Evidence map›Paper›PMID 23898301›Full record

ArticleFrontiers in physiology2013

Migraine in gulf war illness and chronic fatigue syndrome: prevalence, potential mechanisms, and evaluation.

Rakib U Rayhan, Murugan K Ravindran, James N Baraniuk

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

NCT01291758 completednot on this map

Exercise in Gulf War Illness (GWI)

TypeobservationalSponsorGeorgetown UniversityRan2009 to 2012Enrolled50ConditionsGulf War Illness, Persian Gulf SyndromeArmsSubmaximal bicycle exercise stress tests performed 24 hr apart
NCT03560830 completednot on this mapstarted 2016, after this paper: background citation

START & STOPP in GWI Stress Test Activated Reversible Tachycardia & Stress Test Originated Phantom Perception in Gulf War Illness

TypeobservationalSponsorGeorgetown UniversityRan2016 to 2019Enrolled52ConditionsGulf War SyndromeArms2 submaximal exercise stress tests
NCT03567811 nacompletednot on this map

Exertional Exhaustion in Chronic Fatigue Syndrome

TypeinterventionalSponsorGeorgetown UniversityRan2013 to 2018Enrolled72ConditionsChronic Fatigue SyndromeArmsSubmaximal bicycle exercise stress test on Days 1 and 2
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

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  12. Chronic fatigue syndrome in the emergency department.Open access emergency medicine : OAEM · 2019
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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 2 institutions in 1 country.

Rakib U RayhanDivision of Rheumatology, Immunology and Allergy, Department of Medicine, Georgetown University Washington, DC, USA.
Murugan K Ravindran
James N Baraniuk
Georgetown University · USGeorgetown University Medical Center · US

Funding

Georgetown-Howard Universities Center for Clinical and Translational Science (GHUUL1TR000101 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2015
$19.3M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUUL1RR031975 · NCRR · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2010 to 2011
$14.6M
Proteomics of Cerebrospinal Fluid in Chronic Fatigue SyndromeR01ES015382 · NIEHS · GEORGETOWN UNIVERSITY · PI BARANIUK, JAMES N · 2006 to 2009
$1.5M
NCATS NIH HHS UL1 TR000101NCRR NIH HHS UL1 RR031975NIEHS NIH HHS R01 ES015382
6 · The paper itself

Abstract

objectiveTo assess the prevalence of headache subtypes in Gulf War Illness (GWI) and Chronic Fatigue Syndrome (CFS) compared to controls.

backgroundApproximately, 25% of the military personnel who served in the 1990-1991 Persian Gulf War have developed GWI. Symptoms of GWI and CFS have considerable overlap, including headache complaints. Migraines are reported in CFS. The type and prevalence of headaches in GWI have not been adequately assessed.

methods50 GWI, 39 CFS and 45 controls had structured headache evaluations based on the 2004 International Headache Society criteria. All subjects had history and physical examinations, fatigue and symptom related questionnaires, measurements of systemic hyperalgesia (dolorimetry), and assessments for exclusionary conditions.

resultsMigraines were detected in 64% of GWI (odds ratio = 11.6 [4.1-32.5]) (mean [±95% CI]) and 82% of CFS subjects (odds ratio = 22.5 [7.8-64.8]) compared to only 13% of controls. There was a predominance of females in the CFS compared to GWI and controls. However, migraine status was independent of gender in GWI and CFS groups (x (2) = 2.7; P = 0.101). Measures of fatigue, pain, and other ancillary criteria were comparable between GWI and CFS subjects with and without headache.

conclusionThe high prevalence of migraine in CFS was confirmed and extended to GWI subjects. GWI and CFS may share dysfunctional central pathophysiological pathways that contribute to migraine and subjective symptoms. The high migraine prevalence warrants the inclusion of a structured headache evaluation in GWI and CFS subjects, and treatment when present.

Indexed as

central sensitizationchronic fatigue syndromechronic painfatiguefibromyalgiagulf war illnessmigraineneurolimbic pathway

Identifiers

PMID23898301
PMCPMC3721020
OpenAlexW1991039659

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.