Evidence map›Paper›PMID 35603810›Full record

ArticleJournal of medical virology2022

The modified COVID-19 Yorkshire Rehabilitation Scale (C19-YRSm) patient-reported outcome measure for Long Covid or Post-COVID-19 syndrome.

Manoj Sivan, Nick Preston, Amy Parkin, Sophie Makower, Jeremy Gee, Denise Ross, Rachel Tarrant, Jennifer Davison, Stephen Halpin, Rory J O'Connor and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of medical virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06054438 (Examining the Immunomodulatory and Health Improving Function of a Chinese Medicine Nutritional Supplement Cs4 on Immunity-related Disorders in the Post-COVID Era), which is not on this map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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.

NCT06054438 nacompletednot on this mapstarted 2023, after this paper: background citation

Examining the Immunomodulatory and Health Improving Function of a Chinese Medicine Nutritional Supplement Cs4 on Immunity-related Disorders in the Post-COVID Era

TypeinterventionalSponsorThe University of Hong KongRan2023 to 2024Enrolled110ConditionsLong COVIDArmsChinese medicine nutritional supplement Cs4
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

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  13. Health economic outcomes and national economic impacts associated with Long COVID in England and Scotland.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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6 more citing papers are in PubMed but not listed here.

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

11 authors at 4 institutions in 1 country.

Manoj SivanAcademic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK.ORCID 0000-0002-0334-2968
Nick PrestonAcademic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK.ORCID 0000-0001-8429-7320
Amy ParkinNational Demonstration Centre of Rehabilitation Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0001-8245-8477
Sophie MakowerCovid Rehabilitation Service, Leeds Community Healthcare NHS Trust, Leeds, UK.
Jeremy GeeAiredale NHS Foundation Trust, Keighley, UK.
Denise RossNational Demonstration Centre of Rehabilitation Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0002-2686-2763
Rachel TarrantCovid Rehabilitation Service, Leeds Community Healthcare NHS Trust, Leeds, UK.
Jennifer DavisonCovid Rehabilitation Service, Leeds Community Healthcare NHS Trust, Leeds, UK.
Stephen HalpinAcademic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK.ORCID 0000-0002-0417-8928
Rory J O'ConnorAcademic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK.ORCID 0000-0002-4643-9794
Mike HortonAcademic Department of Rehabilitation Medicine, University of Leeds, Leeds, UK.ORCID 0000-0002-6675-7335
University of Leeds · GBLeeds Community Healthcare NHS Trust · GBLeeds Teaching Hospitals NHS Trust · GBAiredale NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe C19-YRS is the literature's first condition-specific, validated scale for patient assessment and monitoring in Post-COVID-19 syndrome (PCS). The 22-item scale's subscales (scores) are symptom severity (0-100), functional disability (0-50), additional symptoms (0-60), and overall health (0-10).

objectivesThis study aimed to test the scale's psychometric properties using Rasch analysis and modify the scale based on analysis findings, emerging information on essential PCS symptoms, and feedback from a working group of patients and professionals.

methodsData from 370 PCS patients were assessed using a Rasch Measurement Theory framework to test model fit, local dependency, response category functioning, differential item functioning, targeting, reliability, and unidimensionality. The working group undertook iterative changes to the scale based on the psychometric results and including essential symptoms.

resultsSymptom severity and functional disability subscales showed good targeting and reliability. Post hoc rescoring suggested that a 4-point response category structure would be more appropriate than an 11-point response for both subscales. Symptoms with binary responses were placed in the other symptoms subscale. The overall health single-item subscale remained unchanged.

conclusionA 17-item C19-YRSm was developed with subscales (scores): symptom severity (0-30), functional disability (0-15), other symptoms (0-25), and overall health (0-10).

Indexed as

COVID-19HumansPatient Reported Outcome MeasuresPost-Acute COVID-19 SyndromeReproducibility of ResultsSurveys and QuestionnairesCOVID-19instrumentPACSphenotypesPROMSARS-CoV2scaletraits

Identifiers

PMID35603810
PMCPMC9348420
OpenAlexW4281288759

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.