Evidence map›Paper›PMID 33846832›Full record

ReviewCurrent gastroenterology reports2021

An Approach to Drug-Induced Liver Injury from the Geriatric Perspective.

Brian T Lee, Joseph A Odin, Priya Grewal

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current gastroenterology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Liver, ageing and disease.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. [Liver dysfunction in geriatric patients].Zeitschrift fur Gerontologie und Geriatrie · 2022
    Article
  8. Paracetamol: A Review of Guideline Recommendations.Journal of clinical medicine · 2021
    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

3 authors at 2 institutions in 1 country.

Brian T LeeDivision of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Joseph A OdinDivision of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA. Joseph.Odin@mountsinai.org.ORCID http://orcid.org/0000-0003-0923-5685
Priya GrewalDivision of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Mount Sinai Hospital · USIcahn School of Medicine at Mount Sinai · 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

purpose of reviewWith its high variability in both presentation and severity, drug-induced liver injury (DILI) is a complex condition increasingly confronting all providers. DILI has an even more muddled presentation among the geriatric population due to age-related changes in liver physiology and biochemistry as well as polypharmacy common in the geriatric population. RECENT

findingsMost cases of DILI are idiosyncratic and unpredictable. DILI, especially related to herbal and dietary supplement (HDS) use, is increasingly recognized as a leading cause of acute liver failure and need for liver transplantation. Unfortunately, liver transplantation is a limited option for the elderly, a population that exhibits significant HDS use. One recent study suggests that early use of N-acetylcysteine may be useful in preventing progression to acute liver failure in non-acetaminophen DILI. In the future, a personalized medicine approach using genomic signatures may be feasible to prevent DILI. This review serves to raise recognition of the unique aspects of DILI in the geriatric population to promote rapid diagnosis and early intervention to prevent progression to liver failure and death. For now, DILI remains a diagnosis of exclusion, and care providers for the elderly must focus on obtaining a thorough history that includes HDS use and intervening early in suspected DILI cases.

Indexed as

Chemical and Drug Induced Liver InjuryAgedAge FactorsAgingHumansLiverPolypharmacyRisk FactorsDrug-induced liver injuryGeriatricHerbal and dietary supplement useImmunotherapy in elderlyPolypharmacy

Identifiers

PMID33846832
OpenAlexW3156844334

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.