Evidence map›Paper›PMID 30637414›Full record

ArticleJournal of clinical gastroenterology and hepatology2018

Real World Experience of Drug Induced Liver Injury in Patients Undergoing Chemotherapy.

Adiba Azad, Paul Chang, Deepika Devuni, Kian Bichoupan, Varun Kesar, Andrea D Branch, William K Oh, Matthew D Galsky, Jawad Ahmad, Joseph A Odin

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical gastroenterology and hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Improved Detection of Drug-Induced Liver Injury by Integrating PredictedbioRxiv : the preprint server for biology · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

10 authors at 2 institutions in 1 country.

Adiba AzadIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Paul ChangIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Deepika DevuniIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Kian BichoupanIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Varun KesarLenox Hill Hospital, New York, NY, USA.
Andrea D BranchIcahn School of Medicine, Mount Sinai, New York, NY, USA.
William K OhIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Matthew D GalskyIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Jawad AhmadIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Joseph A OdinIcahn School of Medicine, Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · USLenox Hill Hospital · US

Funding

Mount Sinai Regional Drug Induced Liver Injury Network SiteU01DK100928 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI AHMAD, JAWAD, ODIN, JOSEPH · 2013 to 2022
$4.0M
NIDDK NIH HHS U01 DK100928
6 · The paper itself

Abstract

BACKGROUND &

aimTo better understand the clinical significance of drug induced liver injury (DILI) during chemotherapy, we examined the epidemiology, incidence, and treatment effects of DILI in patients undergoing chemotherapy for genitourinary malignancies over a two-year period.

methodsWe conducted a retrospective review of 284 patients who underwent chemotherapy for prostate, bladder, testicular and renal cell carcinomas over a two year period. Those with abnormal or absent liver test (LT) results prior to chemotherapy initiation were excluded. Post chemotherapy LT results were defined as DILI if ALT>3× ULN and/or total bilirubin (TB)>2× ULN, in the absence of other more likely causes of elevated LT.

resultsThe cumulative incidence of DILI in the total study population was 6.1% (17/284), and in the population who had appropriate LT performed it increased to 18.9% (17/90). Chemotherapeutic agents were determined to be the cause of DILI in 82% (14/17) of patients, and the treatment plans were changed in 59% (10/17) of patients.

conclusionIn this real world study, the cumulative incidence of DILI was higher than commonly reported in clinical trials, and the majority of affected patients had to have their cancer treatment altered or interrupted.

Indexed as

ChemotherapyDrug induced liver injuryGenitourinary malignanciesLiver tests

Identifiers

PMID30637414
PMCPMC6327955
OpenAlexW2897046267

What OpenQuestion holds

Textmetadata
LicenceTDM
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.