Evidence map›Paper›PMID 12842950›Full record

ArticleBMJ (Clinical research ed.)2003

Cohort study of hepatotoxicity associated with nimesulide and other non-steroidal anti-inflammatory drugs.

Giuseppe Traversa, Clara Bianchi, Roberto Da Cas, Iosief Abraha, Francesca Menniti-Ippolito, Mauro Venegoni

Open access · bronzeAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 195 citations in OpenAlex.

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  5. Drug-Induced Liver Injury-Pharmacological Spectrum Among Children.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Giuseppe TraversaDepartment of Epidemiology, National Institute of Health, Viale Regina Elena 299, 00161 Rome, Italy. giuseppe.traversa@iss.it
Clara Bianchi
Roberto Da Cas
Iosief Abraha
Francesca Menniti-Ippolito
Mauro Venegoni
Istituto Superiore di Sanità · ITFatebenefratelli Hospital · ITNational Institute of Health · AMRegional Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the risk of acute hepatotoxicity associated with nimesulide compared with other non-steroidal anti-inflammatory drugs.

designRetrospective cohort and nested case-control study.

settingUmbria region, Italy.

participants400 000 current, recent, and past users (almost 2 million prescriptions) of non-steroidal anti-inflammatory drugs between 1 January 1997 and 31 December 2001.

main outcome measuresAdmissions to hospital for acute non-viral hepatitis and incidence of all hepatopathies and liver injury among users of nimesulide and other non-steroidal anti-inflammatory drugs.

resultsCurrent use of non-steroidal anti-inflammatory drugs was associated with a 1.4 (95% confidence interval 1.0 to 2.1) increased risk of hepatopathy compared with past use. In current users of nimesulide the rate ratio for all hepatopathies and more severe liver injury was 1.3 (0.7 to 2.3) and 1.9 (1.1 to 3.8), respectively.

conclusionThe risk of liver injury in patients taking nimesulide and other non-steroidal anti-inflammatory drugs is small.

Indexed as

Chemical and Drug Induced Liver InjuryAdultAgedAnti-Inflammatory Agents, Non-SteroidalCase-Control StudiesCohort StudiesConfidence IntervalsFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSulfonamidesAnti-Inflammatory Agents, Non-SteroidalnimesulideSulfonamides

Identifiers

PMID12842950
PMCPMC164233
OpenAlexW2015544462

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.