{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:30:14Z","timestamp":1777642214186,"version":"3.51.4"},"reference-count":105,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foodborne Pathogens and Disease"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      This was a systematic review and meta-analysis to determine the proportion of\n                      <jats:italic toggle=\"yes\">Escherichia coli<\/jats:italic>\n                      O157 cases that develop chronic sequelae.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources:<\/jats:title>\n                    <jats:p>We conducted a systematic review of articles published prior to July 2011 in Pubmed, Agricola, CabDirect, or Food Safety and Technology Abstracts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Selection:<\/jats:title>\n                    <jats:p>\n                      Studies were selected that reported the number of\n                      <jats:italic toggle=\"yes\">E. coli<\/jats:italic>\n                      O157 cases that developed reactive arthritis (ReA), hemolytic uremic syndrome (HUS), irritable bowel syndrome, inflammatory bowel disease, or Guillain Barr\u00e9 syndrome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Three levels of screening and data extraction of articles were conducted using predefined data fields. Meta-analysis was performed on unique outcome measures using a random-effects model, and heterogeneity was assessed using the I\n                      <jats:sup>2<\/jats:sup>\n                      value. Meta-regression was used to explore the influence of nine study-level variables on heterogeneity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 82 studies were identified reporting 141 different outcome measures; 81 reported on HUS and one reported on ReA. Depending on the number of cases of\n                      <jats:italic toggle=\"yes\">E. coli<\/jats:italic>\n                      O157, the estimate for the proportion of\n                      <jats:italic toggle=\"yes\">E. coli<\/jats:italic>\n                      O157 cases that develop HUS ranged from 17.2% in extra-small studies (&lt;50 cases) to 4.2% in extra-large studies (&gt;1000 cases). Heterogeneity was significantly associated with group size (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.0001); however, the majority of the heterogeneity was unexplained.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>High unexplained heterogeneity indicated that the study-level factors examined had a minimal influence on the variation of estimates reported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpd.2013.1572","type":"journal-article","created":{"date-parts":[[2013,11,27]],"date-time":"2013-11-27T17:54:14Z","timestamp":1385574854000},"page":"79-95","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Chronic Sequelae of\n                    <i>E. coli<\/i>\n                    O157: Systematic Review and Meta-analysis of the Proportion of\n                    <i>E. coli<\/i>\n                    O157 Cases That Develop Chronic Sequelae"],"prefix":"10.1177","volume":"11","author":[{"given":"Jessica","family":"Keithlin","sequence":"first","affiliation":[{"name":"University of Guelph","place":["Canada"]},{"name":"Ontario Veterinary College","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Sargeant","sequence":"additional","affiliation":[{"name":"University of Guelph","place":["Canada"]},{"name":"Ontario Veterinary College","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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