Evidence map›Paper›PMID 35189895›Full record

ArticleJournal of translational medicine2022

How mycobacterium tuberculosis infection could lead to the increasing risks of chronic fatigue syndrome and the potential immunological effects: a population-based retrospective cohort study.

Tse-Yen Yang, Cheng-Li Lin, Wei-Cheng Yao, Chon-Fu Lio, Wen-Po Chiang, Kuan Lin, Chien-Feng Kuo, Shin-Yi Tsai

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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

8 authors at 5 institutions in 2 countries.

Tse-Yen Yang *Molecular and Genomic Epidemiology Center, China Medical University Hospital, Taichung City, 404, Taiwan.
Cheng-Li Lin *College of Medicine, China Medical University, Taichung City, 404, Taiwan.
Wei-Cheng Yao *Department of Anesthesiology and Pain Medicine, Min-Sheng General Hospital, Tao-Yuan City, 330, Taiwan.
Chon-Fu LioDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei City, 104, Taiwan.
Wen-Po ChiangDepartment of Medicine, Mackay Medical College, New Taipei City, 252, Taiwan.
Kuan LinDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei City, 104, Taiwan.
Chien-Feng KuoDepartment of Medicine, Mackay Medical College, New Taipei City, 252, Taiwan.
Shin-Yi TsaiDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei City, 104, Taiwan. stsai22@jhu.edu.ORCID 0000-0001-7978-778X
Mackay Memorial Hospital · TWChina Medical University · TWJohns Hopkins University · USMackay Medical University · TWMin Sheng General Hospital · TW

Funding

Clinical Trial Center, China Medical University Hospital DMR-109-231Department of Medical Research at Mackay Memorial Hospital MMH-107-135Department of Medical Research at Mackay Memorial Hospital MMH-109-103Mackay Medical College 1082A03Min-Sheng Hospital 2021003MOST Clinical Trial Consortium for Stroke MOST 109-2321-B-039-002Taiwan Ministry of Health and Welfare Clinical Trial Center MOHW109-TDU-B-212-114004
6 · The paper itself

Abstract

backgroundChronic fatigue syndrome (CFS) has been shown to be associated with infections. Tuberculosis (TB) is a highly prevalent infectious disease. Patients with chronic fatigue syndrome and post-tuberculosis experience similar symptoms. Furthermore, chronic fatigue syndrome and tuberculosis share similar plasma immunosignatures. This study aimed to clarify the risk of chronic fatigue syndrome following the diagnosis of Mycobacterium tuberculosis infection (MTI), by analyzing the National Health Insurance Research Database of Taiwan.

methods7666 patients aged 20 years or older with newly diagnosed Mycobacterium tuberculosis infection during 2000-2011 and 30,663 participants without Mycobacterium tuberculosis infection were identified. Both groups were followed up until the diagnoses of chronic fatigue syndrome were made at the end of 2011.

resultsThe relationship between Mycobacterium tuberculosis infection and the subsequent risk of chronic fatigue syndrome was estimated through Cox proportional hazards regression analysis, with the incidence density rates being 3.04 and 3.69 per 1000 person-years among the non-Mycobacterium tuberculosis infection and Mycobacterium tuberculosis infection populations, respectively (adjusted hazard ratio [HR] = 1.23, with 95% confidence interval [CI] 1.03-1.47). In the stratified analysis, the Mycobacterium tuberculosis infection group were consistently associated with a higher risk of chronic fatigue syndrome in the male sex (HR = 1.27, 95% CI 1.02-1.58) and age group of ≥ 65 years old (HR = 2.50, 95% CI 1.86-3.38).

conclusionsThe data from this population-based retrospective cohort study revealed that Mycobacterium tuberculosis infection is associated with an elevated risk of subsequent chronic fatigue syndrome.

Indexed as

Fatigue Syndrome, ChronicTuberculosisAdultAgedCohort StudiesHumansIncidenceMaleProportional Hazards ModelsRetrospective StudiesRisk FactorsTaiwanYoung AdultChronic fatigue syndrome (CFS)Immunological effectMycobacterium tuberculosis infection (MTI)Population-based retrospective cohort studyRisk factors

Identifiers

PMID35189895
PMCPMC8862378
OpenAlexW4213048294

What OpenQuestion holds

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LicenceCC BY
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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.