Evidence map›Paper›PMID 16687273›Full record

ArticlePhilosophical transactions of the Royal Society of London. Series B, Biological sciences2006

Managing future Gulf War Syndromes: international lessons and new models of care.

Charles C Engel, Kenneth C Hyams, Ken Scott

Registry-linked trialOpen access · greenAbstract readHistorical Article
In one paragraph

Article in Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01492348 (Stepped Enhancement of PTSD Services Using Primary Care), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
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.

NCT01492348 nacompletednot on this mapstarted 2012, after this paper: background citation

Stepped Enhancement of PTSD Services Using Primary Care (STEPS UP): A Randomized Effectiveness Trial

TypeinterventionalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2012 to 2016Enrolled666ConditionsPosttraumatic Stress Disorder (PTSD), DepressionArmsSTEPS UP, OUC
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Battlefield brain: unexplained symptoms and blast-related mild traumatic brain injury.Canadian family physician Medecin de famille canadien · 2008
    Review
  7. Article
  8. Article
  9. Reflections on Gulf War illness.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2006
    Article
  10. Review
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 at 3 institutions in 2 countries.

Charles C EngelDepartment of Veterans Affairs, VA Central Office (13A) Office of Public Health and Environmental Hazards, Washington, DC 20420, USA. cengel@usuhs.mil
Kenneth C Hyams
Ken Scott
Canadian Armed Forces · CAOffice of the Assistant Secretary for Health · USUniformed Services University of the Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After the 1991 Gulf War, veterans of the conflict from the United States, United Kingdom, Canada, Australia and other nations described chronic idiopathic symptoms that became popularly known as 'Gulf War Syndrome'. Nearly 15 years later, some 250 million dollars in United States medical research has failed to confirm a novel war-related syndrome and controversy over the existence and causes of idiopathic physical symptoms has persisted. Wartime exposures implicated as possible causes of subsequent symptoms include oil well fire smoke, infectious diseases, vaccines, chemical and biological warfare agents, depleted uranium munitions and post-traumatic stress disorder. Recent historical analyses have identified controversial idiopathic symptom syndromes associated with nearly every modern war, suggesting that war typically sets into motion interrelated physical, emotional and fiscal consequences for veterans and for society. We anticipate future controversial war syndromes and maintain that a population-based approach to care can mitigate their impact. This paper delineates essential features of the model, describes its public health and scientific underpinnings and details how several countries are trying to implement it. With troops returning from combat in Afghanistan, Iraq and elsewhere, the model is already getting put to the test.

Indexed as

International CooperationDelivery of Health CareHistory, 20th CenturyHistory, 21st CenturyHumansInformation SystemsMilitary PersonnelPersian Gulf SyndromePopulation SurveillancePractice Guidelines as TopicStress Disorders, Post-TraumaticVeteransWarfare

Identifiers

PMID16687273
PMCPMC1569617
OpenAlexW2149735343

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.