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Journal of Comorbidity

Huah Shin Ng, Bogda Koczwara, David Roder, Theo Niyonsenga, Agnes Vitry
Background: The development of comorbidities has become increasingly relevant with longer-term cancer survival. Objective: To assess the pattern of comorbidities among Australian women with breast cancer treated with tamoxifen or an aromatase inhibitor. Design: Retrospective cohort study using Pharmaceutical Benefits Scheme (PBS) data (10% sample) from January 2003 to December 2014. Dispensing claims data were used to identify comorbidities and classified with the Rx-Risk-V model...
2018: Journal of Comorbidity
Tiny van Merode, Karin van de Ven, Marjan van den Akker
Background: Physicians and other healthcare professionals involved in the care of patients with multimorbidity should consider the problems these patients experience in managing their own conditions. However, treatment burden from the patient's perspective has been poorly explored, even though this might hamper treatment adherence. Objective: The present study examined the experiences of patients with multimorbidity in primary care in the Netherlands and Belgium using semi-structured interviews, with special attention to the daily life domains of treatment burden...
2018: Journal of Comorbidity
Katie I Gallacher, Ross McQueenie, Barbara Nicholl, Bhautesh D Jani, Duncan Lee, Frances S Mair
Background: Multimorbidity is common in stroke, but the risk factors and effects on mortality remain poorly understood. Objective: To examine multimorbidity and its associations with sociodemographic/lifestyle risk factors and all-cause mortality in UK Biobank participants with stroke or transient ischaemic attack (TIA). Design: Data were obtained from an anonymized community cohort aged 40-72 years. Overall, 42 comorbidities were self-reported by those with stroke or TIA...
2018: Journal of Comorbidity
Stewart W Mercer, John Gillies, Jane Gunn, Martin Fortin, Marjan van den Akker, Susan M Smith
No abstract text is available yet for this article.
2017: Journal of Comorbidity
Sidsel M Runz-Jørgensen, Michaela L Schiøtz, Ulla Christensen
Background: The prevalence of multimorbidity is increasing, creating challenges for patients, healthcare professionals, and healthcare systems. Given that chronic disease management increasingly involves eHealth, it is useful to assess its perceived value among people with multimorbidity. Objective: To explore challenges related to multimorbidity and patients' perspectives on eHealth. Design: Ten semi-structured interviews with adults, living with multimorbidity in Copenhagen, Denmark...
2017: Journal of Comorbidity
Martin Fortin, José Almirall, Kathryn Nicholson
Background: Researchers interested in multimorbidity often find themselves in the dilemma of identifying or creating an operational definition in order to generate data. Our team was invited to propose a tool for documenting the presence of chronic conditions in participants recruited for different research studies. Objective: To describe the development of such a tool. Design: A scoping review in which we identified relevant studies, selected studies, charted the data, and collated and summarized the results...
2017: Journal of Comorbidity
Martin Fortin, Tom Vansaghi, Marjan van den Akker, Jill Haught, Stewart W Mercer, Susan M Smith, Jane Gunn
No abstract text is available yet for this article.
2017: Journal of Comorbidity
Gary McLean, Stewart W Mercer
Background: Chronic migraine is common but there is limited knowledge on associated comorbidities. Objectives: To examine mental and physical comorbidities in chronic migraine and the influence of socioeconomic status in a large, nationally representative dataset. Design: Analysis of cross-sectional primary healthcare data from 1,468,404 adults in Scotland. Chronic migraine, 31 other physical conditions, and seven mental health conditions we examined...
2017: Journal of Comorbidity
Chadia Haddad, Souheil Hallit, Pascale Salameh, Tarek Bou-Assi, Marouan Zoghbi
BACKGROUND: Coronary heart disease (CHD) is a leading cause of premature death in patients with schizophrenia. CHD risk in Lebanese patients with schizophrenia remains unknown. OBJECTIVES: To (i) evaluate CHD risk of patients with schizophrenia in Lebanon; and (ii) detect the modifiable and non-modifiable factors affecting this risk. METHODS: Cross-sectional study of 329 patients with schizophrenia aged 20-75 years. Ten-year hard CHD risk was calculated using the Framingham risk score...
2017: Journal of Comorbidity
Eileen M McKinlay, Sonya J Morgan, Ben V Gray, Lindsay M Macdonald, Susan R H Pullon
BACKGROUND: The increase in multimorbidity or co-occurring chronic illnesses is a leading healthcare concern. Patients with multimorbidity require ongoing care from many different professionals and agencies, and often report a lack of integrated care. OBJECTIVE: To explore the daily help-seeking behaviours of patients with multimorbidity, including which health professionals they seek help from, how professionals work together, and perceptions and characteristics of effective interprofessional, interagency multimorbidity care...
2017: Journal of Comorbidity
Stephen P Fitzgerald, Nigel G Bean, Ravi P Ruberu
BACKGROUND: The external validity, or generalizability, of trials and guidelines has been considered poor in the context of multiple morbidity. How multiple morbidity might affect the magnitude of benefit of a given treatment, and thereby external validity, has had little study. OBJECTIVE: To provide a method of decision analysis to quantify the effects of age and comorbidity on the probability of deriving a given magnitude of treatment benefit. DESIGN: We developed a method to calculate probabilistically the effect of all of a patient's comorbidities on their underlying utility, or well-being, at a future time point...
2017: Journal of Comorbidity
Clare J Taylor, Christopher Harrison, Helena Britt, Graeme Miller, Fd Richard Hobbs
BACKGROUND: Heart failure (HF) is a serious condition that mostly affects older people. Despite the ageing population experiencing an increased prevalence of many chronic conditions, current guidelines focus on isolated management of HF. OBJECTIVE: To describe the burden of multimorbidity in patients with HF being managed in general practice in Australia. DESIGN: Data from the Bettering the Evaluation And Care of Health (BEACH) programme were used to determine (i) the prevalence of HF, (ii) the number of co-existing long-term conditions, and (iii) the most common disease combinations in patients with HF...
2017: Journal of Comorbidity
Siran M Koroukian, Nicholas K Schiltz, David F Warner, Jiayang Sun, Kurt C Stange, Charles W Given, Avi Dor
INTRODUCTION: The Department of Health and Human Services' 2010 Strategic Framework on Multiple Chronic Conditions called for the identification of common constellations of conditions in older adults. OBJECTIVES: To analyze patterns of conditions constituting multimorbidity (CCMM) and expenditures in a US representative sample of midlife and older adults (50-64 and ≥65 years of age, respectively). DESIGN: A cross-sectional study of the 2010 Health and Retirement Study (HRS; n =17,912)...
2017: Journal of comorbidity
Lisa R Staimez, Melissa Y Wei, Min Kim, K M Venkat Narayan, Sharon H Saydah
BACKGROUND: Cardiometabolic and chronic pulmonary diseases may be associated with modifiable risk factors that can be targeted to prevent multimorbidity. OBJECTIVES: (i) Estimate the prevalence of multimorbidity across four cardiometabolic and chronic pulmonary disease groups; (ii) compare the prevalence of multimorbidity to that of one disease and no disease; and (iii) quantify population attributable fractions (PAFs) for modifiable risk factors of multimorbidity...
2017: Journal of Comorbidity
Maartje J van der Aa, Jennifer R van den Broeke, Karien Stronks, Thomas Plochg
BACKGROUND: The number of patients with multimorbidity (two or more conditions) is increasing. Observational research has shown that having multiple health problems is associated with poorer outcomes in terms of health, quality of care, and costs. Thus, it is imperative to understand how patients with multimorbidity experience their healthcare process. Insight into patient experiences can be used to tailor healthcare provision specifically to the needs of patients with multimorbidity...
2017: Journal of comorbidity
Stewart W Mercer, Bridie Fitzpatrick, Lesley Grant, Nai Rui Chng, Catherine A O'Donnell, Mhairi Mackenzie, Alex McConnachie, Andisheh Bakhshi, Sally Wyke
BACKGROUND: 'Social prescribing' can be used to link patients with complex needs to local (non-medical) community resources. The 'Deep End' Links Worker Programme is being tested in general practices serving deprived populations in Glasgow, Scotland. OBJECTIVES: To assess the implementation and impact of the intervention at patient and practice levels. METHODS: Study design : Quasi-experimental outcome evaluation with embedded theory-driven process evaluation in 15 practices randomized to receive the intervention or not...
2017: Journal of Comorbidity
Tit Albreht, Mariana Dyakova, François G Schellevis, Stephan Van den Broucke
[This corrects the article DOI: 10.15256/joc.2016.6.73.].
2016: Journal of Comorbidity
Francesca Colombo, Manuel García-Goñi, Christoph Schwierz
[This corrects the article DOI: 10.15256/joc.2016.6.74.].
2016: Journal of Comorbidity
Pauline Boeckxstaens, Sara Willems, Mieke Lanssens, Charlotte Decuypere, Guy Brusselle, Thomas Kühlein, Jan De Maeseneer, An De Sutter
BACKGROUND: Patients with multiple chronic diseases are usually treated according to disease-specific guidelines, with outcome measurements focusing mostly on biomedical indicators (e.g. blood sugar levels or lung function). However, for multimorbidity, a goal-oriented approach focusing on the goals defined by the individual patient, may be more suitable. Despite the clear theoretical and conceptual advantages of including patient-defined goals in clinical decision-making for multimorbidity, it is not clear how patients define their goals and which aspects play a role in the process of defining them...
2016: Journal of Comorbidity
Joachim P Sturmberg, Richard J Botelho, Bruno Kissling
No abstract text is available yet for this article.
2016: Journal of Comorbidity
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