Evidence map›Paper›PMID 38450868›Full record

SynthesisAddiction (Abingdon, England)2024

The risk relationships between alcohol consumption, alcohol use disorder and alcohol use disorder mortality: A systematic review and meta-analysis.

Tessa Carr, Carolin Kilian, Laura Llamosas-Falcón, Yachen Zhu, Aurélie M Lasserre, Klajdi Puka, Charlotte Probst

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Addiction (Abingdon, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
16.6field-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.

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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Article
  3. Age and Sex Differences in Alcohol Withdrawal Syndrome.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Identifying levels of alcohol use disorder severity in electronic health records.Substance abuse treatment, prevention, and policy · 2025
    Article
  16. Article
  17. Article
  18. 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 at 4 institutions in 4 countries.

Tessa CarrCentre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.ORCID 0009-0007-7757-3682
Carolin KilianCentre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.ORCID 0000-0001-5913-6488
Laura Llamosas-FalcónCentre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.
Yachen ZhuAlcohol Research Group, Public Health Institute, Emeryville, California, USA.ORCID 0000-0002-8192-6168
Aurélie M LasserreAddiction Medicine, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland.
Klajdi PukaCentre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.
Charlotte ProbstCentre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.ORCID 0000-0003-4360-697X
Centre for Addiction and Mental Health · CAAddiction Switzerland · CHPublic Health Institute · USWestern University · CA

Funding

Supplement to a microsimulation of alcohol control interventions to advance health equity and reverse the current decrease in life expectancy in the USR01AA028009 · NIAAA · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI PROBST, CHARLOTTE · 2020 to 2024
$2.4M
National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health R01AA028009NIAAA NIH HHS R01 AA028009
6 · The paper itself

Abstract

BACKGROUND AND

aimsIncreasing levels of alcohol use are associated with a risk of developing an alcohol use disorder (AUD), which, in turn, is associated with considerable burden. Our aim was to estimate the risk relationships between alcohol consumption and AUD incidence and mortality.

methodA systematic literature search was conducted, using Medline, Embase, PsycINFO and Web of Science for case-control or cohort studies published between 1 January 2000 and 8 July 2022. These were required to report alcohol consumption, AUD incidence and/or AUD mortality (including 100% alcohol-attributable deaths). The protocol was registered with PROSPERO (CRD42022343201). Dose-response and random-effects meta-analyses were used to determine the risk relationships between alcohol consumption and AUD incidence and mortality and mortality rates in AUD patients, respectively.

resultsOf the 5904 reports identified, seven and three studies from high-income countries and Brazil met the inclusion criteria for quantitative and qualitative syntheses, respectively. In addition, two primary US data sources were analyzed. Higher levels of alcohol consumption increased the risk of developing or dying from an AUD exponentially. At an average consumption of four standard drinks (assuming 10 g of pure alcohol/standard drink) per day, the risk of developing an AUD was increased sevenfold [relative risk (RR) = 7.14, 95% confidence interval (CI) = 5.13-9.93] and the risk of dying fourfold (RR = 3.94, 95% CI = 3.53-4.40) compared with current non-drinkers. The mortality rate in AUD patients was 3.13 (95% CI = 1.07-9.13) per 1000 person-years.

conclusionsThere are exponential positive risk relationships between alcohol use and both alcohol use disorder incidence and mortality. Even at an average consumption of 20 g/day (about one large beer), the risk of developing an alcohol use disorder (AUD) is nearly threefold that of current non-drinkers and the risk of dying from an AUD is approximately double that of current non-drinkers.

Indexed as

Alcohol DrinkingAlcoholismAlcohol-Related DisordersHumansIncidenceRisk FactorsAlcoholalcohol use disorderdose–responseincidencemeta‐analysismortality

Identifiers

PMID38450868
PMCPMC11156554
OpenAlexW4392561179

What OpenQuestion holds

Textmetadata
LicenceTDM
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.