Evidence map›Paper›PMID 25431765›Full record

ReviewBioMed research international2014

Chinese herbs containing aristolochic acid associated with renal failure and urothelial carcinoma: a review from epidemiologic observations to causal inference.

Hsiao-Yu Yang, Pau-Chung Chen, Jung-Der Wang

Open access · hybridAbstract readReview
In one paragraph

Review in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

40 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Review
  6. Article
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  8. Article
  9. Article
  10. Review
  11. Article
  12. Quality Consistency of Herbal Products: Chemical Evaluation.Progress in the chemistry of organic natural products · 2023
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Frontiers in neuroscience · 2022
    Review
  19. Article
  20. 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

3 authors at 3 institutions in 1 country.

Hsiao-Yu YangDepartment of Occupational Medicine, Buddhist Tzu Chi General Hospital, No. 707, Section 3, Jhongyang Road, Hualien 97002, Taiwan ; School of Medicine, Tzu Chi University, No. 701, Section 3, Jhongyang Road, Hualien 97004, Taiwan.
Pau-Chung ChenInstitute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, No. 17 Xuzhou Road, Taipei 100, Taiwan ; Department of Environmental and Occupational Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 1 Jen Ai Road, Section 1, Taipei 100, Taiwan.
Jung-Der WangDepartment of Public Health, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan 701, Taiwan ; Departments of Internal Medicine and Occupational and Environmental Medicine, National Cheng Kung University Hospital, No. 138, Sheng Li Road, Tainan 704, Taiwan.
National Cheng Kung University Hospital · TWNational Taiwan University · TWTzu Chi University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Herbal remedies containing aristolochic acid (AA) have been designated to be a strong carcinogen. This review summarizes major epidemiologic evidence to argue for the causal association between AA exposure and urothelial carcinoma as well as nephropathy. The exposure scenarios include the following: Belgian women taking slimming pills containing single material Guang Fang Ji, consumptions of mixtures of Chinese herbal products in the general population and patients with chronic renal failure in Taiwan, occupational exposure in Chinese herbalists, and food contamination in farming villages in valleys of the Danube River. Such an association is corroborated by detecting specific DNA adducts in the tumor tissue removed from affected patients. Preventive actions of banning such use and education to the healthcare professionals and public are necessary for the safety of herbal remedies.

Indexed as

Aristolochic AcidsCarcinogensCarcinomaDNA AdductsDrugs, Chinese HerbalFemaleHumansOccupational ExposureRenal InsufficiencyTaiwanUrotheliumaristolochic acid IAristolochic AcidsCarcinogensDNA AdductsDrugs, Chinese Herbal

Identifiers

PMID25431765
PMCPMC4241283
OpenAlexW2019444134

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.