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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Opportunities to diagnose chronic obstructive pulmonary disease in routine care in the UK: a retrospective study of a clinical cohort
Rupert Jones,David Price,Dermot Ryan,Dermot Ryan,Erika J. Sims,Julie von Ziegenweidt,Laurence Mascarenhas,Anne Burden,David M.G. Halpin,Robert Winter,Sue Hill,Matt Kearney,Kevin Holton,Anne Moger,Daryl Freeman,Alison Chisholm,Eric D. Bateman +16 more
TL;DR: Opportunities to diagnose COPD at an earlier stage are being missed, and could be improved by case-finding in patients with lower respiratory tract symptoms and concordant long-term comorbidities.
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Age and gender differences in the prevalence and patterns of multimorbidity in the older population
José María Abad-Díez,José María Abad-Díez,Amaia Calderón-Larrañaga,Antonio Poncel-Falcó,Beatriz Poblador-Plou,Beatriz Poblador-Plou,José Manuel Calderón-Meza,A Sicras-Mainar,Mercedes Clerencia-Sierra,Alexandra Prados-Torres +9 more
TL;DR: Significant gender differences were observed in the prevalence of multimorbidity patterns, women showing a higher prevalence of the MEC and PG patterns, as well as a higher degree of pattern overlapping, probably due to a higher life expectancy and/or worse health.
Journal ArticleDOI
Factors associated with polypharmacy and excessive polypharmacy in older people with intellectual disability differ from the general population: a cross-sectional observational nationwide study
TL;DR: Polypharmacy was commonplace for older adults with ID and may be partly explained by the high prevalence of multimorbidity reported, which places ageing people with ID at risk of adverse effects.
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Adaptation and validation of the Treatment Burden Questionnaire (TBQ) in English using an internet platform.
Viet-Thi Tran,Magdalena Harrington,Victor M. Montori,Caroline Barnes,Caroline Barnes,Paul Wicks,Philippe Ravaud +6 more
TL;DR: It is found that the English TBQ is a reliable instrument in this population, and evidence supporting the construct validity for its use to assess treatment burden for patients with one or more chronic conditions in English-speaking countries is provided.
Journal ArticleDOI
The Age-Related Risk of Severe Outcomes Due to COVID-19 Infection: A Rapid Review, Meta-Analysis, and Meta-Regression.
Karla Romero Starke,Gabriela Petereit-Haack,Melanie Schubert,Daniel Kämpf,Alexandra Schliebner,Janice Hegewald,Andreas Seidler +6 more
TL;DR: The indication of a rather weak influence of age on COVID-19 disease severity after adjustment for important age- dependent risk factors should be taken in consideration when implementing age-related preventative measures (e.g., age-dependent work restrictions).
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.