Evidence map›Paper›PMID 30115921›Full record

ReviewNature reviews. Disease primers2018

Alcoholic liver disease.

Helmut K Seitz, Ramon Bataller, Helena Cortez-Pinto, Bin Gao, Antoni Gual, Carolin Lackner, Philippe Mathurin, Sebastian Mueller, Gyongyi Szabo, Hidekazu Tsukamoto

Erratum issued Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04647097 (Recurrent Acute Pancreatitis Prevention by the Elimination of Alcohol and Cigarette Smoking), which is not on this map. Cited by 658 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
658citing papers in PubMed, 2 pooled it
43.3field-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.

NCT04647097 narecruitingnot on this mapstarted 2022, after this paper: background citation

Recurrent Acute Pancreatitis Prevention by the Elimination of Alcohol and Cigarette Smoking (REAPPEAR): Protocol of a Randomized Controlled Trial and a Cohort Study

TypeinterventionalSponsorUniversity of PecsRan2022 to 2028Enrolled364ConditionsAcute Pancreatitis, Recurrent Acute PancreatitisArmsStandard intervention only, Standard intervention plus repeated intervention
3 · Its place in the literature

Who cites it

658 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,126 citations in OpenAlex.

  1. Pooled it
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  20. Berberine alleviates alcoholic liver diseaseactivating intestinal nuclear receptor subfamily 1 group D member 1.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2026
    Article

598 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 6 countries.

Helmut K SeitzCentre of Alcohol Research (CAR),, University of Heidelberg, Heidelberg and Department of Medicine, Salem Medical Center, Heidelberg, Germany. helmut_karl.seitz@urz.uni-heidelberg.de.
Ramon BatallerDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Pittsburgh Liver Research Center, University of Pittsburgh, Pittsburgh, PA, USA.
Helena Cortez-PintoDepartmento de Gastroenterologia, CHLN, Laboratorio de Nutricão, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Bin GaoLaboratory of Liver Diseases, National Institute on Alcohol Abuse and Alcoholism, NIH, Bethesda, MD, USA.
Antoni GualAddiction Unit, Neuroscience Institute Hospital Clinic, IDIBAPS, Barcelona, Spain.
Carolin LacknerInstitute of Pathology, Medical University of Graz, Graz, Austria.
Philippe MathurinService des Maladies de l'Appareil Digestif, Universite Lille 2 and INSERM U795, Lille, France.
Sebastian MuellerCentre of Alcohol Research (CAR),, University of Heidelberg, Heidelberg and Department of Medicine, Salem Medical Center, Heidelberg, Germany.
Gyongyi SzaboDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
Hidekazu TsukamotoUniversity of Southern California Keck School of Medicine and Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA.
Heidelberg University · DEConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESInserm · FRMedical University of Graz · ATNational Institute on Alcohol Abuse and Alcoholism · USUniversity of Lisbon · PTUniversity of Massachusetts Chan Medical School · USUniversity of Pittsburgh · USUniversity of Southern California · US

Funding

Alcohol and Monocyte Signaling Administrative SupplementR01AA011576 · NIAAA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Gyongyi Szabo · 1998 to 2026
$9.3M
BLR&D Research Career Scientist Award ApplicationIK6BX004205 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI HIDEKAZU TSUKAMOTO · 2018 to 2026
–
BLRD VA I01 BX001991BLRD VA IK6 BX004205NIAAA NIH HHS R01 AA011576
6 · The paper itself

Abstract

Alcoholic liver disease (ALD) is the most prevalent type of chronic liver disease worldwide. ALD can progress from alcoholic fatty liver (AFL) to alcoholic steatohepatitis (ASH), which is characterized by hepatic inflammation. Chronic ASH can eventually lead to fibrosis and cirrhosis and in some cases hepatocellular cancer (HCC). In addition, severe ASH (with or without cirrhosis) can lead to alcoholic hepatitis, which is an acute clinical presentation of ALD that is associated with liver failure and high mortality. Most individuals consuming >40 g of alcohol per day develop AFL; however, only a subset of individuals will develop more advanced disease. Genetic, epigenetic and non-genetic factors might explain the considerable interindividual variation in ALD phenotype. The pathogenesis of ALD includes hepatic steatosis, oxidative stress, acetaldehyde-mediated toxicity and cytokine and chemokine-induced inflammation. Diagnosis of ALD involves assessing patients for alcohol use disorder and signs of advanced liver disease. The degree of AFL and liver fibrosis can be determined by ultrasonography, transient elastography, MRI, measurement of serum biomarkers and liver biopsy histology. Alcohol abstinence achieved by psychosomatic intervention is the best treatment for all stages of ALD. In the case of advanced disease such as cirrhosis or HCC, liver transplantation may be required. Thus, new therapies are urgently needed.

Indexed as

Alcohol DrinkingFatty Liver, AlcoholicGlobal Burden of DiseaseHumansLiver Diseases, AlcoholicLiver NeoplasmsLiver TransplantationQuality of Life

Identifiers

PMID30115921
OpenAlexW4210980460

What OpenQuestion holds

Textmetadata
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.