Evidence map›Paper›PMID 40371440›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Incidence of Long COVID Diagnoses in 3.6 Million U.S. Medicare Beneficiaries With COVID-19.

Yasin Abul, Daniel A Harris, Preeti Chachlani, Kaleen N Hayes, Andrew R Zullo, Vincent Mor, Stefan Gravenstein

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Yasin AbulCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Daniel A HarrisCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Preeti ChachlaniCenter for Gerontology and Healthcare Research, Brown University, Providence, Rhode Island, USA.
Kaleen N HayesCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Andrew R ZulloCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.ORCID 0000-0003-1673-4570
Vincent MorCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Stefan GravensteinCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI JOSEPH E. GAUGLER · 2019 to 2026
$125.9M
NIA NIH HHS U54 AG063546NIH HHS U54AG063546
6 · The paper itself

Abstract

backgroundLong COVID incidence and risk factors in older adults need to be better characterized to identify risk mitigation strategies. Our aim was to quantify the incidence of Long COVID in a population-based sample of older adults and to describe the association between COVID-19 vaccination and Long COVID risk.

methodsThis cohort study included Medicare fee-for-service beneficiaries ≥ 66 years diagnosed with COVID-19 between October 1, 2021, and March 31, 2023 (index date). Long COVID diagnoses were identified from Medicare Part A-B claims based on ICD-10-CM code U09.9. We measured the number of COVID-19 vaccine doses administered prior to the index date using Medicare Part B claims and pharmacy records. Kaplan-Meier estimators, Cox proportional hazards, and Fine-Grey regression models were used to estimate the 1-year cumulative incidence and relative rate of Long COVID.

resultsWe identified 3 588 671 Medicare beneficiaries diagnosed with COVID-19. Overall, 3.89% of beneficiaries were diagnosed with Long COVID over 1 year. A gradient in the 1-year cumulative incidence of Long COVID was observed according to the number of prior COVID-19 vaccine doses. Beneficiaries with 4 or more COVID-19 vaccine doses had a 39% lower adjusted rate of Long COVID relative to beneficiaries without a prior dose (adjusted hazard ratio = 0.61, 95% CI = 0.60-0.62).

conclusionsLong COVID diagnoses in Medicare claims were common in a large sample of older adults with COVID-19, and we observed a gradient in Long COVID risk across the number of prior COVID-19 vaccine doses. Promoting continued vaccination may be an effective strategy to mitigate the burden of Long COVID in older adults.

Indexed as

COVID-19COVID-19 VaccinesMedicareAgedAged, 80 and overCohort StudiesFemaleHumansIncidenceMaleRisk FactorsSARS-CoV-2United StatesVaccinationCOVID-19 VaccinesCOVID-19COVID-19 vaccinesLong COVIDMedicareOlder Adults

Identifiers

PMID40371440
PMCPMC12202091

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Registered trials

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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.