Evidence map›Paper›PMID 28685377›Full record

SynthesisClinical rheumatology2017

Alcohol intake and the risk of osteonecrosis of the femoral head in Japanese populations: a dose-response meta-analysis of case-control studies.

Byung-Ho Yoon, Tae-Young Kim, In-Soo Shin, Hee Young Lee, Yun Jong Lee, Kyung-Hoi Koo

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Clinical rheumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. [Atraumatic necrosis of the femoral head].Orthopadie (Heidelberg, Germany) · 2025
    Review
  5. Review
  6. Bilateral avascular necrosis: A rare complication of Fabry disease.Molecular genetics and metabolism reports · 2025
    Article
  7. Article
  8. Article
  9. [Progress of pathogenesis and genetics of alcohol-induced osteonecrosis of femoral head].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022
    Review
  10. Article
  11. Article
  12. Effect of L3MBTL3/PTPN9 polymorphisms on risk to alcohol-induced ONFH in Chinese Han population.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  13. Observational
  14. Pharmacogenomics and personalized medicine · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

6 authors at 4 institutions in 1 country.

Byung-Ho YoonDepartment of Orthopaedic Surgery, Inje University College of Medicine, Seoul Paik Hospital, Seoul, South Korea.
Tae-Young KimDepartment of Orthopaedic Surgery, School of Medicine, Hallym University, Anyang, South Korea.
In-Soo ShinDepartment of Education, Jeonju University, Jeonju, South Korea.
Hee Young LeeCenter for Preventive Medicine and Public Health, Seoul National University Bundang Hospital, Seongnam, South Korea.
Yun Jong LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital and Medical College of Seoul National University, Seongnam, South Korea.
Kyung-Hoi KooDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu KS009, Seongnam, 463707, South Korea. khkoo@snu.ac.kr.
Seoul National University Bundang Hospital · KRHallym University · KRInje University Seoul Paik Hospital · KRJeonju University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies examining the association between alcohol intake and the risk of osteonecrosis of the femoral head (ONFH) have inconsistent results. The purpose of this study was to examine and summarize the evidence regarding the association between alcohol intake and ONFH based on results from case-control studies. This analysis included five case-control studies reporting data from 1251 individuals. Alcohol intake habits (never, former, or current), average drinking consumption (g/week), and cumulative drinking consumption (drink-years) were extracted. The risk of ONFH was evaluated, and a two-stage dose-response meta-analysis was performed using restricted cubic splines with four knots at fixed percentiles of 5, 35, 65, and 95% of the distribution. Former alcohol intake increased the risk of ONFH with a marginal significance (odds ratio [OR], 2.62; p = 0.055). Current alcohol intake was associated with an increased risk of ONFH (OR, 3.63; p < 0.001 in occasional drinkers, OR, 5.90; p < 0.001 in daily drinkers). The dose-response meta-analysis revealed that the risk of ONFH increased by 35.3% for every 100 g/week (95% confidence interval [CI], 1.24-1.47; p < 0.001) and by 44.1% for every 500 g drink-years (95% CI, 1.295-1.601; p < 0.001). Current intake and the dose of alcohol were positively associated with an increased risk of ONFH in a non-linear pattern.

Indexed as

Alcohol DrinkingCase-Control StudiesFemur Head NecrosisHumansJapanRisk FactorsAlcoholAvascular necrosisDose-responseHipMeta-analysisOsteonecrosis

Identifiers

PMID28685377
OpenAlexW2726587434

What OpenQuestion holds

Textmetadata
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.