by alcohol consumption.

methodsRisk assessment modelling with alcohol-attributable CVD mortality as primary outcome. The mortality burden of ischaemic heart disease (IHD) and ischaemic stroke (IS) attributable to alcohol consumption was estimated using attributable-fraction methodology. Relative Risk (RR) data for IHD and IS were obtained from the most comprehensive meta-analyses (except for Russia and surrounding countries where alcohol RR data were obtained from a large cohort study). Age-group specific RRs were calculated, based on large studies. Data on mortality were obtained from the World Health Organization's Global Health Estimates and alcohol consumption data were obtained from the Global Information System on Alcohol and Health. Risk of former drinkers was modelled taking into account global differences in the prevalence of sick quitters among former drinkers. Alcohol-attributable mortality estimates for all other CVD causes except IHD and IS were obtained from the 2014 Global Status Report on Alcohol and Health.

resultsAn estimated 780,381 CVD deaths (441,893 and 338,490 CVD deaths among men and women respectively) were attributable to alcohol consumption globally in 2012, accounting for 1.4 % of all deaths and 26.6 % of all alcohol-attributable deaths. This is in contrast to the previously estimated 1,128,273 CVD deaths attributable to alcohol consumption globally, and represents a decrease of 30.8 % in alcohol-attributable CVD mortality and of 10.6 % in the global burden of all alcohol-attributable deaths.

conclusionsWhen the most comprehensive and recent systematic reviews and meta-analyses are taken as bases, the net impact of alcohol consumption on CVD is lower than previously estimated.

Indexed as

AdolescentAdultAgedAlcohol DrinkingAlcoholismCardiovascular DiseasesCohort StudiesFemaleHumansInternationalityMaleMiddle AgedPrevalenceRisk AssessmentRisk FactorsYoung AdultAlcohol consumptionCardiovascular diseaseGlobal healthIschaemic heart diseaseIschaemic strokeMortality

Identifiers

PMID27121289
PMCPMC4848866

What OpenQuestion holds

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LicenceCC BY
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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.