Evidence map›Paper›PMID 39821471›Full record

ArticleAlimentary pharmacology & therapeutics2025

Disparities in Alcohol-Associated Liver Disease Hospital Encounters Amongst a Texas-Based Cohort of Patients.

Thomas G Cotter, Ahmad Anouti, Bill Zhang, Elias D Rady, Mausam Patel, Suraj Patel, Daniel J Ellis, Sarah R Lieber, Nicole E Rich, Jacqueline G O'Leary and 2 more

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Early liver transplantation in alcohol-associated liver disease-Evolution of practice, patient selection, management, and outcomes.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Review
  2. Integrating Phosphatidylethanol to Enhance Alcohol Quantification in Steatotic Liver Disease and Clinical Trials.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  3. 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

12 authors.

Thomas G CotterDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-0376-0107
Ahmad AnoutiDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-9488-7364
Bill ZhangDepartment of Internal Medicine, UT Southwestern Medical Centre, Dallas, Texas, USA.
Elias D RadyDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.
Mausam PatelDepartment of Internal Medicine, UT Southwestern Medical Centre, Dallas, Texas, USA.
Suraj PatelDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.
Daniel J EllisDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.
Sarah R LieberDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-8304-4479
Nicole E RichDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0003-2740-8818
Jacqueline G O'LearyDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.
Mack C MitchellDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.
Amit G SingalDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-1172-3971

Funding

UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI JOEL K. ELMQUIST · 2022 to 2026
$7.4M
Integrated therapies for alcohol use and ALD (ITAALD) Network – UTSW Clinical CenterU01AA026975 · NIAAA · UT SOUTHWESTERN MEDICAL CENTER · PI E SHERWOOD BROWN, Mack Clarence Mitchell · 2018 to 2026
$3.0M
Determining the Influence of Clinicodemographic, Biologic and SDOH Factors in Racial and Ethnic Disparities in the Prognosis of Alcohol-Associated Liver DiseaseK23AA031310 · NIAAA · UT SOUTHWESTERN MEDICAL CENTER · PI COTTER, THOMAS GERARD · 2023 to 2025
$580k
NIAAA NIH HHS K23 AA031310NIAAA NIH HHS K23AA031310NIAAA NIH HHS U01 AA026975NIDDK NIH HHS P30 DK127984
6 · The paper itself

Abstract

introductionAlcohol-associated liver disease (ALD) disproportionately impacts men, racial and ethnic minorities, and individuals of low socioeconomic status; however, it's unclear how recent increases in ALD burden have impacted these disparities. We aimed to describe trends in racial, ethnic and socioeconomic disparities in alcohol-associated hospital encounters.

methodsWe conducted a retrospective cohort study of adult hospital encounters with alcohol-associated diagnoses from three health systems between January 2016 and December 2021. The cohort was divided into three eras: a 'Historical Era,' (Oct 2016-June 2018, used only for trends); 'Era 1' (July 2018-March 2020); and 'Era 2' (April 2020-December 2021). Kaplan Meier and Cox regression analyses were performed to identify factors associated with overall survival.

resultsWe identified 19,295 individuals with alcohol-associated encounters (44.7% White, 29.8% Hispanic, and 21.8% non-Hispanic Black (NHB) individuals), with a greater increase observed between eras 1 and 2 than the historical era and Era 1 (8.7% vs. 5.0%, p < 0.01). By age and sex, the greatest increases in encounters were observed in the youngest and oldest females but only the oldest males. By race and ethnicity, Hispanic individuals had greater increases in encounters compared to Black and White individuals (14.8% vs. 7.5% and 6.3%, p < 0.01). Older age (aSHR: 1.03, 95% CI: 1.03-1.0), higher MELD (aSHR: 1.08, 95% CI: 1.0-1.09), hepatic encephalopathy (aSHR: 1.42, 95% CI: 1.06-1.90), and hepatocellular carcinoma (HCC) (aSHR: 3.20, 95% CI: 2.29-4.49) were associated with increased mortality.

conclusionThe highest increases of alcohol-associated encounters were observed amongst young Hispanic and NHB women, highlighting variation in trends by age, sex, race and ethnicity. These disparities merit further investigation to elucidate underlying mechanisms and develop tailored interventions to improve ALD burden and outcomes.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesHospitalizationLiver Diseases, AlcoholicAdultAgedBlack or African AmericanCohort StudiesEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedRetrospective StudiesSocioeconomic Factorsalcohol‐associated hepatitisalcohol‐associated liver diseasealcohol use disorderdisparities

Identifiers

PMID39821471
PMCPMC11869159

What OpenQuestion holds

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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.