Nonsteroidal Anti-Inflammatory Drugs and Hepatic Toxicity: A Systematic Review of Randomized Controlled Trials in Arthritis Patients  Alaa Rostom, Lawrence.

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Presentation transcript:

Nonsteroidal Anti-Inflammatory Drugs and Hepatic Toxicity: A Systematic Review of Randomized Controlled Trials in Arthritis Patients  Alaa Rostom, Lawrence Goldkind, Loren Laine  Clinical Gastroenterology and Hepatology  Volume 3, Issue 5, Pages 489-498 (May 2005) DOI: 10.1016/S1542-3565(04)00777-3 Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 1 Proportion of patients (and 95% CI) with aminotransferase elevations >3× ULN for individual NSAIDs. (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 2 Proportion of patients (and 95% CI) with liver-related discontinuations from the studies for individual NSAIDs. (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 3 Proportion of patients (and 95% CI) with hepatic SAEs for individual NSAIDs. (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 4 Proportion of patients (and 95% CI) with aminotransferase elevations >3× ULN for individual NSAIDs in shorter-term studies (≤13 wk) vs longer-term studies (>13 wk). (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 5 Proportion of patients (and 95% CI) with liver-related discontinuations from the studies for individual NSAIDs in shorter-term studies (≤13 wk) vs longer-term studies (>13 wk). (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 6 Proportion of patients (and 95% CI) with aminotransferase elevations >3× ULN for lower-dose vs higher-dose diclofenac and rofecoxib. (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions

Figure 7 Proportion of patients (and 95% CI) with liver-related discontinuations from the studies for lower-dose vs higher-dose diclofenac and rofecoxib. (Total number of patients exposed listed below each NSAID.) Clinical Gastroenterology and Hepatology 2005 3, 489-498DOI: (10.1016/S1542-3565(04)00777-3) Copyright © 2005 American Gastroenterological Association Terms and Conditions