Ketoconazole associated hepatotoxicity: a systematic review and meta- analysis / 生物医学与环境科学(英文)
Biomedical and Environmental Sciences
; (12): 605-610, 2013.
Article
in En
| WPRIM
| ID: wpr-247163
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the incidence of Ketoconazole associated hepatotoxicity and related factor.</p><p><b>METHODS</b>Literature retrieval was conducted by using multi-databases for meta-analysis on Ketoconazole associated hepatotoxicity. The data were collected with a standardized form. Overall estimation of incidence of hepatotoxicity for specific study type was calculated by using a DerSimonian-Laird random-effects model owing to the substantial differences among the studies.</p><p><b>RESULTS</b>Totally 204 eligible studies were included in the analysis. The incidence of Ketoconazole associated hepatotoxicity was 3.6%-4.2%. The dosage and duration specific subgroup analyses did not show any significant difference among groups, while the age specific subgroup analysis showed the incidence in children and people aged >60 years was 1.4% (95% CI 0.5%-4.2%) and 3.2% (95% CI 1.1%-8.7%) respectively. Additionally, the incidence of the hepatotoxicity was higher in people who had oral administration of ketoconazole beyond the provisions of the usage instructions, and the incidence was 5.7% (95% CI 4.5%-7.2%).</p><p><b>CONCLUSION</b>Ketoconazole associated hepatotoxicity was common. Off-label use might increase the risk of liver damage. Well-designed large sample studies are needed to identify the risk factors in future.</p>
Key words
Full text:
1
Index:
WPRIM
Main subject:
Chemical and Drug Induced Liver Injury
/
Off-Label Use
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Ketoconazole
/
Antifungal Agents
Type of study:
Prognostic_studies
/
Systematic_reviews
Limits:
Humans
Language:
En
Journal:
Biomedical and Environmental Sciences
Year:
2013
Type:
Article