Evidence map›Paper›PMID 38744810›Full record

SynthesisNature communications2024

A burden of proof study on alcohol consumption and ischemic heart disease.

Sinclair Carr, Dana Bryazka, Susan A McLaughlin, Peng Zheng, Sarasvati Bahadursingh, Aleksandr Y Aravkin, Simon I Hay, Hilary R Lawlor, Erin C Mullany, Christopher J L Murray and 6 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Article
  12. Review
  13. NCI-Designated Cancer Centers' Policies and Practices with regard to Alcohol and Cancer: A Call to Lead.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Observational
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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

16 authors.

Sinclair CarrInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA. scarr@hsph.harvard.edu.ORCID http://orcid.org/0000-0003-0421-3145
Dana BryazkaInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Susan A McLaughlinInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Peng ZhengInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Sarasvati BahadursinghClinical Trial Service Unit & Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, Oxfordshire, UK.
Aleksandr Y AravkinInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Simon I HayInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-0611-7272
Hilary R LawlorInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Erin C MullanyInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Christopher J L MurrayInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-4930-9450
Sneha I NicholsonInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Gregory A RothInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Reed J D SorensenInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Sarah LewingtonClinical Trial Service Unit & Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, Oxfordshire, UK.
Emmanuela GakidouInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-8992-591X

Funding

British Heart Foundation CH/1996001/9454Medical Research Council MR/T017708/1
6 · The paper itself

Abstract

Cohort and case-control data have suggested an association between low to moderate alcohol consumption and decreased risk of ischemic heart disease (IHD), yet results from Mendelian randomization (MR) studies designed to reduce bias have shown either no or a harmful association. Here we conducted an updated systematic review and re-evaluated existing cohort, case-control, and MR data using the burden of proof meta-analytical framework. Cohort and case-control data show low to moderate alcohol consumption is associated with decreased IHD risk - specifically, intake is inversely related to IHD and myocardial infarction morbidity in both sexes and IHD mortality in males - while pooled MR data show no association, confirming that self-reported versus genetically predicted alcohol use data yield conflicting findings about the alcohol-IHD relationship. Our results highlight the need to advance MR methodologies and emulate randomized trials using large observational databases to obtain more definitive answers to this critical public health question.

Indexed as

Alcohol DrinkingMendelian Randomization AnalysisMyocardial IschemiaCase-Control StudiesCohort StudiesFemaleHumansMaleMyocardial InfarctionRisk Factors

Identifiers

PMID38744810
PMCPMC11094064

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.