Evidence map›Paper›PMID 29540066›Full record

SynthesisBiological research for nursing2018

A Systematic Review of Biological Mechanisms of Fatigue in Chronic Illness.

Lea Ann Matura, Susan Malone, Rosario Jaime-Lara, Barbara Riegel

Abstract readSystematic Review
In one paragraph

Synthesis in Biological research for nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 136 citations in OpenAlex.

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  14. Decreased Heart Rate Variability Is Associated with Increased Fatigue Across Different Medical Populations: A Systematic Review.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
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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

4 authors at 1 institution in 1 country.

Lea Ann Matura1 School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Susan Malone1 School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Rosario Jaime-Lara1 School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Barbara Riegel1 School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · US

Funding

Training in Sleep & Sleep DisordersT32HL007953 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI David Menassah Raizen, AMY M SAWYER · 2000 to 2026
$10.6M
P20 Exploratory Center for Precision Health in Diverse PopulationsP20NR018075 · NINR · NEW YORK UNIVERSITY · PI MELKUS, GAIL D, VAUGHAN DICKSON, VICTORIA · 2018 to 2022
$1.9M
Mechanisms of a Symptom Cluster: Dyspnea, Fatigue and Sleep Disturbance in Chronic IllnessK23NR014885 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MATURA, LEA ANN · 2014 to 2016
$401k
Personalizing Sleep Interventions to Prevent Type 2 Diabetes in Community Dwelling Adults with Pre-DiabetesK99NR017416 · NINR · NEW YORK UNIVERSITY · PI MALONE, SUSAN KOHL · 2018 to 2019
$180k
NHLBI NIH HHS T32 HL007953NINR NIH HHS K23 NR014885NINR NIH HHS K99 NR017416NINR NIH HHS P20 NR018075
6 · The paper itself

Abstract

Fatigue, a commonly reported symptom, is defined as an overwhelming, debilitating, and sustained sense of exhaustion that decreases the ability to function and carry out daily activities. To date, cancer researchers have been in the forefront in investigating the possible biological mechanisms of fatigue, identifying inflammation, dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, and activation of the autonomic nervous system. The purpose of this systematic review is to describe fatigue and what is known about the biological mechanisms described in cancer in five chronic, noninfectious illnesses: heart failure, multiple sclerosis, chronic kidney disease, rheumatoid arthritis, and chronic obstructive pulmonary disease. We searched PubMed and EMBASE using fatigue as a major Medical subject headings (MeSH) heading with each individual disease added as a search term followed by each biological mechanism. We included only primary research articles published in English between 1996 and 2016 describing studies conducted in adult humans. We identified 26 relevant articles. While there is some evidence that the biological mechanisms causing fatigue in cancer are also associated with fatigue in other chronic illnesses, more research is needed to explore inflammation, the HPA axis, and the autonomic nervous system, and other mechanisms in relation to fatigue in a variety of chronic illnesses.

Indexed as

AdultAgedAged, 80 and overArthritis, RheumatoidAutonomic Nervous SystemChronic DiseaseFatigueFemaleHeart FailureHumansHypothalamo-Hypophyseal SystemInflammationMaleMiddle AgedMultiple SclerosisPituitary-Adrenal Systemautonomic nervous systemchronic kidney diseasechronic obstructive pulmonary diseasefatigueheart failurehypothalamic–pituitary–adrenal axisinflammationmultiple sclerosisrheumatoid arthritis

Identifiers

PMID29540066
PMCPMC6346311
OpenAlexW2793475350

What OpenQuestion holds

Textmetadata
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.