Evidence map›Paper›PMID 37448808›Full record

ArticleEClinicalMedicine2023

Does knowledge of liver fibrosis affect high-risk drinking behaviour (KLIFAD): an open-label pragmatic feasibility randomised controlled trial.

Mohsan Subhani, Doyo G Enki, Holly Knight, Katy A Jones, Kirsty Sprange, Stefan Rennick-Egglestone, Joanne R Morling, Andrew Wragg, Clare Hutton, Stephen D Ryder

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Alcohol-related liver disease and access to liver transplantation: where we stand and where we should go.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  4. Article
  5. Article
  6. Non-invasive tests for MetALD and alcohol-related liver disease.JHEP reports : innovation in hepatology · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. MetALD: Clinical aspects, pathophysiology and treatment.JHEP reports : innovation in hepatology · 2025
    Review
  12. Article
  13. Article
  14. Liver fibrosis screening increases alcohol abstinence.JHEP reports : innovation in hepatology · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

10 authors at 2 institutions in 1 country.

Mohsan SubhaniNottingham Digestive Diseases Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK.
Doyo G EnkiSchool of Medicine, University of Nottingham, Nottingham, UK.
Holly KnightNottingham Centre for Public Health and Epidemiology, University of Nottingham, Nottingham, UK.
Katy A JonesAcademic Unit of Mental Health and Clinical Neuroscience, School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Kirsty SprangeNottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK.
Stefan Rennick-EgglestoneSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Joanne R MorlingNottingham Digestive Diseases Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK.
Andrew WraggNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Clare HuttonPatient and Public Involvement (PPI) Co-applicant, Nottingham, UK.
Stephen D RyderNottingham Digestive Diseases Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK.
University of Nottingham · GBNottingham University Hospitals NHS Trust · GB

Funding

Medical Research Council MR/P008348/1
6 · The paper itself

Abstract

Background: Early identification followed by effective behaviour interventions is pivotal to changing the natural history of alcohol-related liver disease. We examined the feasibility of using transient elastography based advice and alcohol recovery video stories (ARVS) to change drinking behaviour in community alcohol services. Methods: A feasibility randomised control trial (RCT) was conducted in three community alcohol services. Adults 18+ years presenting with a primary alcohol problem were randomised (1:1) to receive either usual care (control group) or usual care and the KLIFAD Intervention, consisting of advice tailored to liver stiffness measure and access to ARVS (intervention group). Data were collected at baseline and six months. To establish definitive trial feasibility, recruitment and retention rates, study procedure safety and extent of effectiveness were measured (Start date: 02.10.2019, End date: 30.11.2022, ISRCTN.com: 16922410). Findings: 382 service users were screened, 184 were randomised (intervention: 93, control: 91), and baseline data were collected for 128 (intervention: 71, control: 59). Six months follow-up data were available in 87 (intervention: 53, control: 34). Intervention compared to the control group had a longer duration of engagement with services (mean difference 8.6 days SD = 18.4), was more likely to complete the allocated treatment program and reduced or stop drinking (54.9% vs 43.9%) and reduce AUDIT category (71.7% vs 61.8%). There were no reported serious adverse reactions, one intervention group participant reported an increase in AUDIT category. Interpretation: Integration of transient elastography in community alcohol services is feasible. It may improve engagement with services, retention in clinical trials and supplement the reduction in self-reported alcohol consumption. A definitive RCT is supported. Funding: National Institute for Health and Care Research (NIHR201146).

Indexed as

AlcoholAlcohol misuseAlcohol recovery narrativesAlcohol recovery storiesAlcohol-related liver diseaseFeasibilityFibroscanRCTTransient elastography

Identifiers

PMID37448808
PMCPMC10336239
OpenAlexW4382787336

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.