Evidence map›Paper›PMID 40976252›Full record

ReviewThe lancet. Gastroenterology & hepatology2025

Reducing alcohol-associated liver disease burden in the general population.

Sumeet K Asrani, Jessica Mellinger, Stacy Sterling, Michael R Lucey, Katharine A Bradley, Neeraj Bhala, Jeremy Bray, Po-Hung Chen, Andrea DiMartini, Anne Fernandez and 15 more

Abstract readReview
In one paragraph

Review in The lancet. Gastroenterology & hepatology, 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. Trial
  2. 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

25 authors.

Sumeet K AsraniBaylor University Medical Center, Dallas, TX, USA. Electronic address: Sumeet.Asrani@BSWHealth.org.
Jessica MellingerHenry Ford Hospital, Detroit, MI, USA.
Stacy SterlingKaiser Permanente, Oakland, CA, USA.
Michael R LuceyUniversity of Wisconsin, Madison, WI, USA.
Katharine A BradleyKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Neeraj BhalaUniversity of Nottingham, Nottingham, UK; University of Melbourne, Parkville, VIC, Australia.
Jeremy BrayUniversity of North Carolina Greensboro, Greensboro, NC, USA.
Po-Hung ChenJohns Hopkins University, Baltimore, MD, USA.
Andrea DiMartiniUniversity of Pittsburgh, Pittsburgh, PA, USA.
Anne FernandezUniversity of Michigan, Ann Arbor, MI, USA.
Murtuza GhadialiKaiser Permanente, San Francisco, CA, USA.
Lamia Y HaqueYale University, New Haven, CT, USA.
Mandana KhaliliBaylor University Medical Center, Dallas, TX, USA.
Brian LeeUniversity of Southern California, Los Angeles, CA, USA.
Lewei Allison LinUniversity of Michigan, Ann Arbor, MI, USA.
Anjana A PillaiUniversity of Chicago, Chicago, IL, USA.
Derek D SatreDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA; Division of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Shreya SenguptaCleveland Clinic, Cleveland, OH, USA.
Marina SerperUniversity of Pennsylvania, Philadelphia, PA, USA.
Doug SimonettoMayo Clinic College of Medicine, Rochester, MN, USA.
Maja ThieleOdense University Hospital, Odense, Denmark.
Justine WelshEmory University, Atlanta, GA, USA.
Tiffany WuMayo Clinic College of Medicine, Rochester, MN, USA.
Jeffrey ZsoharBaylor University Medical Center, Dallas, TX, USA.
Vijay H ShahMayo Clinic College of Medicine, Rochester, MN, USA.

Funding

Impact of the COVID-19 pandemic on patient outcomes, telehealth care delivery, and treatment for unhealthy alcohol use in vulnerable patients with advanced liver disease across two healthcare systemsR01AA029312 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KHALILI, MANDANA, SATRE, DEREK D · 2021 to 2025
$3.5M
1/4-American Consortium of Early Liver Transplantation-Prospective Alcohol-associated liver disease Cohort Evaluation (ACCELERATE-PACE)R01AA030960 · NIAAA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Norah A. Terrault · 2023 to 2026
$2.3M
Mentoring Multidisciplinary Patient-Oriented Research in Viral HepatitisK24AA022523 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KHALILI, MANDANA · 2013 to 2023
$1.9M
Understanding practical alcohol measures in primary care to prepare for measurement-based care: Scaled EHR measures of alcohol use and DSM-5 AUD symptomsR33AA028073 · NIAAA · UNIVERSITY OF WASHINGTON · PI HALLGREN, KEVIN A. · 2021 to 2023
$1.3M
Candidate Selection for Liver Transplantation in Patients with Alcohol-related Liver DiseaseK23AA028297 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI CHEN, PO-HUNG (VICTOR) · 2020 to 2024
$991k
Integrating Treatments for Alcohol Use Disorder into Hepatology ClinicsK23AA031334 · NIAAA · YALE UNIVERSITY · PI Lamia Haque · 2023 to 2026
$774k
Estimating the Contribution of Alcohol and Metabolic Risk to Liver Disease Progression to Inform Personalized InterventionsK23AA029752 · NIAAA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LEE, BRIAN PEI LIM · 2022 to 2025
$772k
NIAAA NIH HHS K23 AA028297NIAAA NIH HHS K23 AA029752NIAAA NIH HHS K23 AA031334NIAAA NIH HHS K24 AA022523NIAAA NIH HHS R01 AA029312NIAAA NIH HHS R01 AA030960NIAAA NIH HHS R33 AA028073
6 · The paper itself

Abstract

The prevalence of alcohol use disorder (AUD) and alcohol-associated liver disease (ALD) is rising. The National Institute on Alcohol Abuse and Alcoholism organised a multistakeholder workshop focused on reducing the burden of ALD. Decreasing ALD morbidity and mortality requires a multipronged approach, including increased population-based screening for AUD, early recognition of ALD, and multidisciplinary treatment. Recommended screening tools for alcohol use include the alcohol use disorders identification test for consumption (AUDIT-C). In patients with elevated AUDIT-C scores (AUDIT-C score of ≥3 points in women, ≥4 points in men), screening for fibrosis is recommended using non-invasive blood-based tests, such as the Fibrosis-4 index. Sequential testing using blood-based and imaging-based non-invasive liver disease assessment is preferred to blood-based tests alone to increase the positive predictive value of referral pathways. Screening, brief intervention, and referral to treatment are effective for reducing unhealthy alcohol use among adults who are not alcohol dependent. Integrated care models that incorporate mental health treatment into general medical settings are crucial for AUD and ALD. Emerging care models, such as multidisciplinary ALD clinics and substance use navigators, can improve patient engagement and outcomes. Markers of success include a reduction in per capita alcohol consumption, declines in morbidity and mortality related to AUD and ALD, and a decrease in health-care costs.

Indexed as

AlcoholismLiver Diseases, AlcoholicCost of IllnessFemaleHumansMaleMass ScreeningPrevalence

Identifiers

PMID40976252
PMCPMC13277881

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.