Evidence map›Paper›PMID 37986044›Full record

ArticleBMC primary care2023

The cost of primary care consultations associated with long COVID in non-hospitalised adults: a retrospective cohort study using UK primary care data.

Jake Tufts, Naijie Guan, Dawit T Zemedikun, Anuradhaa Subramanian, Krishna Gokhale, Puja Myles, Tim Williams, Tom Marshall, Melanie Calvert, Karen Matthews and 3 more

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

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

19 citing papers in PubMed.

  1. Cost-Effectiveness of a Personalised Self-Management Intervention for People Living With Long Covid: The LISTEN Randomised Controlled Trial.Health expectations : an international journal of public participation in health care and health policy · 2025
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  17. The necessity of investigations to clarify sex and racial disparities in pathophysiology of Long COVID.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
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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

13 authors.

Jake TuftsUniversity Hospitals of Morecambe Bay NHS Foundation Trust, Lancashire, LA9 7RG, UK.
Naijie GuanInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. n.guan@bham.ac.uk.
Dawit T ZemedikunSchool of Population and Global Health (M431), The University of Western Australia, 35 Stirling Highway, Perth, WA, 6009, Australia.
Anuradhaa SubramanianInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Krishna GokhaleInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Puja MylesClinical Practice Research Datalink, Medicines and Healthcare Products Regulatory Agency, London, E14 4PU, UK.
Tim WilliamsClinical Practice Research Datalink, Medicines and Healthcare Products Regulatory Agency, London, E14 4PU, UK.
Tom MarshallInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Melanie CalvertInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Karen MatthewsLong Covid SOS, Charity Registered in England & Wales, 11A Westland Road, Faringdon, SN7 7EX, Oxfordshire, UK.
Krishnarajah NirantharakumarInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Louise J Jackson *Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Shamil Haroon *Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

Funding

Medical Research Council MC_PC_20050
6 · The paper itself

Abstract

backgroundThe economic impact of managing long COVID in primary care is unknown. We estimated the costs of primary care consultations associated with long COVID and explored the relationship between risk factors and costs.

methodsData were obtained on non-hospitalised adults from the Clinical Practice Research Datalink Aurum primary care database. We used propensity score matching with an incremental cost method to estimate additional primary care consultation costs associated with long COVID (12 weeks after COVID-19) at an individual and UK national level. We applied multivariable regression models to estimate the association between risk factors and consultations costs beyond 12 weeks from acute COVID-19.

resultsBased on an analysis of 472,173 patients with COVID-19 and 472,173 unexposed individuals, the annual incremental cost of primary care consultations associated with long COVID was £2.44 per patient and £23,382,452 at the national level. Among patients with COVID-19, a long COVID diagnosis and reporting of longer-term symptoms were associated with a 43% and 44% increase in primary care consultation costs respectively, compared to patients without long COVID symptoms. Older age, female sex, obesity, being from a white ethnic group, comorbidities and prior consultation frequency were all associated with increased primary care consultation costs.

conclusionsThe costs of primary care consultations associated with long COVID in non-hospitalised adults are substantial. Costs are significantly higher among those diagnosed with long COVID, those with long COVID symptoms, older adults, females, and those with obesity and comorbidities.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeAgedFemaleHumansObesityPrimary Health CareReferral and ConsultationRetrospective StudiesUnited KingdomCostCOVID-19EconomicLong COVIDPrimary care

Identifiers

PMID37986044
PMCPMC10662438

What OpenQuestion holds

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LicenceCC BY
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.