Title Towards consensus: The need for standardised definitions in Long (post) COVID care in 34 European countries
Authors Gomez-Bravo, Raquel ; León-Herrera, Sandra ; Guisado-Clavero, Marina ; Gefaell, Ileana ; Wostmann, Xenia ; Wössner, Nathalie ; Vinker, Shlomo ; Vassallo La Ferla, Francesca ; Kırkoç Üçüncü, Erva ; Tsigarovski, Georgi ; Torzsa, Péter ; Suija, Kadri ; Stepanović, Aleksander ; Sentker, Theresa ; Segernäs, Anna ; Seifert, Bohumil ; Sánchez-Castro, Marta ; Schneider, Jochen G ; Repovská, Anna ; Petrazzuoli, Ferdinando ; Petek, Davorina ; Perjes, Abel ; Parodi López, Naldy ; Neves, Ana Luisa ; Nessler, Katarzyna ; Muris, Jean ; Mortsiefer, Achim ; Moreels, Sarah ; Meister, Tatjana ; Mäntyselkä, Pekka ; Murauskienė, Liubovė ; Lingner, Heidrun ; Krztoń-Królewiecka, Anna ; Kostic, Milena ; Çimen Korkmaz, Büsra ; Knezevic, Snezana ; Kazakos, Stylianos ; Karathanos, Vasilis ; Shushman, Ivanna ; Ilkov, Oksana ; Hoffmann, Kathryn ; Heleno, Bruno ; Hanževački, Miroslav ; Gjorgjievski, Dragan ; Frese, Thomas ; Fournier, Marta ; Fitzgerald, Louise ; Feldmane, Sabīne ; Dotsenko, Marina ; Domeyer, Philip-Richard ; Croucher, Daniel ; Cerny, Vojtech ; Burgers, Jako S ; Brutskaya-Stempkovskaya, Elena ; Busneag, Carmen Iliana ; Buono, Nicola ; Bensemmane, Sherihane ; Bayen, Sabine ; Bakola, Maria ; Assenova, Radost ; Adler, Limor ; Ares-Blanco, Sara ; Astier Peña, María Pilar
DOI 10.1080/13814788.2025.2535618
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Is Part of European journal of general practice.. Abingdon : Taylor and Francis Ltd.. 2025, vol. 31, iss. 1, art. no. 2535618, p. [1-11].. ISSN 1381-4788. eISSN 1751-1402
Keywords [eng] clinical coding ; COVID-19 ; diagnosis ; Europe ; post-acute COVID-19 syndrome ; Primary health care
Abstract [eng] Background: The COVID-19 pandemic has significantly impacted global healthcare systems, leading to challenges in managing Long COVID. Variations in definitions and diagnostic criteria across Europe hinder recognition and treatment efforts. This study aims to analyse and compare the definitions of Long COVID used in 34 European countries. Methods: A retrospective descriptive study was conducted involving key informants from 34 European countries, utilising an online questionnaire to gather data on Long COVID definitions. Quantitative and qualitative analyses were employed to assess the variability of definitions and challenges in managing Long COVID. Results: The study found significant variation in Long COVID definitions among the participating countries; the most frequent definition was the other definition (n: 17, 50.0%), followed by the World Health Organisation’s definition (n: 16, 47.0%) and the CDC definition (n: 11, 32.3%). Half of the countries reported using multiple definitions simultaneously, indicating a lack of standardisation. Qualitative analyses highlighted challenges such as difficulties in standardising terminology, variability in clinical criteria, and issues with implementing diagnostic codes. Conclusion: The findings underscore the need for a unified, yet adaptable, definition of Long COVID. Such a definition would support general practitioners (GPs) by simplifying diagnostic processes, improving continuity of care, and facilitating equitable patient access to multidisciplinary resources. The current lack of consensus complicates patient care, data collection, and resource allocation, impacting health policy development. Future efforts should focus on achieving agreement on definitions to ensure equitable treatment and effective healthcare responses to Long COVID.
Published Abingdon : Taylor and Francis Ltd
Type Journal article
Language English
Publication date 2025
CC license CC license description