Evidence map›Paper›PMID 33783063›Full record

ReviewDrug and alcohol review2021

The role of alcohol use in the aetiology and progression of liver disease: A narrative review and a quantification.

Jürgen Rehm, Jayadeep Patra, Alan Brennan, Charlotte Buckley, Thomas K Greenfield, William C Kerr, Jakob Manthey, Robin C Purshouse, Pol Rovira, Paul A Shuper and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Drug and alcohol review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Steatotic liver disease in Latin America: current views and perspectives.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Review
  7. Article
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  11. Review
  12. A Practical Guide to Conducting Dose-Response Meta-Analyses in Epidemiology.Methodology : European journal of research methods for the behavioral & social sciences · 2025
    Article
  13. Article
  14. MetALD: New Perspectives on an Old Overlooked Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Article
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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

11 authors at 5 institutions in 6 countries.

Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.ORCID 0000-0001-5665-0385
Jayadeep PatraInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.ORCID 0000-0002-5666-2711
Alan BrennanSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Charlotte BuckleyDepartment of Automatic Control and Systems Engineering, University of Sheffield, Sheffield, UK.ORCID 0000-0002-8430-0347
Thomas K GreenfieldAlcohol Research Group, Public Health Institute, Emeryville, USA.ORCID 0000-0002-3108-4812
William C KerrAlcohol Research Group, Public Health Institute, Emeryville, USA.ORCID 0000-0001-6612-9200
Jakob MantheyInstitute of Clinical Psychology and Psychotherapy, Center of Clinical Epidemiology and Longitudinal Studies, Technische Universität Dresden, Dresden, Germany.ORCID 0000-0003-1231-3760
Robin C PurshouseDepartment of Automatic Control and Systems Engineering, University of Sheffield, Sheffield, UK.ORCID 0000-0001-5880-1925
Pol RoviraProgram on Substance Abuse, Public Health Agency of Catalonia, Barcelona, Spain.
Paul A ShuperInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Kevin D ShieldInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.ORCID 0000-0003-1871-8849
Centre for Addiction and Mental Health · CAUniversity of Sheffield · GBPublic Health Institute · USAgencia de Salud Pública de Barcelona · ESUniversität Hamburg · DE

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI MULIA, NINA · 1985 to 2025
$34.1M
Calibrated Agent Simulations for Combined Analysis of Drinking Etiologies (CASCADE)R01AA024443 · NIAAA · UNIVERSITY OF SHEFFIELD · PI PURSHOUSE, ROBIN · 2016 to 2020
$2.3M
CIHR SMN-13950NIAAA NIH HHS P50 AA005595NIAAA NIH HHS R01 AA024443NIAAA NIH HHS R01AA024443
6 · The paper itself

Abstract

issuesAlcohol use has been shown to impact on various forms of liver disease, not restricted to alcoholic liver disease. APPROACH: We developed a conceptual framework based on a narrative review of the literature to identify causal associations between alcohol use and various forms of liver disease including the complex interactions of alcohol with other major risk factors. Based on this framework, we estimate the identified relations for 2017 for the USA. KEY

findingsThe following pathways were identified and modelled for the USA for the year 2017. Alcohol use caused 35 200 (95% uncertainty interval 32 800-37 800) incident cases of alcoholic liver cirrhosis. There were 1700 (uncertainty interval 1100-2500) acute hepatitis B and C virus (HBV and HCV) infections attributable to heavy-drinking occasions, and 14 000 (uncertainty interval 5900-19 500) chronic HBV and 1700 (uncertainty interval 700-2400) chronic HCV infections due to heavy alcohol use interfering with spontaneous clearance. Alcohol use and its interactions with other risk factors (HBV, HCV, obesity) led to 54 500 (uncertainty interval 50 900-58 400) new cases of liver cirrhosis. In addition, alcohol use caused 6600 (uncertainty interval 4200-9300) liver cancer deaths and 40 700 (uncertainty interval 36 600-44 600) liver cirrhosis deaths. IMPLICATIONS: Alcohol use causes a substantial number of incident cases and deaths from chronic liver disease, often in interaction with other risk factors.

conclusionThis additional disease burden is not reflected in the current alcoholic liver disease categories. Clinical work and prevention policies need to take this into consideration.

Indexed as

Liver CirrhosisLiver NeoplasmsAlcohol DrinkingHumansLiver Cirrhosis, AlcoholicRisk Factorsalcoholhepatitis C virusliver diseasemetabolic dysfunctionmortality incidence

Identifiers

PMID33783063
PMCPMC9389623
OpenAlexW3142587096

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.