Evidence map›Paper›PMID 34535727›Full record

ArticleScientific reports2021

Tender and swollen joint counts are poorly associated with disability in chikungunya arthritis compared to rheumatoid arthritis.

Hugh Watson, Ramão Luciano Nogueira-Hayd, Maony Rodrigues-Moreno, Felipe Naveca, Giulia Calusi, Karol Suchowiecki, Gary S Firestein, Gary Simon, Aileen Y Chang

Open access · goldAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  6. Article
  7. Therapy for Chikungunya Arthritis: A Study of 133 Brazilian Patients.The American journal of tropical medicine and hygiene · 2023
    Article
  8. 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 at 6 institutions in 4 countries.

Hugh WatsonDepartment of Virology, Evotec ID, Bioaster Building, 40 Avenue Tony Garnier, 69007, Lyon, France. hugh.watson@evotec.com.ORCID 0000-0002-6931-3158
Ramão Luciano Nogueira-HaydLaboratorio de Parasitologia e Vetores da Amazonia, Curso de Enfermagem, Centro de Ciencias da Saude, Universidade Federal de Roraima, Boa Vista, RR, Brazil.
Maony Rodrigues-MorenoLaboratorio de Parasitologia e Vetores da Amazonia, Curso de Enfermagem, Centro de Ciencias da Saude, Universidade Federal de Roraima, Boa Vista, RR, Brazil.
Felipe NavecaLaboratório de Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane, FIOCRUZ, Manaus, Brazil.
Giulia CalusiBiometry Department, Aptuit (Verona) Srl, Verona, Italy.
Karol SuchowieckiDepartment of Medicine, George Washington University, Washington, DC, USA.
Gary S FiresteinDepartment of Medicine, University of California San Diego, San Diego, CA, USA.
Gary SimonDepartment of Medicine, George Washington University, Washington, DC, USA.
Aileen Y ChangSchool of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
George Washington University · USUniversidade Federal de Roraima · BRAarhus University · DKAptuit (Italy) · ITFundação Oswaldo Cruz · BRUniversity of California San Diego · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Clinical and Translational Science Institute at Childrens National-Mentored Career Development CoreKL2TR001877 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2016 to 2020
$2.0M
The role of IL-2 therapy for Relapsing-Remitting Chikungunya ArthritisK23AR076505 · NIAMS · GEORGE WASHINGTON UNIVERSITY · PI CHANG, AILEEN · 2020 to 2022
$466k
NCATS NIH HHS KL2 TR001877NCATS NIH HHS UL1 TR001876NIAMS NIH HHS K23 AR076505
6 · The paper itself

Abstract

Chronic rheumatological manifestations similar to those of rheumatoid arthritis (RA) are described after chikungunya virus infection. We aimed to compare the relevance of joint counts and symptoms to clinical outcomes in RA and chronic chikungunya disease. Forty patients with chronic chikungunya arthralgia and 40 patients with RA were enrolled in a cross-sectional study. The association of tenderness and swelling, clinically assessed in 28 joints, and patient evaluations of pain and musculoskeletal stiffness with modified Health Assessment Questionnaire (HAQ) and quality of life (QoL) assessments were investigated. Tender and swollen joint counts, pain and stiffness scores were all associated with the HAQ disability index in RA (all r > 0.55, p ≤ 0.0002), but only stiffness was significantly associated with disability in chikungunya (r = 0.38, p = 0.02). Joint counts, pain and stiffness were also associated with most QoL domains in RA patients. In contrast, in chikungunya disease, tender joint counts were associated only with one QoL domain and swollen joints for none, while pain and stiffness were associated with several domains. Our results confirm the relevance of joint counts in RA, but suggest that in chronic chikungunya disease, joint counts have more limited value. Stiffness and pain score may be more important to quantify chikungunya arthritis impact.

Indexed as

AdultArthritisArthritis, RheumatoidChikungunya FeverChikungunya virusCross-Sectional StudiesDisability EvaluationFemaleHumansJointsMiddle AgedPainPersons with DisabilitiesQuality of LifeSeverity of Illness Index

Identifiers

PMID34535727
PMCPMC8448837
OpenAlexW3199069552

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.