Evidence map›Paper›PMID 39944618›Full record

ArticleFrontiers in pharmacology2025

Exploring the association between herbal medicine usage and drug-induced liver injury: insights from a nationwide population-based cohort study using SCCS in South Korea.

Taehyun Yang, Juhee Ahn, Sungho Won, Sanghun Lee

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Taehyun YangDepartment of Public Health Sciences, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Juhee AhnDepartment of Public Health Sciences, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Sungho WonDepartment of Public Health Sciences, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Sanghun LeeDepartment of Bioconvergence and Engineering, Dankook University, Gyeonggi-do, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Drug-induced liver injury (DILI) is a significant health concern caused by exposure to pharmaceuticals, over-the-counter medications, herbal remedies, and dietary supplements. The contribution of prescribed herbal medicines to DILI risk remains unclear. This study aimed to evaluate the hepatotoxicity risk associated with traditional Korean medicines (TKMs) using nationwide health insurance claims data. Methods: A tailored cohort of patients diagnosed with DILI (ICD-10 code: K71) between January 2011 and December 2019 was obtained from the Health Insurance Review and Assessment Service. After applying inclusion and exclusion criteria, 672,411 patients were identified. Using a self-controlled case study (SCCS) design, exposures were defined as hospital/clinic visits or medication prescriptions within a 90-day window. Analyses were conducted across three groups: outpatients, inpatients, and patients with liver disease. Relative incidences of DILI were calculated for different exposure scenarios. Results: Outpatients showed the highest relative incidences of DILI 3-15 days after visiting Western hospitals/clinics or being prescribed commercial drugs, with risk estimates of 1.55 (95% confidence interval [CI]: 1.55-1.56) and 2.44 (95% CI: 2.43-2.44), respectively. These risks gradually declined to baseline levels (1.0). All other groups exhibited similar patterns. In contrast, DILI risks associated with TKM hospital/clinic visits and herbal medicine prescriptions were minimal, with relative risks of 1.01 (95% CI: 1.00-1.01) and 0.99 (95% CI: 0.99-0.99), respectively. However, a mildly elevated risk was observed in patients with liver disease. Conclusion: This nationwide cohort study demonstrates that herbal medicines prescribed by TKM practitioners have minimal impact on DILI risk. Patients with pre-existing liver disease exhibit increased susceptibility to DILI. Differentiating between unregulated herbal products and those prescribed in medical institutions is essential for accurate assessment of hepatotoxicity risk.

Indexed as

drug-induced liver injuryhepatotoxicityherbal and dietary supplementsherbal medicinespharmacovigilanceself-controlled case seriestraditional Korean medicines

Identifiers

PMID39944618
PMCPMC11813889

What Socratic holds

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LicenceCC BY
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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 Socratic graph.