Evidence map›Paper›PMID 41511884›Full record

Observational studyFamily practice2025

Hypertension and alcohol: a cross-sectional study comparing PEth with AUDIT and AUDIT-C in primary care.

Åsa Thurfjell, Maria Hagströmer, Charlotte Ivarsson, Anders Norrman, Johanna Adami, Lena Lundh, Jan Hasselström

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Åsa ThurfjellDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, 141 83 Huddinge, Sweden.ORCID 0009-0001-6709-0886
Maria HagströmerAcademic Primary Health Care Centre, Region Stockholm, 104 31 Stockholm, Sweden.
Charlotte IvarssonAcademic Primary Health Care Centre, Region Stockholm, 104 31 Stockholm, Sweden.
Anders NorrmanDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, 141 83 Huddinge, Sweden.
Johanna AdamiSophiahemmet University, 114 86 Stockholm, Sweden.
Lena LundhDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, 141 83 Huddinge, Sweden.
Jan HasselströmDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, 141 83 Huddinge, Sweden.

Funding

Stockholm Region 976944Stockholm Region 989226Stockholm Region FoUI-1003429Swedish Research Council for Health, Working Life and Welfare 2020-00750
6 · The paper itself

Abstract

backgroundThis cross-sectional study aimed to describe proportions of patients with indications of alcohol consumption using phosphatidylethanol (PEth), the Alcohol Use Disorders Identification Test (AUDIT), and its consumption-focused version (AUDIT-C), in relation to blood pressure (BP) control, overall and by sex.

methodsA total of 270 hypertensive primary care patients (ICD-10: I10.9) were stratified into BP control groups: controlled (<140/90 mmHg), uncontrolled (≥140/90 mmHg), and apparent treatment-resistant hypertension (aTRH; ≥140/90 mmHg with ≥3 antihypertensive drugs). A randomized sample from each stratum was invited, baseline data were collected. Alcohol consumption using predefined categories for PEth and AUDIT, and hazardous use (PEth ≥ 0.122 µmol/L; AUDIT ≥ 8; AUDIT-C ≥ 5 for men, ≥4 for women), were analyzed in relation to BP control groups.

resultsMean age was 67 ± 11 years; 42% were women. PEth indicated high and regular alcohol consumption in 6.4% of controlled, 5.3% of uncontrolled, and 19.2% of aTRH patients (controlled vs. aTRH, P = .027; uncontrolled vs. aTRH, P = .013). AUDIT showed no significant differences in hazardous use between BP groups (P = .865). AUDIT-C identified slightly higher proportions of hazardous use than PEth, across BP groups and sexes. No significant differences were found between BP groups for hazardous use by PEth (P = .339) or AUDIT-C (P = .150).

conclusionsPEth revealed significantly higher alcohol use in the aTRH group, undetected by AUDIT. AUDIT-C and PEth identified more hazardous use than AUDIT, suggesting their potential to prompt alcohol-related discussions and support evidence-based hypertension care. PEth correlated more strongly with AUDIT-C than with AUDIT. CLINICAL

trial registrationRetrospectively registered in Clinical Trials, SLSO2022-0143, 2022-12-10.

Indexed as

Alcohol DrinkingAlcoholismGlycerophospholipidsHypertensionAgedAntihypertensive AgentsBlood PressureCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrimary Health CareAntihypertensive AgentsGlycerophospholipidsphosphatidylethanolalcohol use disordercardiovascular disorders (hypertension/DVT/atherosclerosis)hypertension (high blood pressure)preventionprimary carescreening

Identifiers

PMID41511884
PMCPMC12787009

What Socratic holds

Textmetadata
LicenceCC BY
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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.