Evidence map›Paper›PMID 40889165›Full record

ArticleThe European journal of general practice2025

Towards consensus: The need for standardised definitions in Long (post) COVID care in 34 European countries.

Raquel Gomez-Bravo, Sandra León-Herrera, Marina Guisado-Clavero, Ileana Gefaell, Xenia Wostmann, Nathalie Wössner, Shlomo Vinker, Francesca Vassallo La Ferla, Erva Kırkoç Üçüncü, Georgi Tsigarovski and 53 more

Erratum issuedAbstract read
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Article in The European journal of general practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

63 authors.

Raquel Gomez-BravoCHNP, Rehaklinik, Ettelbruck, Luxembourg.ORCID 0000-0002-3786-8626
Sandra León-HerreraDepartment of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.ORCID 0000-0002-1200-5904
Marina Guisado-ClaveroInvestigation Support Multidisciplinary Unit for Primary care and Community North Area of Madrid, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0002-8448-2929
Ileana GefaellFederica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0002-1635-1003
Xenia WostmannExecutive Board of the SVLS/SGPS./Spoločnosť všeobecných lekárov Slovenska/Society of General Practitioners of Slovakia, Department of General Practice Faculty of Medicine, Comenius University Bratislava, Bratislava, Slovakia.
Nathalie WössnerAltea Long COVID Network, Zürich, Switzerland.
Shlomo VinkerDepartment of Family Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0001-9804-7103
Francesca Vassallo La FerlaMater Dei Hospital, Msida, Malta.
Erva Kırkoç ÜçüncüEgil District State Hospital, Diyarbakir, Turkey.
Georgi TsigarovskiDepartment of Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Péter TorzsaDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-8148-4961
Kadri SuijaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Aleksander StepanovićDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Theresa SentkerDepartment of Medical Psychology, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-1162-310X
Anna SegernäsPrimary Health Care Centre in Ekholmen and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Bohumil SeifertDepartment of General Practice First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.ORCID 0000-0002-6881-8840
Marta Sánchez-CastroDepartment of Life Sciences and Medicine, University of Luxembourg, Belvaux, Luxembourg.ORCID 0000-0002-1028-9608
Jochen G SchneiderDepartment of Life Sciences and Medicine, University of Luxembourg, Belvaux, Luxembourg.ORCID 0000-0003-2139-0602
Anna RepovskáExecutive Board of the SVLS/SGPS./Spoločnosť všeobecných lekárov Slovenska/Society of General Practitioners of Slovakia, Department of General Practice Faculty of Medicine, Comenius University Bratislava, Bratislava, Slovakia.
Ferdinando PetrazzuoliDepartment of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden.ORCID 0000-0003-1058-492X
Davorina PetekDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-0151-4463
Abel PerjesDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.ORCID 0000-0002-7176-1275
Naldy Parodi LópezDepartment of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-6367-9389
Ana Luisa NevesDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-7107-7211
Katarzyna NesslerDepartment of Family Medicine, Uniwersytet Jagielloński-Collegium Medicum (UJCM), Krakow, Poland.ORCID 0000-0001-9869-7923
Jean MurisDepartment of Family Medicine, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-8780-476X
Achim MortsieferChair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care (IAMAG), Faculty of Health, Witten/Herdecke University, Witten, Germany.
Sarah MoreelsHealth Services Research (Primary Care Unit), Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium.
Tatjana MeisterDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.
Pekka MäntyselkäInstitute of Public Health and Clinical Nutrition, School of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Liubovė MurauskienėDepartment of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID 0000-0002-6625-8843
Heidrun LingnerDepartment of Medical Psychology, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-2074-0367
Anna Krztoń-KrólewieckaDepartment of Family Medicine, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland.
Milena KosticHealth Center 'Dr Đorđe Kovačević', Lazarevac, Belgrade, Serbia.
Büsra Çimen KorkmazVan Gürpınar District Public Hospital, Van Gürpınar, Turkey.ORCID 0000-0001-7224-5734
Snezana KnezevicDepartment of Medical Sciences, Academy of Applied Studies Polytechnic, Belgrade, Serbia.ORCID 0000-0001-9137-2122
Stylianos KazakosFamily Medicine, General Health System Cyprus, Larnaca, Cyprus.
Vasilis KarathanosLaboratory of Hygiene and Epidemiology, Medical Department, Faculty of Health Sciences, University of Ioannina, Ioannina, Greece.ORCID 0000-0003-1144-7302
Ivanna ShushmanInternal Medicine Department, Medical Faculty 2, Uzhhorod National University, Uzhhorod, Ukraine.
Oksana IlkovDepartment of Family Medicine and Outpatient Care, Medical Faculty 2, Uzhhorod National University, Uzhhorod, Ukraine.ORCID 0000-0002-0923-0596
Kathryn HoffmannDepartment of Primary Care Medicine, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8760-4250
Bruno HelenoComprehensive Health Research Center, NOVA Medical School, Universidade Nova de Lisboa, Lisbon, Portugal.ORCID 0000-0002-3943-1858
Miroslav HanževačkiDepartment of Family Medicine 'Andrija Stampar' School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia.
Dragan GjorgjievskiFaculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia.ORCID 0000-0003-1817-7632
Thomas FreseInstitute of General Practice and Family Medicine, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Marta FournierNOVA Medical School, Universidade Nova de Lisboa, Lisbon, Portugal.
Louise FitzgeraldMember of Irish College of General Practice (MICGP), Dublin, Ireland.ORCID 0009-0009-8039-3097
Sabīne FeldmaneDepartment of Family Medicine, Rīga Stradins University, Riga, Latvia.
Marina DotsenkoDepartment of Infectious Diseases, Belarusian State Medical University, Minsk, Belarus.
Philip-Richard DomeyerSchool of Social Sciences, Hellenic Open University, Patra, Greece.ORCID 0000-0003-4594-1202
Daniel CroucherDaVinci Health Hospital, Birkirkara, Malta.
Vojtech CernyInstitute of General Practice, 1st Faculty of Medicine Charles University, Prague, Czech Republic.
Jako S BurgersDutch College of General Practitioners, Utrecht, The Netherlands.ORCID 0000-0002-6040-4221
Elena Brutskaya-StempkovskayaRadiation Diagnostics and Radiation Therapy Department, Belarusian State Medical University, Minsk, Belarus.ORCID 0009-0008-1820-7962
Carmen Iliana Busneag'Spiru Haret' University, Bucharest, Romania.ORCID 0000-0001-5611-4312
Nicola BuonoNational Society of Medical Education in General Practice (SNAMID), Caserta, Italy.ORCID 0000-0001-8797-477X
Sherihane BensemmaneHealth Services Research (Primary Care Unit), Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium.
Sabine BayenDepartment of General Practice, University of Lille, Lille, France.ORCID 0000-0002-3334-9394
Maria BakolaResearch Unit for General Medicine and Primary Health Care, Faculty of Medicine, School of Health Science, University of Ioannina, Ioannina, Greece.ORCID 0000-0002-9016-9322
Radost AssenovaDepartment of Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.ORCID 0000-0003-2158-5792
Limor AdlerDepartment of Family Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Sara Ares-BlancoFederica Montseny Health Centre, Gerencia Asistencial Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0002-4984-8788
María Pilar Astier PeñaUniversitas Health Centre, Public Health Care Service of Aragon, Zaragoza, Spain.ORCID 0000-0002-3192-7672

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has significantly impacted global healthcare systems, leading to challenges in managing Long COVID. Variations in definitions and diagnostic criteria across Europe hinder recognition and treatment efforts. This study aims to analyse and compare the definitions of Long COVID used in 34 European countries.

methodsA retrospective descriptive study was conducted involving key informants from 34 European countries, utilising an online questionnaire to gather data on Long COVID definitions. Quantitative and qualitative analyses were employed to assess the variability of definitions and challenges in managing Long COVID.

resultsThe study found significant variation in Long COVID definitions among the participating countries; the most frequent definition was the other definition (n: 17, 50.0%), followed by the World Health Organisation's definition (n: 16, 47.0%) and the CDC definition (n: 11, 32.3%). Half of the countries reported using multiple definitions simultaneously, indicating a lack of standardisation. Qualitative analyses highlighted challenges such as difficulties in standardising terminology, variability in clinical criteria, and issues with implementing diagnostic codes.

conclusionThe findings underscore the need for a unified, yet adaptable, definition of Long COVID. Such a definition would support general practitioners (GPs) by simplifying diagnostic processes, improving continuity of care, and facilitating equitable patient access to multidisciplinary resources. The current lack of consensus complicates patient care, data collection, and resource allocation, impacting health policy development. Future efforts should focus on achieving agreement on definitions to ensure equitable treatment and effective healthcare responses to Long COVID.

Indexed as

COVID-19Terminology as TopicConsensusEuropeHumansRetrospective StudiesSARS-CoV-2Surveys and Questionnairesclinical codingCOVID-19diagnosisEuropepost-acute COVID-19 syndromePrimary health care

Identifiers

PMID40889165
PMCPMC12404089

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.