Evidence map›Paper›PMID 30518392›Full record

ArticleJournal of translational medicine2018

Increased risk of chronic fatigue syndrome following burn injuries.

Shin-Yi Tsai, Cheng-Li Lin, Shou-Chuan Shih, Cheng-Wei Hsu, Kam-Hang Leong, Chien-Feng Kuo, Chon-Fu Lio, Yu-Tien Chen, Yan-Jiun Hung, Leiyu Shi

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
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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

10 authors at 4 institutions in 3 countries.

Shin-Yi TsaiDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan. stsai22@jhu.edu.ORCID 0000-0001-7978-778X
Cheng-Li LinCollege of Medicine, China Medical University, Taichung City, Taiwan.
Shou-Chuan ShihDepartment of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan.
Cheng-Wei HsuDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Kam-Hang LeongDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Chien-Feng KuoInstitute of Infectious Disease, Mackay Memorial Hospital, Taipei, Taiwan.
Chon-Fu LioDepartment of Medicine; Graduate Institute of Long-Term Care, Mackay Medical College, Taipei, Taiwan.
Yu-Tien ChenDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Yan-Jiun HungDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Leiyu ShiDepartment of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, United States. lshi2@jhu.com.
Mackay Memorial Hospital · TWJohns Hopkins University · USChina Medical University · TWMackay Medical University · TW

Funding

Academia Sinica Stroke Biosignature Project BM10701010021Ministry of Health and Welfare, Taiwan MOHW107-TDU-B-212-123004MOST Clinical Trial Consortium for Stroke MOST 106-2321-B-039-005The Department of Medical Research at Mackay Memorial Hospital MMH-105-87The Department of Medical Research at Mackay Memorial Hospital MMH-106-81The Department of Medical Research at Mackay Memorial Hospital MMH-107-102The Department of Medical Research at Mackay Memorial Hospital MMH-107-135The Department of Medical Research at Mackay Memorial Hospital MMH-107-71
6 · The paper itself

Abstract

backgroundThe overlapping symptoms and pathophysiological similarities between burn injury and chronic fatigue syndrome (CFS) are noteworthy. Thus, this study explores the possible association between burn injury and the subsequent risk of CFS.

methodWe used data from the Taiwan National Health Insurance system to address the research topic. The exposure cohort comprised of 17,204 patients with new diagnoses of burn injury. Each patient was frequency matched according to age, sex, index year, and comorbidities with four participants from the general population who did not have a history of CFS (control cohort). Cox proportional hazards regression analysis was conducted to estimate the relationship between burn injury and the risk of subsequent CFS.

resultThe incidence of CFS in the exposure and control cohorts was 1.61 and 0.86 per 1000 person-years, respectively. The exposure cohort had a significantly higher overall risk of subsequent CFS than did the control cohort (adjusted hazard ratio [HR] = 1.48, 95% confidence interval [CI] = 1.41-1.56). The risk of CFS in patients with burn injury in whichever stratification (including sex, age, and comorbidity) was also higher than that of the control cohort.

conclusionThe findings from this population-based retrospective cohort study suggest that thermal injury is associated with an increased risk of subsequent CFS and provided a point of view suggesting burn injuries in sun- exposed areas such as the face and limbs had greater impact on subsequent development of CFS compared with trunk areas. In addition, extensively burned areas and visible scars were predictors of greater physiological and psychosocial that are needed to follow-up in the long run.

Indexed as

AgedBurnsFatigue Syndrome, ChronicFemaleHumansKaplan-Meier EstimateMaleMiddle AgedRisk FactorsYoung AdultBurnChronic fatigue syndromeImmune system diseasesNational health programsThermal injury

Identifiers

PMID30518392
PMCPMC6282352
OpenAlexW2902391940

What OpenQuestion holds

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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.