Evidence map›Paper›PMID 41861186›Full record

Observational studyMedicine2026

Factors involved in the improvement of prolonged symptoms in patients with COVID-19 treated with Japanese traditional (Kampo) medicine: A single-center, prospective, observational study.

Tsuyoshi Kawamura, Junko Kohno, Akiko Kikuchi, Ryutaro Arita, Shin Takayama, Tadashi Ishii

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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

6 authors.

Tsuyoshi KawamuraDepartment of Kampo Medicine, Hachinohe City Hospital, Aomori, Japan.
Junko KohnoDepartment of Obstetrics and Gynecology, Hachinohe City Hospital, Aomori, Japan.
Akiko KikuchiDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Miyagi, Japan.ORCID 0000-0001-8368-0651
Ryutaro AritaDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Miyagi, Japan.
Shin TakayamaDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Miyagi, Japan.
Tadashi IshiiDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Miyagi, Japan.

Funding

Department of Kampo and Integrative Medicine, Tohoku University Graduate School of Medicine none
6 · The paper itself

Abstract

Patients with prolonged symptoms of COVID-19 (PSC) show various symptoms, especially fatigue, which affect their activities of daily living and inhibit their return to social life. As there is no standard treatment for PSC, we developed a treatment regimen that includes Japanese traditional (Kampo) medicine according to patient symptoms and condition. This study aimed to investigate the progression of symptoms in patients with PSC using this treatment regimen and to assess differences in background factors that affect the improvement of symptoms in patients. We conducted a prospective, observational study and collected data from patients with PSC who visited a hospital in Japan between May 2022 and December 2023. The patient performance status (PS, 0-9) and 16 symptoms on a numerical rating scale (NRS, 0-10) were recorded at each visit. A total of 114 patients were analyzed. The group with a first visit general fatigue score equal to or greater than the median (GMGF group) took more time to achieve PS ≤ 2 (hazard ratio [95% confidence interval (CI)], 0.405 [0.253-0.650], P < .001) and the end of visit milestone (0.283 [0.150-0.532], P < .001) compared to the group with a first visit general fatigue score less than the median (LMGF group). The group with ≥90 days from the onset to the first visit (≥90 days group) reached the end of visit milestone significantly later (0.510 [0.267-0.974], P = .041) than the group with <90 days from the onset (the <90 days group). The odds ratios (95% CI) for achieving PS ≤ 2 and the end of visit milestone within 3 months of the first visit in the GMGF group were 0.140 (0.046-0.425, P < .001) and 0.148 (0.058-0.380, P < .001), respectively. The ≥90 days group experienced difficulty in achieving the end of visit milestone within 3 months of the first visit (odds ratio [95% CI], 0.430 [0.179-1.035], P = .06). Patients with PSC who have a high general fatigue score at their first visit may have difficulty improving their symptoms. Early treatment, including Kampo medicine, can promote the improvement of PSC symptoms.

Indexed as

COVID-19COVID-19 Drug TreatmentFatigueMedicine, KampoActivities of Daily LivingAgedEast Asian PeopleFemaleHumansJapanMaleMiddle AgedPost-Acute COVID-19 SyndromeProspective StudiesTreatment Outcomeherbal medicineJapanese traditional medicineKampo medicinelong COVIDpost-acute sequelae of COVID-19post COVID-19 conditiontreatments

Identifiers

PMID41861186
PMCPMC13008155

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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.