Evidence map›Paper›PMID 41936048›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2026

Morbidity and mortality in alcohol use disorder: the role of comorbid substance use disorder, age, sex, and the A1 allele of the Taq1A (rs1800497) polymorphism in the ANKK1 gene in an 18-year follow-up.

Kerstin K Rauwolf, Ulf Berggren, Jan Balldin, Caroline Hasselgren Bune, Kristina J Berglund

Abstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kerstin K RauwolfDepartment of Pediatric Hematology and Oncology, Albert-Schweitzer-Campus 1, 48149 Muenster, University Hospital of Muenster, Germany.
Ulf BerggrenInstitute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, Medicinargatan 11, SE 413 90, Gothenburg, University of Gothenburg, Sweden.
Jan BalldinInstitute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, Medicinargatan 11, SE 413 90, Gothenburg, University of Gothenburg, Sweden.
Caroline Hasselgren BuneDepartment of Sociology and Work Science, Skanstorget 18, SE 411 22 Gothenburg, University of Gothenburg, Sweden.
Kristina J BerglundDepartment of Psychology, Haraldsgatan 1, SE 413 14 Gothenburg, University of Gothenburg, Sweden.

Funding

Alcohol Research Council of the Swedish Alcohol Retailing Monopoly 2016-0080
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe present study aimed to: (i) compare a patient group with solely alcohol use disorder (AUD) to a group with poly-substance use disorder (poly-SUD) regarding sociodemographic background, morbidity, mortality, and the prevalence of the A1 allele of the Taq1A polymorphism. (ii) Investigate whether gender, age, poly-SUD, and the prevalence of the A1 allele or interactions among these factors, are associated with mortality risk over an 18-year follow-up period.

methodsThis study comprised 360 individuals treated for severe alcohol withdrawal symptoms in 1997 at a treatment unit in Sweden. Genotyping was performed during their hospital stay, and participants were followed annually for up to 18 years using data from Swedish registers.

resultsFifty-three percent of the participants had died over the 18 year period. Poly-SUD patients exhibited higher rates of psychiatric disorders, gastrointestinal diseases, and intoxication as the primary diagnosis. Patients with AUD exhibited a higher prevalence of cardiac diseases. Traumatic causes of death were more prevalent in the poly-SUD group, whereas somatic diseases were more common among individuals with AUD. Male sex and age were the strongest predictors of premature death among individuals with AUD. The A1 allele of the Taq1A polymorphism showed a borderline association with an increased hazard of death.

conclusionsMale sex and age are the strongest predictors of premature death. Patients with poly-SUD may represent a distinct subgroup with different comorbidities and causes of death. To determine whether there is a genetic vulnerability as indicated by the findings, research using larger samples with sufficient statistical power is needed.

Indexed as

AlcoholismProtein Serine-Threonine KinasesSubstance-Related DisordersAdultAge FactorsAllelesComorbidityFemaleFollow-Up StudiesGenotypeHumansMaleMiddle AgedPolymorphism, GeneticSex FactorsSwedenANKK1 protein, humanProtein Serine-Threonine KinasesageAlcohol Use DisordergendermortalitySubstance Use Disorderthe A1 allele of the Taq1A polymorphism

Identifiers

PMID41936048
PMCPMC13050502

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