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Is carbohydrate deficient transferrin a useful marker of harmful alcohol intake among surgical patients?

Tønnesen, Hanne LU ; Carstensen, Mads and Maina, Pierre (1999) In European Journal of Surgery 165(6). p.522-527
Abstract

Objective: To find out whether the biological marker, carbohydrate deficient transferrin (CDT), was helpful in the detection of alcoholic patients in a surgical unit. Design: Prospective open study. Setting: Teaching hospital, Denmark. Subjects: 286 men and 248 women admitted to the department of surgical gastroenterology between March and July 1996. Main outcome measures: Specific interview about drinking and correlation with CDT concentration. Results: 31 men (13%) and 10 women (3%) were alcoholic and at special risk of operation. The correlation between intake and CDT:transferrin ratio was 0.63 for men and 0.53 for women. The correlation between consumption and CDT was better, being 0.77 and 0.58, respectively. Younger women had the... (More)

Objective: To find out whether the biological marker, carbohydrate deficient transferrin (CDT), was helpful in the detection of alcoholic patients in a surgical unit. Design: Prospective open study. Setting: Teaching hospital, Denmark. Subjects: 286 men and 248 women admitted to the department of surgical gastroenterology between March and July 1996. Main outcome measures: Specific interview about drinking and correlation with CDT concentration. Results: 31 men (13%) and 10 women (3%) were alcoholic and at special risk of operation. The correlation between intake and CDT:transferrin ratio was 0.63 for men and 0.53 for women. The correlation between consumption and CDT was better, being 0.77 and 0.58, respectively. Younger women had the lowest correlation (0.33). Sensitivity of CDT for men and women was 100% and 80%, respectively; the specificity was 97% and 96%; the positive predictive value 82% and 44%; and the negative predictive value 97% and 99%. Conclusion: CDT is a valid marker of harmful alcohol intake among surgical patients, except among younger women.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alcohol abuse, Alcohol marker, Alcoholism, Outcome, Preoperative identification, Prognostics, Risk factor, Surgery
in
European Journal of Surgery
volume
165
issue
6
pages
522 - 527
publisher
Oxford University Press
external identifiers
  • pmid:10433133
  • scopus:0032783686
ISSN
1102-4151
DOI
10.1080/110241599750006398
language
English
LU publication?
no
id
91a474df-b959-4ed2-a917-6e902791a704
date added to LUP
2022-10-27 16:46:37
date last changed
2024-01-03 18:33:20
@article{91a474df-b959-4ed2-a917-6e902791a704,
  abstract     = {{<p>Objective: To find out whether the biological marker, carbohydrate deficient transferrin (CDT), was helpful in the detection of alcoholic patients in a surgical unit. Design: Prospective open study. Setting: Teaching hospital, Denmark. Subjects: 286 men and 248 women admitted to the department of surgical gastroenterology between March and July 1996. Main outcome measures: Specific interview about drinking and correlation with CDT concentration. Results: 31 men (13%) and 10 women (3%) were alcoholic and at special risk of operation. The correlation between intake and CDT:transferrin ratio was 0.63 for men and 0.53 for women. The correlation between consumption and CDT was better, being 0.77 and 0.58, respectively. Younger women had the lowest correlation (0.33). Sensitivity of CDT for men and women was 100% and 80%, respectively; the specificity was 97% and 96%; the positive predictive value 82% and 44%; and the negative predictive value 97% and 99%. Conclusion: CDT is a valid marker of harmful alcohol intake among surgical patients, except among younger women.</p>}},
  author       = {{Tønnesen, Hanne and Carstensen, Mads and Maina, Pierre}},
  issn         = {{1102-4151}},
  keywords     = {{Alcohol abuse; Alcohol marker; Alcoholism; Outcome; Preoperative identification; Prognostics; Risk factor; Surgery}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{522--527}},
  publisher    = {{Oxford University Press}},
  series       = {{European Journal of Surgery}},
  title        = {{Is carbohydrate deficient transferrin a useful marker of harmful alcohol intake among surgical patients?}},
  url          = {{http://dx.doi.org/10.1080/110241599750006398}},
  doi          = {{10.1080/110241599750006398}},
  volume       = {{165}},
  year         = {{1999}},
}