Evidence map›Paper›PMID 23302155›Full record

ArticleArthritis research & therapy2013

Predictors of Chikungunya rheumatism: a prognostic survey ancillary to the TELECHIK cohort study.

Patrick Gérardin, Adrian Fianu, Alain Michault, Corinne Mussard, Karim Boussaïd, Olivier Rollot, Philippe Grivard, Somar Kassab, Eric Bouquillard, Gianandrea Borgherini and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02281123 (Study of the Prognostic Value of Musculoskeletal Ultrasound in Adults With Chikungunya), which is not on this map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% 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.

NCT02281123 unknown statusnot on this mapstarted 2014, after this paper: background citation

Study of the Prognostic Value of Musculoskeletal Ultrasound in Adults With Chikungunya

TypeobservationalSponsorUniversity Hospital Center of MartiniqueRan2014 to 2016Enrolled200ConditionsInfected by Chikungunya VirusArmsSF36 (QQoL)
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 3 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  5. Review
  6. Article
  7. Review
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  13. Mayaro virus pathogenesis and immunity in rhesus macaques.PLoS neglected tropical diseases · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Neglected tropical rheumatic diseases.Clinical rheumatology · 2022
    Review
  18. Article
  19. Article
  20. Chronic Chikungunya Virus Disease.Current topics in microbiology and immunology · 2022
    Article
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

14 authors at 5 institutions in 2 countries.

Patrick Gérardin
Adrian Fianu
Alain Michault
Corinne Mussard
Karim Boussaïd
Olivier Rollot
Philippe Grivard
Somar Kassab
Eric Bouquillard
Gianandrea Borgherini
Bernard-Alex Gaüzère
Denis Malvy
Gérard Bréart
François Favier
Centre Hospitalier Universitaire de La Réunion · FRInserm · FRHôpital Pellegrin · FRHospital for Tropical Diseases · VNMaternité Port Royal · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLong-lasting relapsing or lingering rheumatic musculoskeletal pain (RMSP) is the hallmark of Chikungunya virus (CHIKV) rheumatism (CHIK-R). Little is known on their prognostic factors. The aim of this prognostic study was to search the determinants of lingering or relapsing RMSP indicative of CHIK-R.

methodsThree hundred and forty-six infected adults (age≥15 years) having declared RMSP at disease onset were extracted from the TELECHIK cohort study, Reunion island, and analyzed using a multinomial logistic regression model. We also searched for the predictors of CHIKV-specific IgG titres, assessed at the time of a serosurvey, using multiple linear regression analysis.

resultsOf these, 111 (32.1%) reported relapsing RMSP, 150 (43.3%) lingering RMSP, and 85 (24.6%) had fully recovered (reference group) on average two years after acute infection. In the final model controlling for gender, the determinants of relapsing RMSP were the age 45-59 years (adjusted OR: 2.9, 95% CI: 1.0, 8.6) or greater or equal than 60 years (adjusted OR: 10.4, 95% CI: 3.5, 31.1), severe rheumatic involvement (fever, at least six joints plus four other symptoms) at presentation (adjusted OR: 3.6, 95% CI: 1.5, 8.2), and CHIKV-specific IgG titres (adjusted OR: 3.2, 95% CI: 1.8, 5.5, per one unit increase). Prognostic factors for lingering RMSP were age 45-59 years (adjusted OR: 6.4, 95% CI: 1.8, 22.1) or greater or equal than 60 years (adjusted OR: 22.3, 95% CI: 6.3, 78.1), severe initial rheumatic involvement (adjusted OR: 5.5, 95% CI: 2.2, 13.8) and CHIKV-specific IgG titres (adjusted OR: 6.2, 95% CI: 2.8, 13.2, per one unit increase). CHIKV specific IgG titres were positively correlated with age, female gender and the severity of initial rheumatic symptoms.

conclusionsOur data support the roles of age, severity at presentation and CHIKV specific IgG titres for predicting CHIK-R. By identifying the prognostic value of the humoral immune response of the host, this work also suggest a significant contribution of the adaptive immune response to the physiopathology of CHIK-R and should help to reconsider the paradigm of this chronic infection primarily shifted towards the involvement of the innate immune response.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAntibodies, ViralChikungunya FeverCohort StudiesData CollectionFemaleHumansImmunoglobulin GLogistic ModelsMaleMiddle AgedPrognosisAntibodies, ViralImmunoglobulin G

Identifiers

PMID23302155
PMCPMC3672753
OpenAlexW2172155842

What OpenQuestion holds

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LicenceCC BY
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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.