Evidence map›Paper›PMID 38233059›Full record

ReviewBMJ open2024

Thematic analysis to explore patients' experiences with long COVID-19: a conceptual model of symptoms and impacts on daily lives.

Diana Rofail, Selin Somersan-Karakaya, Julia Y Choi, Krystian Przydzial, Yuming Zhao, Mohamed Hussein, Thomas D Norton, Anna J Podolanczuk, Eleftherios Mylonakis, Gregory P Geba

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% 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, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Exploring the influence of long COVID upon self-identity: a systematic literature review.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
  2. Pooled it
  3. Psychosocial Aspects of the Lived Experience of Long COVID: A Systematic Review and Thematic Synthesis of Qualitative Studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  4. Trial
  5. Article
  6. Article
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  9. Review
  10. How do fatigue, cognitive dysfunction, activity and role functioning, and mental health inter-relate in adults with post-COVID-19 syndrome? A structural equation model analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  11. Article
  12. Living With Persistent Respiratory Symptoms of Long COVID: Qualitative Study Among Brazilian Adults 12 Months After Acute Infection.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  13. Review
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  15. 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

10 authors at 3 institutions in 1 country.

Diana RofailRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA diana.rofail@regeneron.com.ORCID 0000-0002-2125-4734
Selin Somersan-KarakayaRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA.
Julia Y ChoiModus Outcomes, Cambridge, Massachusetts, USA.
Krystian PrzydzialModus Outcomes, Cambridge, Massachusetts, USA.
Yuming ZhaoRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA.
Mohamed HusseinRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA.ORCID 0000-0002-6138-7021
Thomas D NortonRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA.
Anna J PodolanczukWeill Cornell Medical College, New York, New York, USA.
Eleftherios MylonakisInfectious Diseases Division, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Gregory P GebaRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA.ORCID 0000-0001-8936-748X
Regeneron (United States) · USBrown University · USCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is limited qualitative research on patients' experiences with long COVID-19, and how specific symptoms impact their daily lives. The study aimed to understand patients' lived experiences of long COVID-19 and to develop a conceptual model representing the symptoms and their impact on overall quality of life.

settingQualitative study consisting of a comprehensive literature review, and in-depth clinician and patient semistructured interviews.

participantsForty-one adult patients with long COVID-19, of whom 18 (44%) were recruited through Regeneron Pharmaceuticals's clinical trials and 23 (56%) through recruitment agencies; 85.4% were female and 73.2% were White. Five independent clinicians treating patients with long COVID-19 were interviewed. Concept saturation was also assessed. PRIMARY AND SECONDARY OUTCOMES: Interview transcripts were analysed thematically to identify concepts of interest spontaneously mentioned by patients, including symptoms and their impacts on daily life, to guide the development of the conceptual model.

resultsFindings from the literature review and clinician and patient interviews resulted in the development of a conceptual model comprising two overarching domains: symptoms (upper respiratory tract, lower respiratory tract, smell and taste, systemic, gastrointestinal, neurocognitive and other) and impacts (activities of daily living, instrumental activities of daily living, physical impacts, emotional, social/leisure activities and professional impacts). Saturation was achieved for the reported impacts. The symptoms reported were heterogenic; neurocognitive symptoms, such as numbness, ringing in ears, haziness, confusion, forgetfulness/memory problems, brain fog, concentration, difficulties finding the right word and challenges with fine motor skills, were particularly pertinent for several months.

conclusionThe conceptual model, developed based on patient experience data of long COVID-19, highlighted numerous symptoms that impact patients' physical and mental well-being, and suggests humanistic unmet needs. Prospective real-world studies are warranted to understand the pattern of long COVID-19 experienced in larger samples over longer periods of time.

Indexed as

COVID-19Quality of LifeActivities of Daily LivingAdultFemaleHumansMalePost-Acute COVID-19 SyndromeProspective StudiesQualitative ResearchCOVID-19INFECTIOUS DISEASESPatient Reported Outcome Measures

Identifiers

PMID38233059
PMCPMC10806796
OpenAlexW4390955562

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.