Arthralgia resolution rate following chikungunya virus infection

Background: Arthralgia, persistent pain or stiffness of the joints, is the hallmark symptom of chronic chikungunya virus (CHIKV) disease. Associated with significant disability and reduced quality of life, arthralgia can persist for many months following CHIKV infection. Understanding the expected d...

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Autores principales: Megan O'Driscoll, Henrik Salje, Aileen Y. Chang, Hugh Watson
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/3fa840e218c2474bafc06b8365a761f3
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spelling oai:doaj.org-article:3fa840e218c2474bafc06b8365a761f32021-11-30T04:14:04ZArthralgia resolution rate following chikungunya virus infection1201-971210.1016/j.ijid.2021.08.066https://doaj.org/article/3fa840e218c2474bafc06b8365a761f32021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221006998https://doaj.org/toc/1201-9712Background: Arthralgia, persistent pain or stiffness of the joints, is the hallmark symptom of chronic chikungunya virus (CHIKV) disease. Associated with significant disability and reduced quality of life, arthralgia can persist for many months following CHIKV infection. Understanding the expected duration of arthralgia persistence is important for managing clinical expectations at the individual-level as well as for estimating long-term burdens on population health following a CHIKV epidemic. Methods: A review of cohort studies reporting the prevalence of arthralgia post-CHIKV infection over multiple time points was conducted. Generalized linear models were used to estimate the average rate of arthralgia resolution following CHIKV infection. Results: Sixteen cohort studies matching the inclusion criteria were identified and included in the analysis. An average rate of arthralgia resolution of 10.85% (95% confidence interval (CI) 9.05–12.66%) per month was estimated across studies, corresponding to an expected median time to arthralgia resolution of 6.39 months (95% CI 5.48–7.66 months) and an expected arthralgia prevalence of 72.21% (95% CI 68.40–76.23%) at 3 months post-CHIKV infection. Conclusions: Estimates of the average rate of arthralgia resolution and the expected prevalence of arthralgia over time post-CHIKV infection were derived. These can help inform expectations regarding the long-term public health burdens associated with CHIKV epidemics.Megan O'DriscollHenrik SaljeAileen Y. ChangHugh WatsonElsevierarticleChikungunyaArthralgiaJoint painVirusInfectionChronic diseaseInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 112, Iss , Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Chikungunya
Arthralgia
Joint pain
Virus
Infection
Chronic disease
Infectious and parasitic diseases
RC109-216
spellingShingle Chikungunya
Arthralgia
Joint pain
Virus
Infection
Chronic disease
Infectious and parasitic diseases
RC109-216
Megan O'Driscoll
Henrik Salje
Aileen Y. Chang
Hugh Watson
Arthralgia resolution rate following chikungunya virus infection
description Background: Arthralgia, persistent pain or stiffness of the joints, is the hallmark symptom of chronic chikungunya virus (CHIKV) disease. Associated with significant disability and reduced quality of life, arthralgia can persist for many months following CHIKV infection. Understanding the expected duration of arthralgia persistence is important for managing clinical expectations at the individual-level as well as for estimating long-term burdens on population health following a CHIKV epidemic. Methods: A review of cohort studies reporting the prevalence of arthralgia post-CHIKV infection over multiple time points was conducted. Generalized linear models were used to estimate the average rate of arthralgia resolution following CHIKV infection. Results: Sixteen cohort studies matching the inclusion criteria were identified and included in the analysis. An average rate of arthralgia resolution of 10.85% (95% confidence interval (CI) 9.05–12.66%) per month was estimated across studies, corresponding to an expected median time to arthralgia resolution of 6.39 months (95% CI 5.48–7.66 months) and an expected arthralgia prevalence of 72.21% (95% CI 68.40–76.23%) at 3 months post-CHIKV infection. Conclusions: Estimates of the average rate of arthralgia resolution and the expected prevalence of arthralgia over time post-CHIKV infection were derived. These can help inform expectations regarding the long-term public health burdens associated with CHIKV epidemics.
format article
author Megan O'Driscoll
Henrik Salje
Aileen Y. Chang
Hugh Watson
author_facet Megan O'Driscoll
Henrik Salje
Aileen Y. Chang
Hugh Watson
author_sort Megan O'Driscoll
title Arthralgia resolution rate following chikungunya virus infection
title_short Arthralgia resolution rate following chikungunya virus infection
title_full Arthralgia resolution rate following chikungunya virus infection
title_fullStr Arthralgia resolution rate following chikungunya virus infection
title_full_unstemmed Arthralgia resolution rate following chikungunya virus infection
title_sort arthralgia resolution rate following chikungunya virus infection
publisher Elsevier
publishDate 2021
url https://doaj.org/article/3fa840e218c2474bafc06b8365a761f3
work_keys_str_mv AT meganodriscoll arthralgiaresolutionratefollowingchikungunyavirusinfection
AT henriksalje arthralgiaresolutionratefollowingchikungunyavirusinfection
AT aileenychang arthralgiaresolutionratefollowingchikungunyavirusinfection
AT hughwatson arthralgiaresolutionratefollowingchikungunyavirusinfection
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