TY - JOUR PY - 2021// TI - Risk levels of herb-induced liver injury in Korea: from a meta-analysis JO - Integrative medicine research A1 - Lee, Nam-Hun A1 - Lee, Ga-Young A1 - Park, Chan-Ran A1 - Kim, Sul-Ki A1 - Ahn, Yo-Chan A1 - Cho, Jung-Hyo A1 - Son, Chang-Gue SP - e100705 EP - e100705 VL - 10 IS - 3 N2 - BACKGROUND: As the use of herbal medicines increased worldwide, there has been concern about the risk of herb-induced liver injury (HILI). Many clinical studies have assessed the risk of HILI in Korea.

METHODS: Therefore, we conducted a meta-analysis of the incidence of HILI in Korea, by analyzing nine clinical studies. These involved 8625 participants (3274 males; 5351 females), including 436 outpatients (three studies) and 8189 inpatients (six studies).

RESULTS: As a result, the overall incidence of HILI in Korea was 0.49% (95% CI 0.33-0.74%), and it was 0.57% in males and 0.30% in females. We found a similar incidence of HILI in prospective (0.51%) and retrospective (0.50%) studies. The incidence of HILI was higher in inpatients (0.62%) than outpatients (0.03%).

CONCLUSION: Although there are limitations regarding study quality and the number of participants, we systematically estimated the risk of HILI in Korea. We anticipate this study would be a helpful information for prescribing herbal medicines and researching the safety of herbs.

Language: en

LA - en SN - 2213-4220 UR - http://dx.doi.org/10.1016/j.imr.2020.100705 ID - ref1 ER -