Evidence map›Paper›PMID 33069049›Full record

ArticleJournal of psychosomatic research2020

Long-term impact of a Q-fever outbreak: An evaluation of health symptoms, health-related quality of life, participation and health care satisfaction after ten years.

Madelon B Bronner, Juanita A Haagsma, Manon L Dontje, Lotte Barmentloo, Rianne M C E J Kouwenberg, Alfons G M Olde Loohuis, Annemieke de Groot, Vicki Erasmus, Suzanne Polinder

Abstract read
In one paragraph

Article in Journal of psychosomatic research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Review
  2. Health-related quality of life changes in patients with Q-fever fatigue syndrome: a four-year follow-up study, 10 years post-infection.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Observational
  3. Article
  4. Review
  5. Article
  6. Frontiers in immunology · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Genotyping ofGenes · 2022
    Article
  14. Post‑COVID‑19 syndrome in children (Review).Experimental and therapeutic medicine · 2022
    Review
  15. Sensitivity of the EQ-5D-5L for fatigue and cognitive problems and their added value in Q-fever patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  16. Review
  17. 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

9 authors.

Madelon B BronnerDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: m.bronner@erasmusmc.nl.
Juanita A HaagsmaDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: j.haagsma@erasmusmc.nl.
Manon L DontjeDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: dr.m.l.dontje@gmail.com.
Lotte BarmentlooDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: l.barmentloo@erasmusmc.nl.
Rianne M C E J KouwenbergQ-support, Goudsbloemvallei 1, 5237 MH 's-Hertogenbosch, the Netherlands. Electronic address: r.kouwenberg@q-support.nu.
Alfons G M Olde LoohuisQ-support, Goudsbloemvallei 1, 5237 MH 's-Hertogenbosch, the Netherlands. Electronic address: a.oldeloohuis@q-support.nu.
Annemieke de GrootQ-support, Goudsbloemvallei 1, 5237 MH 's-Hertogenbosch, the Netherlands. Electronic address: a.de.groot@q-support.nu.
Vicki ErasmusDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: v.erasmus@erasmusmc.nl.
Suzanne PolinderDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands. Electronic address: s.polinder@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess health symptoms, health-related quality of life, participation, and health care satisfaction in Q-fever patients up to 10 years after infection.

methodsCross-sectional questionnaire survey in the Netherlands. Data on health symptoms, fatigue (CIS), health-related quality of life (EQ-5D), social/work participation, health care providers and health care satisfaction were collected in patients with chronic Q-fever (CQ), Q-fever fatigue syndrome (QFS), and patients who experience QFS-like disease without a post-infection diagnosis (QLD).

resultsA vast majority of the 478 Q-fever patients (response rate 54.3%) face several health problems 10 years after infection. Fatigue was the most prevalent symptom in all groups (91.2%). The median EQ-5D index value differed significantly between the three diagnostic groups (CQ: 0.67; QFS: 0.55; QLD:0.70; p < 0.001). Approximately 50% of all patients had serious problems with work and physical activities, and more than 25% experienced difficulties with leisure time, household and social contacts. Also, more than one third stopped working permanently. Furthermore, GP's, internists, and physical therapists were the most often consulted health care providers. Patients gave low ratings for the overall quality of care for Q-fever, with 75% scoring a 5.0 or lower on a 10-point scale.

conclusionLong-term health consequences are considerable for Q-fever patients, especially for those with QFS. The majority of the patients was unsatisfied with the quality of care for Q-fever. Awareness of the long-term impact of zoonotic diseases like Q-fever is needed to offer optimal health care for these patients.

Indexed as

AgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPersonal SatisfactionQ FeverQuality of LifeSurveys and QuestionnairesTime FactorsFatigueHealth care useHealth-related quality of lifeHealth symptomsQ-feverSocial participation;

Identifiers

PMID33069049
PMCPMC7508008

What OpenQuestion holds

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Registered trials

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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.