Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study

Background: In 2021, the Spanish Ministry of Health launched the CIBERPOSTCOVID project to establish what post COVID was. The present study reports the level of agreement among stakeholders on post COVID and its clinical and diagnostic characteristics in the Spanish health system. Methods: The agree...

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Autores: Torres, Marta, Serra-Sutton, Vicky, Soriano, Joan Bautista, Ferrer, Montserrat, Trejo, Alex, Benavides, Fernando G., Lumbreras, Blanca, Perez-Gomez, Beatriz, Pijoan, Jose Ignacio, Monguet, Josep M., Barbé Illa, Ferran, Pollán, Marina, Alonso, Jordi, Espallargues, Mireia, Serrano-Blanco, Antoni
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/464427
Acceso en línea:https://doi.org/10.1016/j.jiph.2023.08.022
https://hdl.handle.net/10459.1/464427
Access Level:acceso abierto
Palabra clave:Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
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spelling Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi studyTorres, MartaSerra-Sutton, VickySoriano, Joan BautistaFerrer, MontserratTrejo, AlexBenavides, Fernando G.Lumbreras, BlancaPerez-Gomez, BeatrizPijoan, Jose IgnacioMonguet, Josep M.Barbé Illa, FerranPollán, MarinaAlonso, JordiEspallargues, MireiaSerrano-Blanco, AntoniPost COVID-19ConsensusDelphi techniqueCOVID-19Policy makingClinical decision makingBackground: In 2021, the Spanish Ministry of Health launched the CIBERPOSTCOVID project to establish what post COVID was. The present study reports the level of agreement among stakeholders on post COVID and its clinical and diagnostic characteristics in the Spanish health system. Methods: The agreement on post COVID among clinicians, public health managers, researchers and patients’ representatives was explored in a real-time, asynchronous online Delphi. In a two-wave consensus, respondents rated from 1 (total disagreement) to 6 (total agreement) 67 statements related to terminology, duration, etiology, symptoms, impact on quality of life, severity, elements to facilitate diagnosis, applicability in the pediatric population, and risk factors. Consensus was reached when 70 % of ratings for a statement were 5 or 6, with an interquartile range equal or less than 1. Findings: A total of 333 professionals and patients participated in this eDelphi study. There was agreement that post COVID was “a set of multi-organic symptoms that persist or fluctuate after acute COVID-19 infection and are not attributable to other causes” with a minimum duration of 3 months. The highest levels of agreement were found in the most frequent symptoms and its impacts on everyday activities. Aspects related to the diagnostic process and the measurement of its severity reached a lower level of consensus. There was agreement on the need to rule out previous health problems and assess severity using validated functional scales. However, no agreement was reached on the risk factors or specific features in the pediatric population. Interpretation: This policy-based consensus study has allowed the characterization of post COVID generating collective intelligence and has contributed to an operational definition applicable in clinical practice, health services management and useful for research purposes in Spain and abroad. Agreements are consistent with existing evidence and reference institutions at European and international level.The CIBERPOSTCOVID is a commissioned project of the Spanish Ministry of Health to the Ministry of Science and Innovation, funded through the Instituto de Salud Carlos III and CIBER -Consorcio Centro de Investigación Biomédica en Red- (ES21PI01).Elsevier2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1016/j.jiph.2023.08.022https://hdl.handle.net/10459.1/464427reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a https://doi.org/10.1016/j.jiph.2023.08.022Journal of Infection and Public Health, 2023, vol. 16, núm. 11, p. 1784-1792cc-by-nc-nd (c) The Authors, 2023Attribution-NonCommercial-NoDerivatives 4.0 Internationalinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:repositori.udl.cat:10459.1/4644272026-06-24T12:42:17Z
dc.title.none.fl_str_mv Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
title Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
spellingShingle Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
Torres, Marta
Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
title_short Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
title_full Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
title_fullStr Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
title_full_unstemmed Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
title_sort Consensus on post COVID in the Spanish national health system: Results of the CIBERPOSTCOVID eDelphi study
dc.creator.none.fl_str_mv Torres, Marta
Serra-Sutton, Vicky
Soriano, Joan Bautista
Ferrer, Montserrat
Trejo, Alex
Benavides, Fernando G.
Lumbreras, Blanca
Perez-Gomez, Beatriz
Pijoan, Jose Ignacio
Monguet, Josep M.
Barbé Illa, Ferran
Pollán, Marina
Alonso, Jordi
Espallargues, Mireia
Serrano-Blanco, Antoni
author Torres, Marta
author_facet Torres, Marta
Serra-Sutton, Vicky
Soriano, Joan Bautista
Ferrer, Montserrat
Trejo, Alex
Benavides, Fernando G.
Lumbreras, Blanca
Perez-Gomez, Beatriz
Pijoan, Jose Ignacio
Monguet, Josep M.
Barbé Illa, Ferran
Pollán, Marina
Alonso, Jordi
Espallargues, Mireia
Serrano-Blanco, Antoni
author_role author
author2 Serra-Sutton, Vicky
Soriano, Joan Bautista
Ferrer, Montserrat
Trejo, Alex
Benavides, Fernando G.
Lumbreras, Blanca
Perez-Gomez, Beatriz
Pijoan, Jose Ignacio
Monguet, Josep M.
Barbé Illa, Ferran
Pollán, Marina
Alonso, Jordi
Espallargues, Mireia
Serrano-Blanco, Antoni
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
topic Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
description Background: In 2021, the Spanish Ministry of Health launched the CIBERPOSTCOVID project to establish what post COVID was. The present study reports the level of agreement among stakeholders on post COVID and its clinical and diagnostic characteristics in the Spanish health system. Methods: The agreement on post COVID among clinicians, public health managers, researchers and patients’ representatives was explored in a real-time, asynchronous online Delphi. In a two-wave consensus, respondents rated from 1 (total disagreement) to 6 (total agreement) 67 statements related to terminology, duration, etiology, symptoms, impact on quality of life, severity, elements to facilitate diagnosis, applicability in the pediatric population, and risk factors. Consensus was reached when 70 % of ratings for a statement were 5 or 6, with an interquartile range equal or less than 1. Findings: A total of 333 professionals and patients participated in this eDelphi study. There was agreement that post COVID was “a set of multi-organic symptoms that persist or fluctuate after acute COVID-19 infection and are not attributable to other causes” with a minimum duration of 3 months. The highest levels of agreement were found in the most frequent symptoms and its impacts on everyday activities. Aspects related to the diagnostic process and the measurement of its severity reached a lower level of consensus. There was agreement on the need to rule out previous health problems and assess severity using validated functional scales. However, no agreement was reached on the risk factors or specific features in the pediatric population. Interpretation: This policy-based consensus study has allowed the characterization of post COVID generating collective intelligence and has contributed to an operational definition applicable in clinical practice, health services management and useful for research purposes in Spain and abroad. Agreements are consistent with existing evidence and reference institutions at European and international level.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1016/j.jiph.2023.08.022
https://hdl.handle.net/10459.1/464427
url https://doi.org/10.1016/j.jiph.2023.08.022
https://hdl.handle.net/10459.1/464427
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a https://doi.org/10.1016/j.jiph.2023.08.022
Journal of Infection and Public Health, 2023, vol. 16, núm. 11, p. 1784-1792
dc.rights.none.fl_str_mv cc-by-nc-nd (c) The Authors, 2023
Attribution-NonCommercial-NoDerivatives 4.0 International
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv cc-by-nc-nd (c) The Authors, 2023
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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