Evidence map›Paper›PMID 26767859›Full record

ArticleThe Korean journal of internal medicine2016

Early monitoring for detection of antituberculous drug-induced hepatotoxicity.

Chang Min Lee, Sang Soo Lee, Jeong Mi Lee, Hyun Chin Cho, Wan Soo Kim, Hong Jun Kim, Chang Yoon Ha, Hyun Jin Kim, Tae Hyo Kim, Woon Tae Jung and 1 more

Abstract readComparative Study
In one paragraph

Article in The Korean journal of internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. HBV/HCV coinfection and anti-tuberculosis drug-induced liver injury: from risk assessment and exploration of mechanisms to preventive considerations.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

11 authors.

Chang Min LeeDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Sang Soo LeeDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Jeong Mi LeeDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Hyun Chin ChoDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Wan Soo KimDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Hong Jun KimDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Chang Yoon HaDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Hyun Jin KimDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Tae Hyo KimDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Woon Tae JungDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Ok Jae LeeDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsWe investigated the time of onset of antituberculous drug-induced hepatotoxicity (ADIH) and related characteristics.

methodsAdult patients (n = 1,031) treated with first-line antituberculous drugs between February 2009 and January 2013 were enrolled.

resultsOf the 1,031 patients, 108 patients (10.5%) developed ADIH a mean of 39.6 ± 43.7 days after treatment initiation. Twenty-eight patients (25.9%) developed ADIH within 7 days, 73 (67.6%) within 30 days, and the rest after 30 days. The ≤ 30-day group was characterized by higher peak alanine aminotransferase (ALT) level and a high proportion of patients with maintenance of first-line antituberculous drugs compared to the > 30-day group. In subgroup analysis, the ≤ 7-day group was characterized by higher baseline aspartate aminotransferase and ALT, high proportion of patients with maintenance of first-line antituberculous drugs, and high proportion of patients with extrapulmonary tuberculosis compared to patients with ADIH that developed beyond 7 days. In multivariate analysis, serum ALT > 40 IU/L (odds ratio [OR], 2.995; 95% confidence interval [CI], 1.580 to 5.680; p = 0.001) and presence of anti-hepatitis C virus (OR, 4.204; 95% CI, 1.822 to 9.700, p = 0.001) were independent risk factors for development of ADIH.

conclusionsApproximately 70% of the cases of ADIH occurred in the first month of antituberculous treatment, and were associated with continuation of the first-line drug regimen.

Indexed as

Liver Function TestsAdultAgedAlanine TransaminaseAntitubercular AgentsAspartate AminotransferasesBiomarkersChemical and Drug Induced Liver InjuryChi-Square DistributionClinical Enzyme TestsCoinfectionDrug MonitoringDrug Therapy, CombinationEarly DiagnosisFemaleHepatitisAlanine TransaminaseAntitubercular AgentsAspartate AminotransferasesBiomarkersDrug-induced liver injuryDrug monitoringRepublic of KoreaTuberculosis

Identifiers

PMID26767859
PMCPMC4712436

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.