Evidence map›Paper›PMID 28220587›Full record

SynthesisAddiction (Abingdon, England)2017

The relationship between different dimensions of alcohol use and the burden of disease-an update.

Jürgen Rehm, Gerhard E Gmel, Gerrit Gmel, Omer S M Hasan, Sameer Imtiaz, Svetlana Popova, Charlotte Probst, Michael Roerecke, Robin Room, Andriy V Samokhvalov and 2 more

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Addiction (Abingdon, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05580549 (Prevalence of Hazardous Alcohol Use in a Population With Hypertension in Primary Care Detected With PEth and AUDIT - Observational Cross-sectional Study), which is not on this map. Cited by 592 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
592citing papers in PubMed, 7 pooled it
65.4field-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.

NCT05580549 unknown statusnot on this mapstarted 2022, after this paper: background citation

Prevalence of Hazardous Alcohol Use in a Population With Hypertension in Primary Care Detected With PEth and AUDIT - Observational Cross-sectional Study

TypeobservationalSponsorRegion StockholmRan2022 to 2023Enrolled270ConditionsHypertension, Alcohol Drinking, Alcohol Use, UnspecifiedArmsAlcohol biomarker Phosphatidylethanol (PEth)
3 · Its place in the literature

Who cites it

592 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,159 citations in OpenAlex.

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  15. Sex-specific neural activation to stress and alcohol cues in high-risk drinkers: links between orbitofrontal circuits, alcohol craving, and future drinking.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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532 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 8 countries.

Jürgen RehmInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-5665-0385
Gerhard E GmelInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Gerrit GmelInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Omer S M HasanInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Sameer ImtiazInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Svetlana PopovaInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Charlotte ProbstInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Michael RoereckeInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Robin RoomCentre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia.
Andriy V SamokhvalovInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
Kevin D ShieldSection of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.
Paul A ShuperInstitute for Mental Health Policy Research, CAMH, Toronto, Ontario, Canada.
University of Toronto · CAMental Health Research Canada · CAUniversity of the West of England · GBCentre international de recherche sur le cancer · FRStockholm University · SE

Funding

World Health Organization 001
6 · The paper itself

Abstract

BACKGROUND AND

aimsAlcohol use is a major contributor to injuries, mortality and the burden of disease. This review updates knowledge on risk relations between dimensions of alcohol use and health outcomes to be used in global and national Comparative Risk Assessments (CRAs).

methodsSystematic review of reviews and meta-analyses on alcohol consumption and health outcomes attributable to alcohol use. For dimensions of exposure: volume of alcohol use, blood alcohol concentration and patterns of drinking, in particular heavy drinking occasions were studied. For liver cirrhosis, quality of alcohol was additionally considered. For all outcomes (mortality and/or morbidity): cause of death and disease/injury categories based on International Classification of Diseases (ICD) codes used in global CRAs; harm to others.

resultsIn total, 255 reviews and meta-analyses were identified. Alcohol use was found to be linked causally to many disease and injury categories, with more than 40 ICD-10 three-digit categories being fully attributable to alcohol. Most partially attributable disease categories showed monotonic relationships with volume of alcohol use: the more alcohol consumed, the higher the risk of disease or death. Exceptions were ischaemic diseases and diabetes, with curvilinear relationships, and with beneficial effects of light to moderate drinking in people without heavy irregular drinking occasions. Biological pathways suggest an impact of heavy drinking occasions on additional diseases; however, the lack of medical epidemiological studies measuring this dimension of alcohol use precluded an in-depth analysis. For injuries, except suicide, blood alcohol concentration was the most important dimension of alcohol use. Alcohol use caused marked harm to others, which has not yet been researched sufficiently.

conclusionsResearch since 2010 confirms the importance of alcohol use as a risk factor for disease and injuries; for some health outcomes, more than one dimension of use needs to be considered. Epidemiological studies should include measurement of heavy drinking occasions in line with biological knowledge.

Indexed as

Cost of IllnessHealth StatusAlcoholismCausalityChronic DiseaseComorbidityHumansRisk AssessmentWounds and InjuriesAlcohol useaverage volumechronic diseaseinjurypatterns of drinkingrisk-relationssystematic reviewunrecorded consumption

Identifiers

PMID28220587
PMCPMC5434904
OpenAlexW2589841225

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.