Evidence map›Paper›PMID 40695461›Full record

ArticleDrug testing and analysis2025

Long-Term Stability of Ethyl Glucuronide in Hair: A 10-Year Retrospective Analysis of 909 Samples by LC-MS/MS.

Sara Casati, Alessandro Ravelli, Roberta F Bergamaschi, Massimo Del Fabbro, Giorgio Binelli, Gabriella Roda, Marica Orioli

Abstract read
In one paragraph

Article in Drug testing and analysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Ethyl Glucuronide in Hair: A 10-Year Overview.Drug testing and analysis · 2026
    Article
  2. 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.

Sara CasatiLaboratorio di Tossicologia Forense, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-5049-7321
Alessandro RavelliLaboratorio di Tossicologia Forense, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy.
Roberta F BergamaschiLaboratorio di Tossicologia Forense, Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy.
Massimo Del FabbroFondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0001-7144-0984
Giorgio BinelliDipartimento di Biotecnologie e Scienze della Vita, Università dell'Insubria, Varese, Italy.ORCID https://orcid.org/0000-0003-0223-7805
Gabriella RodaDipartimento di Scienze Farmaceutiche, Università Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-6736-6467
Marica OrioliDipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0003-1558-9551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monitoring long-term alcohol consumption is critical in forensic and public health contexts. Hair analysis of ethyl glucuronide (EtG), a direct metabolite of ethanol, has become a standard method for detecting chronic alcohol use. While the reliability of EtG hair testing is well established for short- and medium-term analyses, its stability in hair stored over extended periods has not been comprehensively evaluated. This limitation is especially relevant in retrospective investigations, postmortem evaluations, and long-term epidemiological studies, where archived samples may be analyzed years after collection. In this study, we assessed the long-term stability of EtG in human hair stored for up to 10 years. A total of 909 samples originally analyzed between 2013 and 2022 were re-tested in 2023 using a previously published and validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. When the results of the old and the new analyses were compared, EtG concentrations showed no significant degradation over time, with more than 80% of the samples displaying matching values when analytical uncertainty was considered. Only a small fraction of samples (4.4%) dropped below the commonly used interpretive threshold for chronic alcohol use (30 pg/mg) after 10 years of storage. These findings provide robust evidence that EtG remains chemically stable in hair under standard storage conditions over a decade, confirming the reliability of archived samples for assessing alcohol use history and expanding the utility of EtG analysis in long-term toxicological and forensic investigations. The demonstrated stability strengthens confidence in hair as a matrix for retrospective substance use evaluation across scientific disciplines.

Indexed as

GlucuronatesHairSubstance Abuse DetectionChromatography, LiquidDrug StabilityHumansLiquid Chromatography-Mass SpectrometryReproducibility of ResultsRetrospective StudiesTandem Mass SpectrometryTime Factorsethyl glucuronideGlucuronatesalcohol biomarkersethyl glucuronideforensic toxicologyhair analysislong‐term stability

Identifiers

PMID40695461
PMCPMC12580159

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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.