Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
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TLDR
The findings challenge the single-disease framework by which most health care, medical research, and medical education is configured, and a complementary strategy is needed, supporting generalist clinicians to provide personalised, comprehensive continuity of care, especially in socioeconomically deprived areas.About:
This article is published in The Lancet.The article was published on 2012-07-07. It has received 4839 citations till now. The article focuses on the topics: Comorbidity & Health services research.read more
Citations
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Living alone and unplanned hospitalizations among older adults: a population-based longitudinal study.
TL;DR: Living alone is associated with higher risks of unplanned hospitalization in elderly, especially for men, as well as the length of hospital stays.
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Disease-Specific Comorbidity Clusters in COPD and Accelerated Aging
Filip J.J. Triest,Frits M.E. Franssen,Niki L. Reynaert,Swetlana Gaffron,Martijn A. Spruit,Daisy J.A. Janssen,Erica P.A. Rutten,Emiel F.M. Wouters,Lowie E.G.W. Vanfleteren +8 more
TL;DR: Two COPD-specific comorbidity clusters, a “Cachectic” and “Psychologic” cluster, were identified and warrant further studies regarding their development.
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Treating complexity: Collaborative care for multiple chronic conditions
TL;DR: There is a critical need to engage individuals with co-morbid chronic medical illness and psychiatric illness around the care of chronicmedical illness.
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Effectiveness of a Guided Web-Based Self-help Intervention to Prevent Depression in Patients With Persistent Back Pain: The PROD-BP Randomized Clinical Trial.
Lasse Sander,Sarah Paganini,Yannik Terhorst,Sandra Schlicker,Jiaxi Lin,Kerstin Spanhel,Claudia Buntrock,David Daniel Ebert,Harald Baumeister +8 more
TL;DR: Results of this trial showed that among patients with persistent back pain, depression can be prevented by a guided web-based self-help intervention in addition to treatment as usual, suggesting that using a scalable digital approach to integrate psychological treatment into routine pain management is feasible.
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Important drug-micronutrient interactions: A selection for clinical practice.
TL;DR: The following article intends to point out the relevance of mutual interactions between micronutrients and various examples of widely used drugs, without claiming to be exhaustive.
References
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Contribution of Primary Care to Health Systems and Health
TL;DR: The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.
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Social determinants of health inequalities
TL;DR: A Commission on Social Determinants of Health is launching, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people.
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Depression, chronic diseases, and decrements in health: results from the World Health Surveys
TL;DR: Depression produces the greatest decrement in health compared with the chronic diseases angina, arthritis, asthma, and diabetes, and the urgency of addressing depression as a public-health priority is indicated to improve the overall health of populations.
Journal Article
Depression, chronic diseases, and decrements in health : results from the world health surveys. Commentary
TL;DR: In this paper, the authors explored the effect of depression, alone or as a comorbidity, on overall health status and found that depression produces the greatest decrement in health compared with the chronic diseases angina, arthritis, asthma, and diabetes.
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Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance.
TL;DR: It is suggested that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care.