Evidence map›Paper›PMID 39225936›Full record

SynthesisIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2025

Incidence and risk factors of antituberculosis drug-induced liver injury in India: A systematic review and meta-analysis.

Ramesh Kumar, Abhishek Kumar, Rishabh Patel, Sabbu Surya Prakash, Sudhir Kumar, Himanshu Surya, Sudheer Marrapu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Anti-Tubercular Drug-Induced Liver Injury: Current Understanding and Emerging Directions.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Review
  9. Article
  10. Management of acute liver failure-an updated literature review.World journal of critical care medicine · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. 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.

Ramesh KumarDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India. drrameshkumar@aiimspatna.org.ORCID 0000-0001-5136-4865
Abhishek KumarDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India.
Rishabh PatelDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India.ORCID 0009-0001-7061-4433
Sabbu Surya PrakashDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India.ORCID 0009-0006-5117-5443
Sudhir KumarDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India.ORCID 0000-0001-7117-1382
Himanshu SuryaDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India.
Sudheer MarrapuDepartment of Gastroenterology, All India Institute of Medical Sciences, 4T Floor, OPD Block, Patna, 801 507, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntituberculosis drug-induced liver injury (ATDILI) is a significant problem of tuberculosis treatment. This systematic review and meta‑analysis aimed at evaluating the incidence and risk factors of ATDILI in adult patients with tuberculosis in India.

methodsFive electronic databases were searched comprehensively for studies on Indian adult patients with tuberculosis investigating the incidence and/or risk factors of ATDILI. The relevant data was pooled in a random or fixed-effect model to calculate the pooled incidence with a 95% confidence interval (CI), standardized mean difference (MD) or odds ratio (OR).

resultsFollowing the screening of 3221 records, 43 studies with 12,041 tuberculosis patients were finally included. Based on the random effect model, the pooled incidence of ATDILI was 12.6% (95% CI, 9.9-15.3%, p < 0.001, I

conclusionOverall, 12.6% patients of tuberculosis in India developed ATDILI when combination of first-line antituberculosis drugs was used. An average of 7% of ATDILI patients progressed to ALF which had a high mortality rate. Older age, female, poor nutritional status and some genetic polymorphisms were identified as significant risk factors.

Indexed as

Antitubercular AgentsChemical and Drug Induced Liver InjuryTuberculosisAdultFemaleHumansIncidenceIndiaMaleRisk FactorsAntitubercular AgentsAntituberculosis drugsHepatotoxicityIndiaLiver injuryTuberculosis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.