Evidence map›Paper›PMID 41736814›Full record

ArticleBMJ public health2026

Functional impact of long COVID among healthcare workers with comorbidities in Quebec, Canada: a cross-sectional study.

Sabine Isangwe, Denis Talbot, Marie-France Coutu, Elisabeth Canitrot, Simon Décary, Emilia Liana Falcone, Manale Ouakki, Philippe Latouche, Alain Piché, Marc Simard and 3 more

Abstract read
In one paragraph

Article in BMJ public health, 2026. 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

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

1 citing paper in PubMed.

  1. 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

13 authors.

Sabine IsangweDepartment of Social and Preventive Medicine, Laval University, Québec City, Quebec, Canada.ORCID https://orcid.org/0009-0001-3113-252X
Denis TalbotDepartment of Social and Preventive Medicine, Laval University, Québec City, Quebec, Canada.ORCID https://orcid.org/0000-0003-0431-3314
Marie-France CoutuCentre de recherche Charles-Le Moyne, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-8539-2810
Elisabeth CanitrotDirection de la santé environnementale, Quebec National Institute of Public Health, Québec City, Quebec, Canada.ORCID https://orcid.org/0000-0001-6262-8299
Simon DécaryFaculty de Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec, Canada.ORCID https://orcid.org/0000-0002-8672-5672
Emilia Liana FalconeCenter for Immunity, Inflammation and Infectious Diseases, Montreal Clinical Research Institute (IRCM), Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-5486-1549
Manale OuakkiQuebec National Institute of Public Health, Québec City, Quebec, Canada.ORCID https://orcid.org/0000-0002-3068-4373
Philippe LatoucheCentre de recherche du CHUQ, Québec City, Quebec, Canada.ORCID https://orcid.org/0009-0006-3415-6179
Alain PichéFaculty de Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec, Canada.ORCID https://orcid.org/0000-0002-6313-4538
Marc SimardDepartment of Social and Preventive Medicine, Laval University, Québec City, Quebec, Canada.ORCID https://orcid.org/0000-0002-9424-1926
Marianne BalemThe Charles-Le Moyne Research Center, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-0324-9579
Gaston De SerresDepartment of Social and Preventive Medicine, Laval University, Québec City, Quebec, Canada.ORCID https://orcid.org/0000-0002-1592-5167
Sara CarazoDepartment of Social and Preventive Medicine, Laval University, Québec City, Quebec, Canada.ORCID https://orcid.org/0000-0003-0711-6703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Long COVID is a frequent post-infectious chronic condition that impacts quality of life and work performance. Whether individuals with comorbidities experience a greater functional impact of long COVID is unknown. We evaluated the functional impact of long COVID among healthcare workers (HCWs) with chronic cardiovascular diseases, chronic respiratory diseases, obesity or a history of depression, and compared it with that of HCWs without comorbidities. Methods: We conducted a cross-sectional study in Quebec, Canada. We compared self-reported long COVID cases to COVID-19-infected controls without long COVID on work ability, work functioning, health-related absenteeism, dyspnoea-associated impairment and psychological distress among HCWs (a) with at least one of the four comorbidities, (b) with each of the four comorbidities and (c) without comorbidities. We used inverse probability of exposure and robust Poisson regressions to estimate adjusted prevalence differences (aPD) and prevalence ratios. Comorbidity data were obtained from the Quebec integrated chronic disease surveillance system. Results: A total of 3754 and 8439 HCWs with and without comorbidities, respectively, were included. Among HCWs with at least one of the four comorbidities, long COVID was associated with higher prevalence of low work ability (aPD=15%, 95% CI: 12% to 18%), low work functioning (aPD=27%, 95% CI: 22% to 31%), health-related long-term absenteeism (aPD=8%, 95% CI: 5% to 11%), dyspnoea-associated impairment (aPD=23%, 95% CI: 19% to 26%) and psychological distress (aPD=24%, 95% CI: 20% to 28%). aPDs were greater among HCWs with comorbidities than among those without for low work ability (p=0.013 for interaction), for low work functioning (p=0.034) and for dyspnoea-associated impairment (p<0.001). Conclusion: Long COVID is associated with significant functional impairment among HCWs with pre-existing chronic conditions. HCWs with at least one of the four comorbidities experience lower work ability, lower work functioning and more dyspnoea-associated impairment compared with those without comorbidities.

Indexed as

ComorbidityCross-Sectional StudiesHealth Personnel

Identifiers

PMID41736814
PMCPMC12927349

What OpenQuestion holds

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LicenceCC BY
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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.