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Journal of Comorbidity

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https://www.readbyqxmd.com/read/30191145/the-include-study-integrating-and-improving-care-for-patients-with-inflammatory-rheumatological-disorders-in-the-community-identifying-multimorbidity-protocol-for-a-pilot-randomized-controlled-trial
#1
Samantha L Hider, Milica Bucknall, Kelly Cooke, Kendra Cooke, Andrew G Finney, Dave Goddin, Emma L Healey, Susie Hennings, Daniel Herron, Clare Jinks, Martyn Lewis, Annabelle Machin, Christian Mallen, Simon Wathall, Carolyn A Chew-Graham
Background: Patients with inflammatory rheumatic conditions such as rheumatoid arthritis, polymyalgia rheumatica and ankylosing spondylitis are at increased risk of common comorbidities such as cardiovascular disease, osteoporosis and anxiety and depression which lead to increased morbidity and mortality. These associated morbidities are often un-recognized and under-treated. While patients with other long-term conditions such as diabetes are invited for routine reviews in primary care, which may include identification and management of co-morbidities, at present this does not occur for patients with inflammatory conditions, and thus, opportunities to diagnose and optimally manage these comorbidities are missed...
2018: Journal of Comorbidity
https://www.readbyqxmd.com/read/30191144/protocol-for-a-program-of-research-from-the-aging-community-and-health-research-unit-promoting-optimal-aging-at-home-for-older-adults-with-multimorbidity
#2
Maureen Markle-Reid, Jenny Ploeg, Ruta Valaitis, Wendy Duggleby, Kathryn Fisher, Kimberly Fraser, Rebecca Ganann, Lauren E Griffith, Andrea Gruneir, Carrie McAiney, Allison Williams
Background: The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented, cross-jurisdictional research program. Objectives: The objectives of the ACHRU research program are (i) to codesign integrated and person-centered interventions with older adults, family/friend caregivers, and providers; (ii) to examine the feasibility of newly designed interventions; (iii) to determine the intervention effectiveness on Triple Aim outcomes: health, patient/caregiver experience, and cost; (iv) to examine intervention context and implementation barriers and facilitators; (v) to use diverse integrated knowledge translation (IKT) strategies to engage knowledge users to support scalability and sustainability of effective interventions; and (vi) to build patient-oriented research capacity...
2018: Journal of Comorbidity
https://www.readbyqxmd.com/read/30057892/a-rehabilitation-programme-for-people-with-multimorbidity-versus-usual-care-a-pilot-randomized-controlled-trial
#3
Kathryn Barker, Anne E Holland, Annemarie L Lee, Kathryn Ritchie, Claire Boote, Stephanie Lowe, Fiona Pazsa, Lee Thomas, Monica Turczyniak, Elizabeth H Skinner
Background: Multimorbidity, the coexistence of two or more chronic conditions, is common in clinical practice. Rehabilitation for people with multimorbidity may provide access to a rehabilitation programme that can address common symptoms and risk factors for multiple chronic diseases. Objective: The aims of this study were to (1) evaluate the feasibility of a rehabilitation programme compared to usual medical care (UMC) in people with multimorbidity and (2) gather preliminary data regarding clinical effects and impact on functional exercise capacity, activities of daily living, health-related quality of life and resource utilization...
2018: Journal of Comorbidity
https://www.readbyqxmd.com/read/29651409/incidence-of-comorbidities-in-women-with-breast-cancer-treated-with-tamoxifen-or-an-aromatase-inhibitor-an-australian-population-based-cohort-study
#4
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
https://www.readbyqxmd.com/read/29651408/patients-with-multimorbidity-and-their-treatment-burden-in-different-daily-life-domains-a-qualitative-study-in-primary-care-in-the-netherlands-and-belgium
#5
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
https://www.readbyqxmd.com/read/29492397/risk-factors-and-mortality-associated-with-multimorbidity-in-people-with-stroke-or-transient-ischaemic-attack-a-study-of-8-751-uk-biobank-participants
#6
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
https://www.readbyqxmd.com/read/29359125/the-journal-of-comorbidity-affiliates-with-the-scottish-school-of-primary-care
#7
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
https://www.readbyqxmd.com/read/29359124/perceived-value-of-ehealth-among-people-living-with-multimorbidity-a-qualitative-study
#8
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
https://www.readbyqxmd.com/read/29354597/development-of-a-research-tool-to-document-self-reported-chronic-conditions-in-primary-care
#9
EDITORIAL
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
https://www.readbyqxmd.com/read/29354596/the-journal-of-comorbidity-affiliates-with-the-north-american-primary-care-research-group
#10
EDITORIAL
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
https://www.readbyqxmd.com/read/29299439/chronic-migraine-comorbidity-and-socioeconomic-deprivation-cross-sectional-analysis-of-a-large-nationally-representative-primary-care-database
#11
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
https://www.readbyqxmd.com/read/29090191/coronary-heart-disease-risk-in-patients-with-schizophrenia-a-lebanese-cross-sectional-study
#12
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
https://www.readbyqxmd.com/read/29090190/exploring-interprofessional-interagency-multimorbidity-care-case-study-based-observational-research
#13
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
https://www.readbyqxmd.com/read/29090189/a-method-of-decision-analysis-quantifying-the-effects-of-age-and-comorbidities-on-the-probability-of-deriving-significant-benefit-from-medical-treatments
#14
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
https://www.readbyqxmd.com/read/29090188/heart-failure-and-multimorbidity-in-australian-general-practice
#15
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
https://www.readbyqxmd.com/read/29090187/multimorbidity-constellations-of-conditions-across-subgroups-of-midlife-and-older-individuals-and-related-medicare-expenditures
#16
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
https://www.readbyqxmd.com/read/29090186/multimorbidity-of-four-cardiometabolic-and-chronic-pulmonary-disease-groups-prevalence-and-attributable-fraction-in-us-adults-2007-2012
#17
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
https://www.readbyqxmd.com/read/29090185/patients-with-multimorbidity-and-their-experiences-with-the-healthcare-process-a-scoping-review
#18
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
https://www.readbyqxmd.com/read/29090184/the-glasgow-deep-end-links-worker-study-protocol-a-quasi-experimental-evaluation-of-a-social-prescribing-intervention-for-patients-with-complex-needs-in-areas-of-high-socioeconomic-deprivation
#19
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
https://www.readbyqxmd.com/read/29090687/erratum-to-many-diseases-one-model-of-care
#20
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
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