Evidence map›Paper›PMID 40335476›Full record

SynthesisNature communications2025

The risk of Long Covid symptoms: a systematic review and meta-analysis of controlled studies.

Lauren L O'Mahoney, Ash Routen, Clare Gillies, Sian A Jenkins, Abdullah Almaqhawi, Daniel Ayoubkhani, Amitava Banerjee, Chris Brightling, Melanie Calvert, Shabana Cassambai and 17 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Impact of long COVID on health-related quality-of-life among Japanese adults: findings of CARE Japan study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
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

27 authors.

Lauren L O'Mahoney *Diabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-2786-3290
Ash Routen *Diabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0001-5651-4228
Clare GilliesDiabetes Research Centre, University of Leicester, Leicester, UK.
Sian A JenkinsSchool of Psychology and Vision Sciences, University of Leicester, Leicester, UK.
Abdullah AlmaqhawiDepartment of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia.ORCID http://orcid.org/0000-0001-6035-1230
Daniel AyoubkhaniLeicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0001-6352-0394
Amitava BanerjeeFaculty of Population Health Sciences, Institute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0001-8741-3411
Chris BrightlingDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Melanie CalvertDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-1856-837X
Shabana CassambaiDiabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0001-6201-9063
Winifred EkezieSchool of Social Sciences and Humanities, Aston University, Birmingham, UK.
Mark P FunnellDiabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0001-7473-5999
Anneka WelfordDiabetes Research Centre, University of Leicester, Leicester, UK.
Arron PeaceDiabetes Research Centre, University of Leicester, Leicester, UK.
Rachael A EvansDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-1667-868X
Shavez JeffersDiabetes Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0001-7542-1772
Andrew P KingsnorthSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Manish PareekDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Samuel SeiduDiabetes Research Centre, University of Leicester, Leicester, UK.
Thomas J WilkinsonDiabetes Research Centre, University of Leicester, Leicester, UK.
Andrew WillisSchool of Public Health, University College Cork, Cork, Ireland.
Roz ShafranGreat Ormond Street Institute of Child Health, University College London, London, UK.ORCID http://orcid.org/0000-0003-2729-4961
Terence StephensonGreat Ormond Street Institute of Child Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-8871-7847
Jonathan SternePopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-8496-6053
Helen WardFaculty of Medicine, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-8238-5036
Tom WardDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-2748-4063
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester, UK. kk22@leicester.ac.uk.ORCID http://orcid.org/0000-0003-2343-7099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global evidence on the risk of symptoms of Long Covid in general populations infected with SARS-CoV-2 compared to uninfected comparator/control populations remains unknown. We conducted a systematic literature search using multiple electronic databases from January 1, 2022, to August 1, 2024. Included studies had ≥100 people with confirmed or self-reported COVID-19 at ≥28 days following infection onset, and an uninfected comparator/control group. Results were summarised descriptively and meta-analyses were conducted to derive pooled risk ratio estimates. 50 studies totaling 14,661,595 people were included. In all populations combined, there was an increased risk of a wide range of 39 out of 40 symptoms in those infected with SARS‑CoV‑2 compared to uninfected controls. The symptoms with the highest pooled relative risks were loss of smell (RR 4.31; 95% CI 2.66, 6.99), loss of taste (RR 3.71; 95% CI 2.22, 7.26), poor concentration (RR 2.68; 95% CI 1.66, 4.33), impaired memory (RR 2.53; 95% CI 1.82, 3.52), and hair loss/alopecia (RR 2.38; 95% CI 1.69, 3.33). This evidence synthesis, of 50 controlled studies with a cumulative participant count exceeding 14 million people, highlights a significant risk of diverse long-term symptoms in individuals infected with SARS-CoV-2, especially among those who were hospitalised.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeHumansRisk FactorsSARS-CoV-2

Identifiers

PMID40335476
PMCPMC12059169

What OpenQuestion holds

Textmetadata
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.