Evidence map›Paper›PMID 37142235›Full record

ArticleGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2023

[Outpatient Long/Post-COVID Care: Barriers and Desires of Affected Persons to Medical Care].

Philipp Alexander Reuken, Sabine Trommer, Bianca Besteher, Jutta Bleidorn, Kathrin Finke, Christina Lemhöfer, Andreas Stallmach, Benjamin Giszas

Open access · greenAbstract readEnglish Abstract
In one paragraph

Article in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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 3 institutions in 2 countries.

Philipp Alexander ReukenKlinik für Innere Medizin IV (Gastroenterologie, Hepatologie, Infektiologie), Universitätsklinikum Jena, Jena, Germany.
Sabine TrommerFachdienst Gesundheit, Verwaltung der Stadt Jena, Jena, Germany.
Bianca BesteherKlinik für Psychiatrie, Universitätsklinikum Jena, Jena, Germany.
Jutta BleidornInstitut für Allgemeinmedizin, Universitätsklinikum Jena, Jena, Germany.
Kathrin FinkeKlinik für Neurologie, Universitätsklinikum Jena, Jena, Germany.
Christina LemhöferInstitut für Physikalische und Rehabilitative Medizin, Universitätsklinikum Jena, Jena, Germany.
Andreas StallmachKlinik für Innere Medizin IV (Gastroenterologie, Hepatologie, Infektiologie), Universitätsklinikum Jena, Jena, Germany.
Benjamin GiszasKlinik für Innere Medizin IV (Gastroenterologie, Hepatologie, Infektiologie), Universitätsklinikum Jena, Jena, Germany.
Jena University Hospital · DEGesundheitsdienst · CHKlinik und Poliklinik für Neurologie · DE

Funding

Interdisziplinäres Zentrum für Klinische Forschung, Universitätsklinikum Jena IZKF-CSPOA19
6 · The paper itself

Abstract

introductionPersistent and new-onset symptoms after SARS-CoV-2 infection (so-called Long/Post-COVID syndrome) represent a major challenge for our healthcare system. However, there have been limited data on primary outpatient care and care planning, complicating patient flow management and ultimately patient care. Assessing the care reality of patients with Long/Post-COVID-symptoms, as well as their difficulties and desires in receiving medical care, is a necessary first step toward improving outpatient care.

methodsThe JenUP study (Jena study on the population-based incidence of Post-COVID complaints) is a questionnaire-based survey of all adults in the city of Jena who were registered with RT-PCR-confirmed SARS-CoV-2 infection between March 2020 and September 2021. Part of this study focused on the medical care of the affected persons as well as subjective difficulties of the patients in the context of treatment.

resultsA total of 1,008 of the 4,209 individuals responded to the questionnaire; 922 (91,5%) experienced at least one Long/Post-COVID-associated symptom. 85,6% of these individuals (790/922) also provided detailed information about contacts with health care facilities. Three out of four persons (590/790) consulted their general practitioner/family doctor in connection with their complaints and 155/790 (19,6%) specialists in addition (most frequently mentioned were specialists in internal medicine - 7,1% (55/790)). Difficulties in obtaining a subjectively required therapy were mentioned by 22,6% (162/718). The main reasons were the patient's apparent feeling of "not being sick enough" (69/162) and a lack of a specialist consultant (65/162). 27% (247/919) of all subjects with Long/Post-COVID complaints expressed a desire for a specific consultant.

conclusionPrimary care physicians represent a central element of outpatient care for Long/Post-COVID patients. In addition, nationwide structures for interdisciplinary care should be established according to the national S1 guideline. Analysis of wishes for medical care and perceived barriers to accessing it represent a first step in improving outpatient care for Long/Post-COVID patients.

Indexed as

COVID-19AdultAmbulatory CareGermanyHumansOutpatientsSARS-CoV-2

Identifiers

PMID37142235
PMCPMC11248071
OpenAlexW4368347331

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.