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. 2015 Apr 23;6:72. doi: 10.3389/fphar.2015.00072

Table 14.

Compilation of causality assessment methods used in suspected HILI cases.

Herbs Herbal products Ad hoc (n) WHO (n) CIOMS (n) Naranjo (n) DILIN (n) KL (n) References
Kava 20 BfArM, 2002
Kava 30 Denham et al., 2002
Kava 20 Teschke et al., 2003
Kava 36 Stickel et al., 2003
Kava 80 Schmidt et al., 2005
Greater Celandine 23 BfArM, 2005
Black cohosh 31 EMA, 2007
Herbalife products 12 Elinav et al., 2007
Herbalife products 12 Schoepfer et al., 2007
Kava 26 Teschke et al., 2008a
Black cohosh 30 Mahady et al., 2008
Green tea 34 Sarma et al., 2008[
Black cohosh 4 Teschke and Schwarzenboeck, 2009
Black cohosh 9 Teschke et al., 2009
Kava 31 Teschke, 2010a
Hydroxycut 17 Fong et al., 2010
Black cohosh 22 Teschke et al., 2011e
Greater Celandine 22 Teschke et al., 2011a
Herbalife products 20 Manso et al., 2011
Various herbs 45 Chau et al., 2011
Greater Celandine 21 Teschke et al., 2012e
Pelargonium sidoides 15 Teschke et al., 2012c
Pelargonium sidoides 13 Teschke et al., 2012d
Sum (n) 63 134 275 64 17 20
Sum (percent) 11.0% 23.4% 48.0% 11.2% 3.0% 3.4%

The data are derived from a study evaluating alternative causes in suspected HILI cases (n = 573) (Teschke et al., 2013g). For the 275 CIOMS cases, causality assessment was performed with the updated CIOMS scale, the original CIOMS scale, or early CIOMS version. Abbreviations: Ad hoc, ad hoc approach; CIOMS, Council for International Organizations of Medical Sciences scale; DILIN, Drug Induced Liver Injury Network method; KL, Karch & Lasagna method; Naranjo, Naranjo scale; WHO, World Health Organization method.