Evidence map›Paper›PMID 40492581›Full record

ReviewThe Journal of pathology2025

Post-COVID-19 condition: clinical phenotypes, pathophysiological mechanisms, pathology, and management strategies.

Larissa E Vlaming-van Eijk, Guolu Tang, Arno R Bourgonje, Wilfred F A den Dunnen, Jan-Luuk Hillebrands, Harry van Goor

Abstract readReview
In one paragraph

Review in The Journal of pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. A Predictive Model for the Development of Long COVID in Children.International journal of environmental research and public health · 2025
    Article
  9. 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

6 authors.

Larissa E Vlaming-van EijkDepartment of Pathology and Medical Biology, Division of Pathology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0003-4280-0164
Guolu TangDepartment of Pathology and Medical Biology, Division of Pathology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0009-0002-2602-496X
Arno R BourgonjeDepartment of Gastroenterology and Hepatology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0001-5754-3821
Wilfred F A den DunnenDepartment of Pathology and Medical Biology, Division of Pathology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0002-4168-1207
Jan-Luuk HillebrandsDepartment of Pathology and Medical Biology, Division of Pathology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0003-3135-3274
Harry van GoorDepartment of Pathology and Medical Biology, Division of Pathology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0002-6670-1577

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-COVID-19 condition (PCC), also known as long COVID, is a complex multiple organ system condition that can develop and persist for months after acute COVID-19. PCC encompasses a wide range of symptoms, resulting in heterogeneous clinical manifestations. These manifestations likely arise from diverse underlying pathophysiological mechanisms, which, in turn, are influenced by risk factors such as age, sex, and comorbidities. To this end, characterising clinical phenotypes of PCC is essential for deepening our understanding of its (potentially) distinct pathophysiological mechanisms and for advancing diagnostic and patient-tailored management strategies. PCC is thought to result from a complex interaction of various pathophysiological mechanisms, leading to functional and structural pathological alterations across multiple organ systems. Investigating these alterations is critical to improving our currently incomplete understanding of PCC's complex pathophysiology. This review provides an overview of the main clinical phenotypes of PCC, characterises these phenotypes by examining symptoms and signs, as well as the associated risk factors. The main hypothesised pathophysiological mechanisms are discussed by outlining the current knowledge on PCC pathology, focussing on the most commonly affected organ systems. Current PCC management includes supportive care such as physiotherapy and the repurposing of existing drugs primarily targeting persistence of SARS-CoV-2 (e.g. antivirals, monoclonal antibodies) and immune dysfunction (e.g. antiinflammatory drugs, immunomodulators). To date, prevention of SARS-CoV-2 infection remains critical, which can be achieved through effective public health measures and vaccination strategies. Finally, this review highlights current knowledge gaps and proposes future research directions to advance the understanding and treatment of PCC. © 2025 The Author(s). The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Indexed as

COVID-19HumansPhenotypePost-Acute COVID-19 SyndromeRisk FactorsSARS-CoV-2clinical phenotypeslong COVIDmanagement strategiespathophysiologypost‐acute sequelae

Identifiers

PMID40492581
PMCPMC12256391

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.