Evidence map›Paper›PMID 27543281›Full record

ArticleAfrican journal of primary health care & family medicine2016

Khat chewing and cirrhosis in Somaliland: Case series.

Hawa D Mahamoud, Sabah Mohammed Muse, Lewis R Roberts, Philip R Fischer, Michael S Torbenson, Tim Fader

Abstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Association Between Khat (Biomarker insights · 2026
    Article
  3. Article
  4. Hepatitis Associated withJournal of clinical medicine · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. 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

6 authors.

Hawa D Mahamoud
Sabah Mohammed Muse
Lewis R Roberts
Philip R FischerMayo Clinic, Minnesota. fischer.phil@mayo.edu.
Michael S Torbenson
Tim Fader

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKhat chewing is common especially among men in East Africa and Yemen. It is generally viewed by the populace as a benign social custom. Several studies of ethnic Somali immigrants to Western countries suggest an association between khat chewing and hepatotoxicity, but the risk of hepatotoxicity related to khat chewing within African settings is not documented.

aimTo identify and describe liver disease without evidence of alcohol exposure or infectious etiology in khat chewers. SETTINGS: A university-affiliated teaching hospital in Somaliland.

methodsCases of cirrhosis of unknown cause were identified from the clinical practice of Al Hayatt Hospital in Borama, Somaliland, during 14 months beginning December 2012.

resultsEight Somali men aged 27-70 years living in Somaliland were identified with cirrhosis of otherwise unknown cause. All chewed khat habitually for many years (15-128 bundles per day times years of use). A liver biopsy of one man was consistent with khat hepatotoxicity. Four of the eight men died during the study period.

conclusionKhat chewing may be associated with health consequences including severe hepatotoxicity with cirrhosis.

Indexed as

AdultAgedBiopsyCathaDjiboutiHumansLiverLiver CirrhosisMaleMiddle Aged

Identifiers

PMID27543281
PMCPMC4992185

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Registered trials

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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.