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 agreeme...

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Authors: Torres López, Marta, Serra Sutton, Vicky, Soriano Ruiz, Joan Bautista, Ferrer Fores, Montserrat, Trejo Omeñaca, Alejandro|||0000-0003-4142-083X, García Benavides, Fernando, Lumbreras, Blanca, Pérez-Gómez, Beatriz, Pijoan, José I, Monguet Fierro, José María|||0000-0001-7416-8306, Barbé Illa, Ferran, Pollán, Marina, Alonso, Jordi, Espallargues Carreras, Mireia, Serrano-Blanco, Antoni
Format: article
Publication Date:2023
Country:España
Institution:Universitat Politècnica de Catalunya (UPC)
Repository:UPCommons. Portal del coneixement obert de la UPC
Language:English
OAI Identifier:oai:upcommons.upc.edu:2117/393254
Online Access:https://hdl.handle.net/2117/393254
https://dx.doi.org/10.1016/j.jiph.2023.08.022
Access Level:Open access
Keyword:Post COVID-19 condition (Disease)
Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
COVID-19 (Malaltia)
Àrees temàtiques de la UPC::Ciències de la salut::Medicina::Medicina comunitària i salut pública
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oai_identifier_str oai:upcommons.upc.edu:2117/393254
network_acronym_str ES
network_name_str España
repository_id_str
spelling Consensus on post COVID in the Spanish National Health System: results of the CIBERPOSTCOVID eDelphi studyTorres López, MartaSerra Sutton, VickySoriano Ruiz, Joan BautistaFerrer Fores, MontserratTrejo Omeñaca, Alejandro|||0000-0003-4142-083XGarcía Benavides, FernandoLumbreras, BlancaPérez-Gómez, BeatrizPijoan, José IMonguet Fierro, José María|||0000-0001-7416-8306Barbé Illa, FerranPollán, MarinaAlonso, JordiEspallargues Carreras, MireiaSerrano-Blanco, AntoniPost COVID-19 condition (Disease)Post COVID-19ConsensusDelphi techniqueCOVID-19Policy makingClinical decision makingCOVID-19 (Malaltia)Àrees temàtiques de la UPC::Ciències de la salut::Medicina::Medicina comunitària i salut públicaBackground 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).Peer ReviewedElsevier20232023-08-3020232023-09-08journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/393254https://dx.doi.org/10.1016/j.jiph.2023.08.022reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/3932542026-05-27T15:37:01Z
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 López, Marta
Post COVID-19 condition (Disease)
Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
COVID-19 (Malaltia)
Àrees temàtiques de la UPC::Ciències de la salut::Medicina::Medicina comunitària i salut pública
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 López, Marta
Serra Sutton, Vicky
Soriano Ruiz, Joan Bautista
Ferrer Fores, Montserrat
Trejo Omeñaca, Alejandro|||0000-0003-4142-083X
García Benavides, Fernando
Lumbreras, Blanca
Pérez-Gómez, Beatriz
Pijoan, José I
Monguet Fierro, José María|||0000-0001-7416-8306
Barbé Illa, Ferran
Pollán, Marina
Alonso, Jordi
Espallargues Carreras, Mireia
Serrano-Blanco, Antoni
author Torres López, Marta
author_facet Torres López, Marta
Serra Sutton, Vicky
Soriano Ruiz, Joan Bautista
Ferrer Fores, Montserrat
Trejo Omeñaca, Alejandro|||0000-0003-4142-083X
García Benavides, Fernando
Lumbreras, Blanca
Pérez-Gómez, Beatriz
Pijoan, José I
Monguet Fierro, José María|||0000-0001-7416-8306
Barbé Illa, Ferran
Pollán, Marina
Alonso, Jordi
Espallargues Carreras, Mireia
Serrano-Blanco, Antoni
author_role author
author2 Serra Sutton, Vicky
Soriano Ruiz, Joan Bautista
Ferrer Fores, Montserrat
Trejo Omeñaca, Alejandro|||0000-0003-4142-083X
García Benavides, Fernando
Lumbreras, Blanca
Pérez-Gómez, Beatriz
Pijoan, José I
Monguet Fierro, José María|||0000-0001-7416-8306
Barbé Illa, Ferran
Pollán, Marina
Alonso, Jordi
Espallargues Carreras, 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 condition (Disease)
Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
COVID-19 (Malaltia)
Àrees temàtiques de la UPC::Ciències de la salut::Medicina::Medicina comunitària i salut pública
topic Post COVID-19 condition (Disease)
Post COVID-19
Consensus
Delphi technique
COVID-19
Policy making
Clinical decision making
COVID-19 (Malaltia)
Àrees temàtiques de la UPC::Ciències de la salut::Medicina::Medicina comunitària i salut pública
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
2023-08-30
2023
2023-09-08
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/393254
https://dx.doi.org/10.1016/j.jiph.2023.08.022
url https://hdl.handle.net/2117/393254
https://dx.doi.org/10.1016/j.jiph.2023.08.022
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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