Evidence map›Paper›PMID 30020973›Full record

ArticlePloS one2018

Alcohol consumption and future hospital usage: The EPIC-Norfolk prospective population study.

Robert Luben, Shabina Hayat, Angela Mulligan, Marleen Lentjes, Nicholas Wareham, Paul Pharoah, Kay-Tee Khaw

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Robert LubenDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-5088-6343
Shabina HayatDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.
Angela MulliganDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.
Marleen LentjesDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0003-4713-907X
Nicholas WarehamMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge United Kingdom.
Paul PharoahDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-8494-732X
Kay-Tee KhawDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.

Funding

Cancer Research UK 10119Cancer Research UK 14136Cancer Research UK 16561Cancer Research UK C864/A2883Cancer Research UK C864/A8257Medical Research Council G0401527Medical Research Council G1000143Medical Research Council G9502233Medical Research Council MC_UU_12015/1Medical Research Council MR/N003284/1
6 · The paper itself

Abstract

backgroundHeavy drinkers of alcohol are reported to use hospitals more than non-drinkers, but it is unclear whether light-to-moderate drinkers use hospitals more than non-drinkers.

objectiveWe examined the relationship between alcohol consumption in 10,883 men and 12,857 women aged 40-79 years in the general population and subsequent admissions to hospital and time spent in hospital.

methodsParticipants from the EPIC-Norfolk prospective population-based study were followed for ten years (1999-2009) using record linkage.

resultsCompared to current non-drinkers, men who reported any alcohol drinking had a lower risk of spending more than twenty days in hospital multivariable adjusted OR 0.80 (95%CI 0.68-0.94) after adjusting for age, smoking status, education, social class, body mass index and prevalent diseases. Women who were current drinkers were less likely to have any hospital admissions multivariable adjusted OR 0.84 (95%CI 0.74-0.95), seven or more admissions OR 0.77 (95% CI 0.66-0.88) or more than twenty hospital days OR 0.70 (95%CI 0.62-0.80). However, compared to lifelong abstainers, men who were former drinkers had higher risk of any hospital admissions multivariable adjusted OR 2.22 (95%CI 1.51-3.28) and women former drinkers had higher risk of seven or more admissions OR 1.30 (95%CI 1.01-1.67).

conclusionCurrent alcohol consumption was associated with lower risk of future hospital usage compared with non-drinkers in this middle aged and older population. In men, this association may in part be due to whether former drinkers are included in the non-drinker reference group but in women, the association was consistent irrespective of the choice of reference group. In addition, there were few participants in this cohort with very high current alcohol intake. The measurement of past drinking, the separation of non-drinkers into former drinkers and lifelong abstainers and the choice of reference group are all influential in interpreting the risk of alcohol consumption on future hospitalisation.

Indexed as

AdultAgedAlcohol DrinkingFemaleHospitalizationHumansLogistic ModelsMaleMiddle AgedProspective StudiesRisk Factors

Identifiers

PMID30020973
PMCPMC6051641

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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.