Evidence map›Paper›PMID 38100383›Full record

SynthesisChemical senses2023

Taste loss as a distinct symptom of COVID-19: a systematic review and meta-analysis.

Mackenzie E Hannum, Riley J Koch, Vicente A Ramirez, Sarah S Marks, Aurora K Toskala, Riley D Herriman, Cailu Lin, Paule V Joseph, Danielle R Reed

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Chemical senses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Unique and shared patterns of chemosensory dysfunction distinguish chronic COVID-19 and aspirin-exacerbated respiratory disease.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
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  3. Review
  4. Clinical Symptom Patterns as Predictors of SARS-CoV-2 Infection in Healthcare Workers in Puerto Rico.International journal of environmental research and public health · 2025
    Article
  5. Article
  6. Taste dysfunction in Long COVID.bioRxiv : the preprint server for biology · 2025
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  12. Factors Associated With Persisting Olfactory Dysfunction After COVID-19.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
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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

9 authors at 3 institutions in 1 country.

Mackenzie E HannumMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.
Riley J KochMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.
Vicente A RamirezMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.
Sarah S MarksMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.
Aurora K ToskalaMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.
Riley D HerrimanMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.
Cailu LinMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.ORCID 0000-0001-8909-7758
Paule V JosephDivision of Intramural Research, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA.
Danielle R ReedMonell Chemical Senses Center, 3500 Market St, Philadelphia PA 19104, USA.ORCID 0000-0002-4374-6107
Monell Chemical Senses Center · USNational Institutes of Health · USUniversity of California, Merced · US

Funding

INTERDISCIPLINARY TRAINING IN THE CHEMICAL SENSEST32DC000014 · NIDCD · MONELL CHEMICAL SENSES CENTER · PI PAMELA HELEN DALTON, Joel D Mainland · 1989 to 2026
$6.2M
SCENTinel: A Rapid Smell Test for COVID-19 SurveillanceU01DC019578 · NIDCD · MONELL CHEMICAL SENSES CENTER · PI DALTON, PAMELA HELEN, PARMA, VALENTINA · 2021 to 2023
$1.2M
Mechanisms Underlying Individual Variations of Taste and Smell in ObesityZIAAA000135 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI JOSEPH, PAULE · 2021 to 2025
$1.2M
Intramural NIH HHS ZIA AA000135NIDCD NIH HHS T32 DC000014NIDCD NIH HHS U01 DC019578NIH HHS DC000014NINR NIH HHS
6 · The paper itself

Abstract

Chemosensory scientists have been skeptical that reports of COVID-19 taste loss are genuine, in part because before COVID-19 taste loss was rare and often confused with smell loss. Therefore, to establish the predicted prevalence rate of taste loss in COVID-19 patients, we conducted a systematic review and meta-analysis of 376 papers published in 2020-2021, with 235 meeting all inclusion criteria. Drawing on previous studies and guided by early meta-analyses, we explored how methodological differences (direct vs. self-report measures) may affect these estimates. We hypothesized that direct measures of taste are at least as sensitive as those obtained by self-report and that the preponderance of evidence confirms taste loss is a symptom of COVID-19. The meta-analysis showed that, among 138,015 COVID-19-positive patients, 36.62% reported taste dysfunction (95% confidence interval: 33.02%-40.39%), and the prevalence estimates were slightly but not significantly higher from studies using direct (n = 15) versus self-report (n = 220) methodologies (Q = 1.73, df = 1, P = 0.1889). Generally, males reported lower rates of taste loss than did females, and taste loss was highest among middle-aged adults. Thus, taste loss is likely a bona fide symptom of COVID-19, meriting further research into the most appropriate direct methods to measure it and its underlying mechanisms.

Indexed as

AgeusiaCOVID-19Olfaction DisordersAdultFemaleHumansMaleMiddle AgedSARS-CoV-2SmellTasteTaste DisordersageusiacoronavirusCOVID-19gustatory dysfunctiontaste loss

Identifiers

PMID38100383
PMCPMC11320609
OpenAlexW4389819289

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.