© 1995 Medical Council on Alcohol
research-article
EVALUATION OF CARBOHYDRATE-DEFICIENT TRANSFERRIN FOR DETECTION OF ALCOHOL ABUSE IN PATIENTS WITH LIVER DYSFUNCTION
Department of Medicine, Karl Franzens University Auenbruggerplatz 15. A-8036 Graz, Austria
*Author to whom correspondence should be addressed
Received 21 December 1993; first review notified 1 August 1994; accepted 5 September 1994
The determination of carbohydrate-deficient transferrin (CDT) in serum has been suggested as a marker of alcohol abuse. We evaluated serum CDT in 199 patients admitted to our Department of Medicine using a commercially available radioimmunoassay kit for CDT. A history of alcohol consumption was obtained quantitatively by a self-administered questionnaire and qualitatively by the Munich Alcoholism Test. Using a cut-off level of 60 g ethanol per day according to the information from the questionnaire, CDT had a sensitivity of 70% and a specificity of 84%. False-positive values were primarily encountered in cases of hepatic malignoma, primary biliary cirrhosis and chronic hepatitis C. The sensitivity and specificity of CDT was superior to two other markers of chronic ethanol consumption, serum gamma-glutamyltransferase and mean cell volume, and thus proved to be the best single laboratory test for the detection of alcohol abuse.
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
H. Koch, G.-J. Meerkerk, J. O. M. Zaat, M. F. Ham, R. J. P. M. Scholten, and W. J. J. Assendelft ACCURACY OF CARBOHYDRATE-DEFICIENT TRANSFERRIN IN THE DETECTION OF EXCESSIVE ALCOHOL CONSUMPTION: A SYSTEMATIC REVIEW Alcohol Alcohol., March 1, 2004; 39(2): 75 - 85. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Laatikainen, H. Alho, E. Vartiainen, P. Jousilahti, P. Sillanaukee, and P. Puska SELF-REPORTED ALCOHOL CONSUMPTION AND ASSOCIATION TO CARBOHYDRATE-DEFICIENT TRANSFERRIN AND GAMMA-GLUTAMYLTRANSFERASE IN A RANDOM SAMPLE OF THE GENERAL POPULATION IN THE REPUBLIC OF KARELIA, RUSSIA AND IN NORTH KARELIA, FINLAND Alcohol Alcohol., May 1, 2002; 37(3): 282 - 288. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Sillanaukee, N. Strid, P. Jousilahti, E. Vartiainen, K. Poikolainen, S. Nikkari, J. P. Allen, and H. Alho Association of self-reported diseases and health care use with commonly used laboratory markers for alcohol consumption Alcohol Alcohol., July 1, 2001; 36(4): 339 - 345. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Helander, G. Eriksson, H. Stibler, and J.-O. Jeppsson Interference of Transferrin Isoform Types with Carbohydrate-deficient Transferrin Quantification in the Identification of Alcohol Abuse Clin. Chem., July 1, 2001; 47(7): 1225 - 1233. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Gomez, A. Conde, J. A. Aguiar, J. M. Santana, A. Jorrin, and P. Betancor Diagnostic usefulness of carbohydrate-deficient transferrin for detecting alcohol-related problems in hospitalized patients Alcohol Alcohol., May 1, 2001; 36(3): 266 - 270. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Arndt, R. Hackler, T. Muller, T. O. Kleine, and A. M. Gressner Increased serum concentration of carbohydrate-deficient transferrin in patients with combined pancreas and kidney transplantation Clin. Chem., February 1, 1997; 43(2): 344 - 351. [Abstract] [Full Text] [PDF] |
||||

