Evidence map›Paper›PMID 39693079›Full record

Observational studyJAMA2025

2024 Update of the RECOVER-Adult Long COVID Research Index.

Linda N Geng, Kristine M Erlandson, Mady Hornig, Rebecca Letts, Caitlin Selvaggi, Hassan Ashktorab, Ornina Atieh, Logan Bartram, Hassan Brim, Shari B Brosnahan and 44 more

Abstract readObservational Study
In one paragraph

Observational study in JAMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing 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

63 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Associations of Pre-Pandemic CKD With Acute and Post-Acute COVID-19: The C4R Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Article
  14. Review
  15. Article
  16. Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  17. Article
  18. Observational
  19. Article
  20. Article

3 more citing papers are in PubMed but not listed here.

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

54 authors.

Linda N GengDepartment of Medicine, School of Medicine, Stanford University, Stanford, California.
Kristine M ErlandsonDivision of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora.
Mady HornigRECOVER patient representative, New York, New York.
Rebecca LettsRECOVER patient/caregiver representative, New York, New York.
Caitlin SelvaggiMassachusetts General Hospital Biostatistics, Boston.
Hassan AshktorabCollege of Medicine, Howard University, Washington, DC.
Ornina AtiehCase Western Reserve University, Cleveland, Ohio.
Logan BartramIcahn School of Medicine at Mount Sinai, New York, New York.
Hassan BrimCollege of Medicine, Howard University, Washington, DC.
Shari B BrosnahanDepartment of Medicine, NYU Grossman School of Medicine, New York, New York.
Jeanette BrownUniversity of Utah Health, Salt Lake City.
Mario CastroDepartment of Medicine, University of Kansas Medical Center, Kansas City.
Alexander CharneyIcahn School of Medicine at Mount Sinai, New York, New York.
Peter ChenDepartment of Medicine, Women's Guild Lung Institute, Los Angeles, California.
Steven G DeeksUniversity of California, San Francisco.
Nathaniel ErdmannDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham.
Valerie J FlahermanDepartment of Pediatrics, University of California San Francisco.
Maher A GhamloushTufts Medical Center, Boston, Massachusetts.
Paul GoepfertDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham.
Jason D GoldmanSwedish Center for Research and Innovation, Providence Swedish Medical Center, Seattle, Washington.
Jenny E HanDivision of Pulmonary and Critical Care, Department of Medicine, School of Medicine, Emory University, Atlanta, Georgia.
Rachel HessDepartments of Population Health Sciences and Internal Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City.
Ellie HirshbergIntermountain Health, Salt Lake City, Utah.
Susan E HooverSanford Health, Sioux Falls, South Dakota.
Stuart D KatzDepartment of Medicine, NYU Grossman School of Medicine, New York, New York.
J Daniel KellyUniversity of California, San Francisco.
Jonathan D KleinILLInet RECOVER, Chicago, Illinois.
Jerry A KrishnanILLInet RECOVER, Chicago, Illinois.
Joyce Lee-IannottiCollege of Medicine, University of Arizona, Phoenix.
Emily B LevitanDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham.
Vincent C MarconiDivision of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Atlanta, Georgia.
Torri D MetzDepartment of Obstetrics and Gynecology, University of Utah Health, Salt Lake City.
Matthew E ModesDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
Janko Ž NikolichDepartment of Immunobiology, College of Medicine, University of Arizona, Tucson.
Richard M NovakILLInet RECOVER, Chicago, Illinois.
Igho OfotokunDivision of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Atlanta, Georgia.
Megumi J OkumuraDepartments of Pediatrics, Internal Medicine, and Health Policy, University of California, San Francisco.
Sairam ParthasarathyCollege of Medicine, University of Arizona, Tucson.
Thomas F PattersonUniversity of Texas Health Science Center at San Antonio.
Michael J PelusoUniversity of California, San Francisco.
Athena PoppasWarren Alpert Medical School, Brown University, Providence, Rhode Island.
Orlando Quintero CardonaStanford Tri-Valley Section, Stanford Hospital Medicine, Pleasanton, California.
Jake ScottStanford Tri-Valley Section, Stanford Hospital Medicine, Pleasanton, California.
Judd ShellitoLouisiana State University, New Orleans.
Zaki A SherifCollege of Medicine, Howard University, Washington, DC.
Nora G SingerCase Western Reserve University and Metrohealth Medical Center, Cleveland, Ohio.
Barbara S TaylorUniversity of Texas Health Science Center at San Antonio.
Tanayott ThaweethaiMassachusetts General Hospital Biostatistics, Boston.
Monica Verduzco-GutierrezUniversity of Texas Health Science Center at San Antonio.
Juan WisniveskyIcahn School of Medicine at Mount Sinai, New York, New York.
Grace A McComseyCase Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio.
Leora I HorwitzDepartment of Medicine, NYU Grossman School of Medicine, New York, New York.
Andrea S FoulkesMassachusetts General Hospital Biostatistics, Boston.
RECOVER Consortium

Funding

ACTIV Integration of Host-targeting Therapies for COVID-19 Administrative Coordinating CenterOT2HL156812 · NHLBI · RESEARCH TRIANGLE INSTITUTE · PI NOLEN, TRACY L, THOMAS, SONIA M · 2020 to 2024
$1270.7M
OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Interactive Data Portals and Robust Analytic Tools to Wrap PASC Cohorts (iDRAW) OTA-21-015AOT2HL161841 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI FOULKES, ANDREA S, KARLSON, ELIZABETH W · 2021 to 2024
$182.2M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Myosin Light Chain Dephosphorylation by PPP1R12C Promotes Atrial Hypocontractility and Atrial FibrillationR01HL151508 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MCCAULEY, MARK D · 2020 to 2024
$3.2M
Multiple mechanisms underlying GR-mediated therapies for fibroplasia of the vocal foldsR01DC017397 · NIDCD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BRANSKI, RYAN COMFORT · 2018 to 2022
$2.6M
Optimal RNA-based therapeutics for vocal fold injury and fibrosisR01DC013277 · NIDCD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BRANSKI, RYAN COMFORT · 2014 to 2018
$2.3M
Statistical Methods in COVID-19/PASC Clinical ResearchR01HL162373 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Andrea S Foulkes · 2023 to 2026
$1.7M
Inflammation and Fibrosis of the Vocal FoldsR03DC010267 · NIDCD · SLOAN-KETTERING INST CAN RESEARCH · PI BRANSKI, RYAN COMFORT · 2009 to 2011
$520k
Molecular mechanisms underlying optimal glucocorticoid therapy for vocal fold diseaseR21DC021054 · NIDCD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BRANSKI, RYAN COMFORT, GARABEDIAN, MICHAEL J. · 2023 to 2024
$466k
The effects of strain on vocal fold fibroblastsF31DC006764 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRANSKI, RYAN COMFORT · 2004 to 2004
$26k
NCATS NIH HHS UM1 TR004409NCATS NIH HHS UM1 TR004528NHLBI NIH HHS OT2 HL156812NHLBI NIH HHS OT2 HL161841NHLBI NIH HHS OT2 HL161847NHLBI NIH HHS R01 HL151508NHLBI NIH HHS R01 HL162373NIDCD NIH HHS F31 DC006764NIDCD NIH HHS R01 DC013277NIDCD NIH HHS R01 DC017397NIDCD NIH HHS R03 DC010267NIDCD NIH HHS R21 DC021054
6 · The paper itself

Abstract

Importance: Classification of persons with long COVID (LC) or post-COVID-19 condition must encompass the complexity and heterogeneity of the condition. Iterative refinement of the classification index for research is needed to incorporate newly available data as the field rapidly evolves. Objective: To update the 2023 research index for adults with LC using additional participant data from the Researching COVID to Enhance Recovery (RECOVER-Adult) study and an expanded symptom list based on input from patient communities. Design, Setting, and Participants: Prospective, observational cohort study including adults 18 years or older with or without known prior SARS-CoV-2 infection who were enrolled at 83 sites in the US and Puerto Rico. Included participants had at least 1 study visit taking place 4.5 months after first SARS-CoV-2 infection or later, and not within 30 days of a reinfection. The study visits took place between October 2021 and March 2024. Exposure: SARS-CoV-2 infection. Main Outcomes and Measures: Presence of LC and participant-reported symptoms. Results: A total of 13 647 participants (11 743 with known SARS-CoV-2 infection and 1904 without known prior SARS-CoV-2 infection; median age, 45 years [IQR, 34-69 years]; and 73% were female) were included. Using the least absolute shrinkage and selection operator analysis regression approach from the 2023 model, symptoms contributing to the updated 2024 index included postexertional malaise, fatigue, brain fog, dizziness, palpitations, change in smell or taste, thirst, chronic cough, chest pain, shortness of breath, and sleep apnea. For the 2024 LC research index, the optimal threshold to identify participants with highly symptomatic LC was a score of 11 or greater. The 2024 index classified 20% of participants with known prior SARS-CoV-2 infection and 4% of those without known prior SARS-CoV-2 infection as having likely LC (vs 21% and 5%, respectively, using the 2023 index) and 39% of participants with known prior SARS-CoV-2 infection as having possible LC, which is a new category for the 2024 model. Cluster analysis identified 5 LC subtypes that tracked quality-of-life measures. Conclusions and Relevance: The 2024 LC research index for adults builds on the 2023 index with additional data and symptoms to help researchers classify symptomatic LC and its symptom subtypes. Continued future refinement of the index will be needed as the understanding of LC evolves.

Indexed as

Post-Acute COVID-19 SyndromeAdultFemaleHumansMaleMiddle AgedProspective StudiesPuerto RicoQuality of LifeSARS-CoV-2United States

Identifiers

PMID39693079
PMCPMC11862971

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.