A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study
Health consequences that persist beyond the acute infection phase of COVID-19, termed post-COVID-19 condition (also commonly known as long COVID), vary widely and represent a growing global health challenge. Research on post-COVID-19 condition is expanding but, at present, no agreement exists on the...
Main Authors: | , , , , , , , , , , , , , , , , , , , , |
---|---|
Other Authors: | |
Format: | Journal article |
Language: | English |
Published: |
Elsevier
2022
|
_version_ | 1797108544737116160 |
---|---|
author | Munblit, D Nicholson, T Akrami, A Apfelbacher, C Chen, J De Groote, W Diaz, JV Gorst, SL Harman, N Kokorina, A Olliaro, P Parr, C Preller, J Schiess, N Schmitt, J Seylanova, N Simpson, F Tong, A Needham, DM Williamson, PR Sigfrid, LA |
author2 | PC-COS Project Steering Committee |
author_facet | PC-COS Project Steering Committee Munblit, D Nicholson, T Akrami, A Apfelbacher, C Chen, J De Groote, W Diaz, JV Gorst, SL Harman, N Kokorina, A Olliaro, P Parr, C Preller, J Schiess, N Schmitt, J Seylanova, N Simpson, F Tong, A Needham, DM Williamson, PR Sigfrid, LA |
author_sort | Munblit, D |
collection | OXFORD |
description | Health consequences that persist beyond the acute infection phase of COVID-19, termed post-COVID-19 condition (also commonly known as long COVID), vary widely and represent a growing global health challenge. Research on post-COVID-19 condition is expanding but, at present, no agreement exists on the health outcomes that should be measured in people living with the condition. To address this gap, we conducted an international consensus study, which included a comprehensive literature review and classification of outcomes for post-COVID-19 condition that informed a two-round online modified Delphi process followed by an online consensus meeting to finalise the core outcome set (COS). 1535 participants from 71 countries were involved, with 1148 individuals participating in both Delphi rounds. Eleven outcomes achieved consensus for inclusion in the final COS: fatigue; pain; post-exertion symptoms; work or occupational and study changes; survival; and functioning, symptoms, and conditions for each of cardiovascular, respiratory, nervous system, cognitive, mental health, and physical outcomes. Recovery was included a priori because it was a relevant outcome that was part of a previously published COS on COVID-19. The next step in this COS development exercise will be to establish the instruments that are most appropriate to measure these core outcomes. This international consensus-based COS should provide a framework for standardised assessment of adults with post-COVID-19 condition, aimed at facilitating clinical care and research worldwide. |
first_indexed | 2024-03-07T07:30:36Z |
format | Journal article |
id | oxford-uuid:92e93826-fe1e-4378-8b71-5c250947a435 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T07:30:36Z |
publishDate | 2022 |
publisher | Elsevier |
record_format | dspace |
spelling | oxford-uuid:92e93826-fe1e-4378-8b71-5c250947a4352023-01-06T08:46:38ZA core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:92e93826-fe1e-4378-8b71-5c250947a435EnglishSymplectic ElementsElsevier2022Munblit, DNicholson, TAkrami, AApfelbacher, CChen, JDe Groote, WDiaz, JVGorst, SLHarman, NKokorina, AOlliaro, PParr, CPreller, JSchiess, NSchmitt, JSeylanova, NSimpson, FTong, ANeedham, DMWilliamson, PRSigfrid, LAPC-COS Project Steering CommitteeHealth consequences that persist beyond the acute infection phase of COVID-19, termed post-COVID-19 condition (also commonly known as long COVID), vary widely and represent a growing global health challenge. Research on post-COVID-19 condition is expanding but, at present, no agreement exists on the health outcomes that should be measured in people living with the condition. To address this gap, we conducted an international consensus study, which included a comprehensive literature review and classification of outcomes for post-COVID-19 condition that informed a two-round online modified Delphi process followed by an online consensus meeting to finalise the core outcome set (COS). 1535 participants from 71 countries were involved, with 1148 individuals participating in both Delphi rounds. Eleven outcomes achieved consensus for inclusion in the final COS: fatigue; pain; post-exertion symptoms; work or occupational and study changes; survival; and functioning, symptoms, and conditions for each of cardiovascular, respiratory, nervous system, cognitive, mental health, and physical outcomes. Recovery was included a priori because it was a relevant outcome that was part of a previously published COS on COVID-19. The next step in this COS development exercise will be to establish the instruments that are most appropriate to measure these core outcomes. This international consensus-based COS should provide a framework for standardised assessment of adults with post-COVID-19 condition, aimed at facilitating clinical care and research worldwide. |
spellingShingle | Munblit, D Nicholson, T Akrami, A Apfelbacher, C Chen, J De Groote, W Diaz, JV Gorst, SL Harman, N Kokorina, A Olliaro, P Parr, C Preller, J Schiess, N Schmitt, J Seylanova, N Simpson, F Tong, A Needham, DM Williamson, PR Sigfrid, LA A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study |
title | A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study |
title_full | A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study |
title_fullStr | A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study |
title_full_unstemmed | A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study |
title_short | A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study |
title_sort | core outcome set for post covid 19 condition in adults for use in clinical practice and research an international delphi consensus study |
work_keys_str_mv | AT munblitd acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT nicholsont acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT akramia acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT apfelbacherc acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT chenj acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT degrootew acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT diazjv acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT gorstsl acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT harmann acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT kokorinaa acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT olliarop acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT parrc acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT prellerj acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT schiessn acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT schmittj acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT seylanovan acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT simpsonf acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT tonga acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT needhamdm acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT williamsonpr acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT sigfridla acoreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT munblitd coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT nicholsont coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT akramia coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT apfelbacherc coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT chenj coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT degrootew coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT diazjv coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT gorstsl coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT harmann coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT kokorinaa coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT olliarop coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT parrc coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT prellerj coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT schiessn coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT schmittj coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT seylanovan coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT simpsonf coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT tonga coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT needhamdm coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT williamsonpr coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy AT sigfridla coreoutcomesetforpostcovid19conditioninadultsforuseinclinicalpracticeandresearchaninternationaldelphiconsensusstudy |