Evidence map›Paper›PMID 41978740›Full record

ArticleClinical and experimental gastroenterology2026

Costs, Demographics, and Causative Agents in Patients Hospitalized for Drug Induced Liver Injury: Trends in a Large Academic Healthcare System.

Megan Kozar, Yunisse Gonzalez, Dina Halegoua-DeMarzio

Abstract read
In one paragraph

Article in Clinical and experimental gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Megan KozarDepartment of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0009-0000-6454-3889
Yunisse GonzalezDepartment of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA.ORCID 0009-0002-7708-3329
Dina Halegoua-DeMarzioDepartment of Medicine, Division of Gastroenterology and Hepatology. Thomas Jefferson University Hospital at Sidney Kimmel Medical College, Philadelphia, PA, USA.ORCID 0000-0001-8298-5381

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Drug-induced liver injury (DILI) is an uncommon but potentially life-threatening condition. To date, the burden of DILI on a single, large healthcare system has not been investigated, preventing adequate resource allocation. This study aims to quantify DILI-related healthcare utilization within the Jefferson Health System (JHS) and identify case-related factors associated with high resource requirements; such information is crucial to focus efforts toward resource reduction. Patients and Methods: This study characterizes trends of 48 DILI cases within JHS, including demographics, payer status, causative agent, and DILI pattern. These variables were correlated with length of stay (LOS) and cost relating to the treatment encounter. Patient-level observed LOS and cost were then subtracted from their respective expected values from the Vizient Clinical Database, a platform that provides clinical outcome data from more than 1300 healthcare facilities in the United States. Results: Treatment of DILI cases at JHS required higher than expected cost compared to the Vizient Clinical Database. We found high resource utilization in females, those identifying as black, and in cases where the implicated agent was uncertain. Mixed pattern DILI required the highest healthcare utilization, whereas herbal and dietary supplements (HDS) cases were relatively resource minimal. Conclusion: This study indicates that high clinical suspicion of DILI in historically marginalized populations and improved causative agent identification are key to minimizing the healthcare burden of DILI.

Indexed as

clinical patternshealthcare utilizationhepatotoxicitypatient characteristicsrisk factors

Identifiers

PMID41978740
PMCPMC13070341

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.