Evidence map›Paper›PMID 33586284›Full record

ArticleJournal of internal medicine2021

Postural orthostatic tachycardia syndrome is associated with significant employment and economic loss.

Kate M Bourne, Derek S Chew, Lauren E Stiles, Brett H Shaw, Cyndya A Shibao, Luis E Okamoto, Emily M Garland, Alfredo Gamboa, Amanda Peltier, André Diedrich and 4 more

Open access · greenAbstract readEditorial
In one paragraph

Article in Journal of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
8.4field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Blood volume deficit in postural orthostatic tachycardia syndrome assessed by semiautomated carbon monoxide rebreathing.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
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  8. Review
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  17. Poor health-related quality of life in postural orthostatic tachycardia syndrome in comparison with a sex- and age-matched normative population.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  18. Article
  19. Article
  20. Diagnosis and management of postural orthostatic tachycardia syndrome.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Review
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

14 authors at 3 institutions in 2 countries.

Kate M BourneDepartment of Cardiac Sciences, Cumming School of Medicine, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-8355-0002
Derek S ChewDepartment of Cardiac Sciences, Cumming School of Medicine, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-3539-7485
Lauren E StilesStony Brook University School of Medicine, Stony Brook, NY, USA.
Brett H ShawDepartment of Cardiac Sciences, Cumming School of Medicine, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-2733-8274
Cyndya A ShibaoVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-4518-6801
Luis E OkamotoVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0001-6914-7287
Emily M GarlandVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0001-9525-2929
Alfredo GamboaVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-8676-687X
Amanda PeltierVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0003-1097-7715
André DiedrichVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0001-5643-0294
Italo BiaggioniVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0001-7667-7083
Robert S SheldonDepartment of Cardiac Sciences, Cumming School of Medicine, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-0742-8379
David RobertsonVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Satish R RajDepartment of Cardiac Sciences, Cumming School of Medicine, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-5890-3785
Vanderbilt University Medical Center · USUniversity of Calgary · CADysautonomia Foundation · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Structural genomics of norepinephrine transportersP01HL056693 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 1997 to 2016
$30.8M
Autonomic Determinants of Postural Tachycardia SyndromeR01HL142583 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 2019 to 2022
$1.7M
Autonomic Determinants of Postural Tachycardia SyndromeR56HL142583 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 2018 to 2018
$391k
CIHR MOP142426NCATS NIH HHS UL1 TR000445NHLBI NIH HHS P01 HL056693NHLBI NIH HHS R01 HL142583NHLBI NIH HHS R56 HL142583
6 · The paper itself

Abstract

backgroundPostural orthostatic tachycardia syndrome (POTS) is a debilitating form of chronic orthostatic intolerance that primarily affects women and causes substantial impairment in quality of life and function. Yet, there is minimal literature describing the employment and economic consequences of POTS. We explored these aspects of the POTS patient experience through a self-reported study designed using community-based participatory research principles. METHODS AND

resultsA comprehensive questionnaire, including employment and economic consequences, was developed in partnership with Dysautonomia International, a patient advocacy organization. The POTS community engaged in all stages of the research design and analysis. Participants were recruited through Dysautonomia International's website and social media channels. The analysis included 5,556 adult (age ≥18 years) participants with a physician-confirmed diagnosis of POTS. The majority of participants were female (95%). Forty-eight per cent of participants reported employment during the three months prior to the survey, and of these participants, 66.8% would work greater hours if not for illness limitations. Over two-thirds (70.5%) of participants have lost income due to POTS symptoms, with 36.0% of the total cohort losing more than $10,000 USD in the 12 months prior to the survey. Almost all (95%) participants reported POTS-related out-of-pocket medical expenses since diagnosis, with 51.1% of participants spending $10,000 USD or more.

conclusionsThis is the largest study reporting the employment and economic challenges experienced by individuals with POTS. Exposure of these challenges emphasizes the need for earlier diagnosis and improved therapeutic strategies to reduce the negative individual and societal consequences of this disorder.

Indexed as

EmploymentCost of IllnessFemaleHumansIncomeMalePostural Orthostatic Tachycardia Syndromeautonomic nervous systemdisabilityeconomicemploymentpostural orthostatic tachycardia syndrome

Identifiers

PMID33586284
PMCPMC9156448
OpenAlexW3129302052

What OpenQuestion holds

Textmetadata
LicenceTDM
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.