Evidence map›Paper›PMID 32008224›Full record

ArticleAging clinical and experimental research2020

Potential herb-drug interactions in community-dwelling older adults in China: the Shanghai Aging Study.

Danyi Chi, Ding Ding, Qianhua Zhao, Xiaoniu Liang, Wanqing Wu, Jianfeng Luo, Bin Wang

Abstract read
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In one paragraph

Article in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Real-world Evidence of the Herb-drug Interactions.Journal of food and drug analysis · 2022
    Review
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

7 authors at 1 institution in 1 country.

Danyi ChiDepartment of Pharmacy, Huashan Hospital, Fudan University, Shanghai, China.
Ding DingInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China. dding99@163.com.ORCID http://orcid.org/0000-0002-6852-050X
Qianhua ZhaoInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Xiaoniu LiangInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Wanqing WuInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Jianfeng LuoDepartment of Biostatistics, School of Public Health, Fudan University, Shanghai, China.
Bin WangDepartment of Pharmacy, Huashan Hospital, Fudan University, Shanghai, China. c95518@126.com.
Fudan University · CN

Funding

National Natural Science Foundation of China 81773513National Natural Science Foundation of China 81872938National Science and Technology Planning Project (CN) 2018SHZDZX01Scientific Research Plan Project of Shanghai Science and Technology Committee 17411950106Scientific Research Plan Project of Shanghai Science and Technology Committee 17411950701
6 · The paper itself

Abstract

backgroundPotential herb-drug interactions (pHDIs) often go unrecognized, and little is known about the prevalence of pHDIs in older adults.

aimsThis study aimed to investigate the prevalence of pHDIs in community-dwelling older adults in Shanghai and identify patterns and factors associated with pHDIs.

methodsBaseline data from the Shanghai Aging Study, which was designed to establish a prospective community-based cohort of older adults in Shanghai, were analyzed regarding pHDIs with Lexi-Interact Online software.

resultsAmong 1227 participants who used any combination of drug-herb or herb-herb, 43.3% were exposed to at least one pHDI. A total of 1641 different pHDIs were identified among the study samples. Only seven (0.4%) pHDIs were rated as risk category X, indicating that the combinations were contraindicated and should be avoided. Worryingly, 876 (53.4%) pHDIs were rated as risk category D, indicating that significant interactions may occur and therapeutic modification should be considered. Of particular concern is that 99.8% of pHDIs in risk category D involve herbs with anticoagulant/antiplatelet properties. Individuals with stroke (odds ratio [OR] 2.02), hyperlipidemia (OR 1.51) or heart diseases (OR 1.42) and the number of herbs (2.66), number of drugs (OR 1.21), and age (OR 1.02) were significantly associated with the risk of pHDIs.

conclusion43.3% of community-dwelling older adults who used any combination of drug-herb or herb-herb was exposed to pHDIs, and more than half of pHDIs were related to herbs with anticoagulant/antiplatelet properties. Awareness of the patterns and high-risk groups of these pHDIs may contribute to increased patient safety.

Indexed as

Herb-Drug InteractionsIndependent LivingAgedAgingChinaHumansProspective StudiesCommunityElderlyPotential herb–drug interactionsPrevalence

Identifiers

PMID32008224
OpenAlexW3003907453

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.