Journal ArticleDOI
The Self-Administered Comorbidity Questionnaire: a new method to assess comorbidity for clinical and health services research.
TLDR
The SCQ has modest correlations with a widely used medical record-based comorbidity instrument, and with subsequent health status and utilization, and it will be particularly useful in settings where medical records are unavailable.Abstract:
Objective
To develop the Self-Administered Comorbidity Questionnaire (SCQ) and assess its psychometric properties, including the predictive validity of the instrument, as reflected by its association with health status and health care utilization after 1 year.
Methods
A cross-sectional comparison of the SCQ with a standard, chart abstraction-based measure (Charlson Index) was conducted on 170 inpatients from medical and surgical care units. The association of the SCQ with the chart-based comorbidity instrument and health status (short form 36) was evaluated cross sectionally. The association between these measures and health status and resource utilization was assessed after 1 year.
Results
The Spearman correlation coefficient for the association between the SCQ and the Charlson Index was 0.32. After restricting each measure to include only comparable items, the correlation between measures was stronger (Spearman r = 0.55). The SCQ had modest associations with measures of resource utilization during the index admission, and with health status and resource utilization after 1 year.
Conclusion
The SCQ has modest correlations with a widely used medical record-based comorbidity instrument, and with subsequent health status and utilization. This new measure represents an efficient method to assess comorbid conditions in clinical and health services research. It will be particularly useful in settings where medical records are unavailable.read more
Citations
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Predicting the Outcome of Total Knee Arthroplasty
TL;DR: Patients who have marked functional limitation, severe pain, low mental health score, and other comorbid conditions before total knee arthroplasty are more likely to have a worse outcome at one year and two years postoperatively.
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The Measurement of Multiple Chronic Diseases—A Systematic Review on Existing Multimorbidity Indices
TL;DR: The systematic literature further emphasis the heterogeneity of existing multimorbidity indices, however, one important similarity is that the focus is on diseases with a high prevalence and a severe impact on affected individuals.
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Why Summary Comorbidity Measures Such As the Charlson Comorbidity Index and Elixhauser Score Work.
TL;DR: A mathematical proof is devised that found that the comorbidity summary measures are appropriate prognostic or adjustment mechanisms in survival analyses and the theoretical justification that validates the use of such scores under many conditions is provided.
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Measures of multimorbidity and morbidity burden for use in primary care and community settings: A systematic review and guide
TL;DR: The measures most commonly used in primary care and community settings are disease counts, Charlson index, ACG System, CIRS, CDS, and DUSOI.
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The development and psychometric validation of the central sensitization inventory.
Tom G. Mayer,Randy Neblett,Howard Cohen,Krista Howard,Yun H. Choi,Mark J. Williams,Yoheli Perez,Robert J. Gatchel +7 more
TL;DR: 2 studies demonstrate the psychometric strength, clinical utility, and the initial construct validity of the CSI in evaluating CS‐related clinical symptoms in chronic pain populations.
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