Evidence map›Paper›PMID 29486812›Full record

ArticleEpidemiology and infection2018

Rheumatism and chronic fatigue, the two facets of post-chikungunya disease: the TELECHIK cohort study on Reunion island.

A Duvignaud, A Fianu, A Bertolotti, J Jaubert, A Michault, P Poubeau, A Fred, M Méchain, B-A Gaüzère, F Favier and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Epidemiology and infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
    Pooled it
  2. Pooled it
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  4. Article
  5. Review
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  15. Article
  16. Cytokine Deficiencies in Patients with Long-COVID.Journal of clinical & cellular immunology · 2022
    Article
  17. Article
  18. Rediscovering the chikungunya virusBiomedica : revista del Instituto Nacional de Salud · 2021
    Review
  19. Article
  20. Immunopathogenesis of alphaviruses.Advances in virus research · 2020
    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

12 authors at 2 institutions in 3 countries.

A DuvignaudDepartment of Tropical Medicine and Clinical International Health, Division of Infectious Diseases and Tropical Medicine, CHU Bordeaux, Bordeaux, France.
A FianuINSERM CIC 1410, CHU Réunion, Saint Pierre, Reunion.
A BertolottiDepartment of Infectious Diseases, CHU Réunion, Saint Pierre, Reunion.
J JaubertBacteriology, Virology and Parasitology lab, CHU Réunion, Saint Pierre, Reunion.
A MichaultBacteriology, Virology and Parasitology lab, CHU Réunion, Saint Pierre, Reunion.
P PoubeauDepartment of Infectious Diseases, CHU Réunion, Saint Pierre, Reunion.
A FredINSERM CIC 1410, CHU Réunion, Saint Pierre, Reunion.
M MéchainDepartment of Tropical Medicine and Clinical International Health, Division of Infectious Diseases and Tropical Medicine, CHU Bordeaux, Bordeaux, France.
B-A GaüzèrePolyvalent Intensive Care Unit, CHU Réunion, Saint Denis, Reunion.
F FavierINSERM CIC 1410, CHU Réunion, Saint Pierre, Reunion.
D MalvyDepartment of Tropical Medicine and Clinical International Health, Division of Infectious Diseases and Tropical Medicine, CHU Bordeaux, Bordeaux, France.
P GérardinINSERM CIC 1410, CHU Réunion, Saint Pierre, Reunion.ORCID https://orcid.org/0000-0002-3276-5919
Peuplements végétaux et bioagresseurs en milieu tropical · REUniversité de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prolonged fatigue is increasingly reported among chikungunya virus (CHIKV)-infected populations. We investigated the relationships between CHIKV exposure, long-lasting rheumatic musculoskeletal pain (LRMSP) and chronic fatigue. 1094 participants (512 CHIKV seropositive and 582 seronegative) of the TELECHIK population-based cohort were analysed considering the duration of the manifestations throughout an average 2-year follow-up. Weighted prevalence rates and prevalence ratios for LRMSP, idiopathic chronic fatigue (ICF), and chronic fatigue syndrome (CFS)-like illness, both latter syndromes adapted from Centers for Disease Control (CDC)-1994/Fukuda criteria, were compared. Population attributable fractions (PAF) were estimated to assess the contribution of CHIKV infection to each of the three phenotypes. Among 362 adult subjects who had reported either rheumatic pain or fatigue at the onset of the infection, weighted prevalence rates of LRMSP, ICF and CFS-like illness were respectively of 32.9%, 38.7% and 23.9%, and of 8.7%, 8.5% and 7.4% among initially asymptomatic peers (P < 0.01, respectively). Each of the three outcomes was highly attributable to chikungunya (PAF of 43.2%, 36.2% and 41.0%, respectively). In the sub-cohort of CHIKV-infected subjects, LRMSP, ICF and CFS-like illness, which overlapped in 70%, accounted for 53% of the chronic manifestations. In addition to rheumatic disease, chronic fatigue could be considered in caring for patients with chronic chikungunya disease.

Indexed as

AdolescentAdultAged, 80 and overChikungunya FeverChikungunya virusChronic DiseaseCohort StudiesFatigue Syndrome, ChronicFemaleHumansMaleMiddle AgedPrevalenceReunionRheumatic DiseasesYoung AdultAlphaviruschikungunyachronic fatiguecohort studyrheumatic disease

Identifiers

PMID29486812
PMCPMC5892425
OpenAlexW2793412033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.