Evidence map›Paper›PMID 38843198›Full record

ArticlePloS one2024

Assessing the association between antibody status and symptoms of long COVID: A multisite study.

Ingrid A Binswanger, Darryl E Palmer-Toy, Jennifer C Barrow, Komal J Narwaney, Katia J Bruxvoort, Courtney R Kraus, Jason A Lyons, Jessica A Lam, Jason M Glanz

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Ingrid A BinswangerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.ORCID 0000-0001-8862-8078
Darryl E Palmer-ToySouthern California Permanente Medical Group Regional Reference Laboratories, North Hollywood & Chino Hills, California, United States of America.
Jennifer C BarrowInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.
Komal J NarwaneyInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.
Katia J BruxvoortDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Courtney R KrausInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.
Jason A LyonsInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.
Jessica A LamDepartment of Clinical Analysis at Southern California Permanente Medical Group, California, CA, United States of America.
Jason M GlanzInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between SARS-CoV-2 humoral immunity and post-acute sequelae of COVID-19 (long COVID) remains uncertain. The objective of this population-based cohort study was to assess the association between SARS-CoV-2 seropositivity and symptoms consistent with long COVID. English and Spanish-speaking members ≥ 18 years old with SARS-CoV-2 serologic testing conducted prior to August 2021 were recruited from Kaiser Permanente Southern California and Kaiser Permanente Colorado. Between November 2021 and April 2022, participants completed a survey assessing symptoms, physical health, mental health, and cognitive function consistent with long COVID. Survey results were linked to SARS-CoV-2 antibody (Ab) and viral (RNA) lab results in electronic health records. Weighted descriptive analyses were generated for five mutually exclusive patient groups: (1) +Ab/+RNA; (2) +Ab/- or missing RNA; (3) -Ab/+RNA; (4a) -Ab/-RNA reporting no prior infection; and (4b) -Ab/-RNA reporting prior infection. The proportions reporting symptoms between the +Ab/+RNA and -Ab/+RNA groups were compared, adjusted for covariates. Among 3,946 participants, the mean age was 52.1 years old (SD 15.6), 68.3% were female, 28.4% were Hispanic, and the serologic testing occurred a median of 15 months prior (IQR = 12-18). Three quarters (74.5%) reported having had COVID-19. Among people with laboratory-confirmed COVID-19, there was no association between antibody positivity (+Ab/+RNA vs. -Ab/+RNA) and any symptoms, physical health, mental health, or cognitive function. As expected, physical health, cognitive function, and fatigue were worse, and palpitations and headaches limiting the ability to work were more prevalent among people with laboratory-confirmed prior infection and positive serology (+Ab/+RNA) compared to those without reported or confirmed prior infection and negative serology (-Ab/-RNA/no reported COVID-19). Among people with laboratory-confirmed COVID-19, SARS-CoV-2 serology from practice settings were not associated with long COVID symptoms and health status suggesting limited utility of serology testing for long COVID.

Indexed as

Antibodies, ViralCOVID-19SARS-CoV-2AdultAgedCaliforniaCohort StudiesColoradoFemaleHumansImmunity, HumoralMaleMiddle AgedPost-Acute COVID-19 SyndromeRNA, ViralAntibodies, ViralRNA, Viral

Identifiers

PMID38843198
PMCPMC11156415

What OpenQuestion holds

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LicenceCC BY
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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.