Evidence map›Paper›PMID 40926236›Full record

ArticleBMC health services research2025

Patient-centred interprofessional teleconsultation for post-viral symptom complexes in German primary care-protocol for the cluster-randomised controlled COVI-Care M-V trial.

Christin Löffler, Anne Daubmann, Daniela Endlicher, Viacheslav Galchenko, Ralf Jendyk, Emil Christian Reisinger, Martina Sombetzki, Ann-Kathrin Ozga, Anja Wollny, Gregor Feldmeier

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Christin LöfflerInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany. christin.loeffler@med.uni-rostock.de.
Anne DaubmannInstitute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany.
Daniela EndlicherInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany.
Viacheslav GalchenkoMEYTEC GmbH Medizinsysteme, Akazienstr. 13, Werneuchen OT Seefeld, 16356 , Germany.
Ralf JendykInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany.
Emil Christian ReisingerDepartment of Tropical Medicine, Infectious Diseases and Nephrology, Rostock University Medical Center, Schillingallee 35, 18057, Rostock, Germany.
Martina SombetzkiDepartment of Tropical Medicine, Infectious Diseases and Nephrology, Rostock University Medical Center, Schillingallee 35, 18057, Rostock, Germany.
Ann-Kathrin OzgaInstitute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20246, Germany.
Anja WollnyInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany.
Gregor FeldmeierInstitute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-viral syndromes, including long- and post-COVID, often lead to persistent symptoms such as fatigue and dyspnoea, affecting patients' daily lives and ability to work. The COVI-Care M-V trial examines whether interprofessional, patient-centred teleconsultations, initiated by general practitioners in cooperation with specialists, can help reduce symptom burden and improve care for patients.

methodsTo evaluate the effectiveness of the intervention under routine care conditions, a cluster-randomised controlled trial is being conducted. The primary outcome is physical performance, assessed by the difference between the actual and individually defined target distance in the 6-min walk test. Secondary outcomes include health-related quality of life (PAC-19QoL), cognitive function (DemTect), lung function (peak flow meter), fatigue symptoms (FAS), and weekly working hours, measured at baseline (T0) and after four months (T1).

resultsIn the absence of evidence-based therapies for post-viral symptom complexes, multidisciplinary care and support currently represent the mainstay of patient management. The COVI-Care M-V study evaluates a regionally tailored, patient-centred intervention, developed based on qualitative research and piloting. Anticipated challenges include selection bias, recruitment difficulties due to healthcare staff shortages, and underreporting of symptoms, which will be addressed through targeted awareness materials and digital support for participating practices.

conclusionsThis study aims to generate evidence to enhance care, particularly by optimising healthcare structures for affected individuals.

trial registrationISRCTN, ISRCTN11050086 . Registered 28 April 2025.

Indexed as

COVID-19Patient-Centered CarePrimary Health CareRemote ConsultationFatigueGermanyHumansMaleQuality of LifeRandomized Controlled Trials as TopicSARS-CoV-2ChronicFatigue SyndromePatient-Centered CarePost-Acute COVID-19 SyndromePrimary Health CareRural Health ServicesTelemedicine

Identifiers

PMID40926236
PMCPMC12418605

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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.