Evidence map›Paper›PMID 41424370›Full record

ReviewLiver international : official journal of the International Association for the Study of the Liver2026

Integrating Phosphatidylethanol to Enhance Alcohol Quantification in Steatotic Liver Disease and Clinical Trials.

Elias D Rady, Thomas G Cotter

Abstract readReview
In one paragraph

Review in Liver international : official journal of the International Association for the Study of the Liver, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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
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

2 authors.

Elias D RadyDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID 0009-0003-5922-7912
Thomas G CotterDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-0376-0107

Funding

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 AA031310
6 · The paper itself

Abstract

Accurate quantification of alcohol intake is essential for the diagnosis, subclassification, and management of steatotic liver disease (SLD). In everyday clinical practice, alcohol histories rely primarily on physician-assisted self-report, with validated questionnaires used variably. Both provider-level inconsistencies in documentation and patient-level factors (e.g., recall and social-desirability biases) can contribute to misclassification of SLD subtypes. Phosphatidylethanol (PEth), a direct alcohol biomarker detectable for ~2-4 weeks, has emerged as a promising objective tool that can complement self-report. Across diverse SLD populations, PEth consistently uncovers underreported alcohol use, sharpens subclassification, informs prognosis, and enables longitudinal monitoring to guide care. In liver transplantation, PEth supports documentation of abstinence and detection of relapse to enable timely intervention. This mini-review synthesises current evidence on PEth in SLD, emphasises its value in both clinical and research settings, and outlines priorities for integrating PEth into structured care pathways and clinical trial design to improve outcomes and harmonise endpoints.

Indexed as

Alcohol DrinkingFatty LiverGlycerophospholipidsBiomarkersClinical Trials as TopicHumansLiver TransplantationSelf ReportBiomarkersGlycerophospholipidsphosphatidylethanolALD: alcohol‐associated liver diseaseAUDIT‐C: alcohol use disorders identification test–consumptionMASLD: metabolic dysfunction‐associated Steatotic liver diseaseMetALD: metabolic dysfunction and alcohol‐associated liver diseasePEth: phosphatidylethanolSLD: steatotic liver diseaseTLFB: Timeline Followback

Identifiers

PMID41424370
PMCPMC12720218

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.