Evidence map›Paper›PMID 30285731›Full record

Observational studyBMC infectious diseases2018

Impact of herpes zoster and postherpetic neuralgia on the quality of life of Germans aged 50 or above.

Desmond Curran, Ruprecht Schmidt-Ott, Ulf Schutter, Jörg Simon, Anastassia Anastassopoulou, Sean Matthews

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 7% 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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  13. Informing decisions in light of parameter uncertainty - an economic evaluation of the adjuvanted recombinant herpes zoster vaccine in Sweden.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  14. Review
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  18. Review
  19. Efficacy of Extracorporeal Shockwave Therapy for Postherpetic Neuralgia.Pain practice : the official journal of World Institute of Pain · 2025
    Article
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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

6 authors at 3 institutions in 2 countries.

Desmond CurranHealth Economics Department, GSK, Avenue Fleming 20, 1300, Wavre, Belgium. desmond.x.curran@gsk.com.ORCID http://orcid.org/0000-0002-7423-0111
Ruprecht Schmidt-OttHealth Economics Department, GSK, Avenue Fleming 20, 1300, Wavre, Belgium.
Ulf SchutterFacharztzentrum am Marienhospital und Marler Arztnetz, Marl, Germany.
Jörg SimonGesundheitsnetz Osthessen, Fulda, Germany.
Anastassia AnastassopoulouGSK, Munich, Germany.
Sean MatthewsHealth Economics Department, GSK, Avenue Fleming 20, 1300, Wavre, Belgium.
GlaxoSmithKline (Belgium) · BEGesundes Kinzigtal (Germany) · DEGlaxoSmithKline (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHerpes zoster (HZ) is a painful dermatomal rash caused by reactivation of latent varicella zoster virus surviving in the patient's sensory ganglia after a previous episode of varicella. The incidence of HZ increases markedly with age as does the proportion of HZ patients who develop postherpetic neuralgia (PHN) with often severe and debilitating pain persisting for months and even years. This prospective study aimed to assess the impact of HZ and PHN on the quality of life (QoL) of individuals aged ≥ 50 years in Germany.

methodsPatients were recruited when consulting primary care physicians for a first HZ episode. PHN was defined as a 'worst' pain score ≥ 3 on the Zoster Brief Pain Inventory (ZBPI) scale persisting or appearing 90 days or more after rash onset. PHN-cases were followed for up to nine months after rash onset. The interference of pain with patients' ability to carry out normal activities was assessed by the ZBPI activities of daily living (ADL) scale and QoL by the EuroQoL five-dimension scale (EQ-5D) utility score.

resultsOf 513 patients enrolled, 61 (11.9%) developed PHN. At HZ onset, the mean ZBPI worst pain score of all patients was 5.1, the least square (LS)means estimates of the ZBPI ADL and EQ-5D utility scores were 2.970 and 0.740, respectively. Over three months follow-up, the pain scores decreased and the QoL increased monotonically across all age groups. At Day 90, the mean ZBPI worst pain score of the PHN patients was 4.4, while the LSmeans estimates of the ZBPI ADL and EQ-5D utility scores were 2.899 and 0.826, respectively. For patients with PHN persisting at nine months, the pain scores and QoL remained unchanged over the six months following the development of PHN.

conclusionHZ and PHN had a substantial impact on the patients' QoL and ability to function in their normal activities. There was a clear association in time between the evolution of pain and estimated QoL. The impact on ADL and QoL did not vary with age.

Indexed as

Quality of LifeActivities of Daily LivingAgedAged, 80 and overExanthemaFemaleGermanyHerpes ZosterHumansMaleMiddle AgedNeuralgia, PostherpeticPain MeasurementProspective StudiesActivities of daily livingHerpes zosterPainPostherpetic neuralgiaQuality of lifeZoster incidence

Identifiers

PMID30285731
PMCPMC6169019
OpenAlexW2895430210

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.