Evidence map›Paper›PMID 42136866›Full record

SynthesisFrontiers in medicine2026

Risk factors for drug-induced liver injury in tuberculosis patients: a meta-analysis and systematic review.

Xiaoli Liu, Chunmei Liu, Rong Yao, Bin Wan, Li Fu, Xiaoyi Yang, Yan Zhang, Jinxia Du, Xiang Long

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. HBV/HCV coinfection and anti-tuberculosis drug-induced liver injury: from risk assessment and exploration of mechanisms to preventive considerations.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    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

9 authors.

Xiaoli LiuThe Fourth Department of Tuberculosis, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Chunmei LiuThe Department of Nursing, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Rong YaoThe Second Department of Tuberculosis, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Bin WanThe Department of Nursing, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Li FuThe Department of Nursing, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Xiaoyi YangThe Second Department of Tuberculosis, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Yan ZhangThe Fourth Department of Tuberculosis, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Jinxia DuThe Fourth Department of Tuberculosis, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.
Xiang LongThe Department of Nursing, Public Health Clinical Center of ChengDu, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: A meta-analysis and systematic review of risk factors for drug-induced liver injury in tuberculosis patients. Methods: Computerized searches were conducted in PubMed, Embase, Web of Science, and the Cochrane Library databases to identify studies investigating risk factors for drug-induced liver injury in tuberculosis patients. The search period spanned from the inception of each database to January 2026. Two researchers independently screened studies, extracted data, and assessed risk of bias in included studies. Meta-analysis was performed using Stata 15.0 software. Results: A total of 41 studies involving 34,251 subjects were included. Meta-analysis revealed that female gender [OR = 1.35, 95% CI (1.05, 1.73)], alcohol consumption [OR = 2.07, 95% CI (1.57, 2.72)], extrapulmonary tuberculosis [OR = 2.01, 95% CI (1.66, 2.44)], disseminated TB [OR = 1.74, 95% CI (1.18, 2.59)], albumin <35 g/L [OR = 2.16, 95% CI (1.52, 3.06)], Malnutrition [OR = 3.32, 95% CI (1.52, 7.24)], HIV [OR = 1.80, 95% CI (1.09, 2.99)], HCV [OR = 2.17, 95% CI (1.10, 4.29)], hepatotoxic drugs [OR = 2.65, 95% CI (1.58, 4.43)] may constitute risk factors for drug-induced liver injury in tuberculosis patients. Conclusion: Female gender, alcohol consumption, extrapulmonary tuberculosis, disseminated tuberculosis, serum albumin levels below 35 g/L, malnutrition, HIV infection, HBsAg positivity, HCV infection, and hepatotoxic drugs may constitute risk factors for drug-induced liver injury in tuberculosis patients. Given limitations in the number and quality of included studies, these findings require validation through further high-quality research. Systematic review registration: This study has been registered on the PROSPERO platform, registration number: CRD420261302758.

Indexed as

drug-induced liver injurymeta-analysisrisk factorssystematic reviewtuberculosis

Identifiers

PMID42136866
PMCPMC13167532

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.