Details

Autor(en) / Beteiligte

• Nicholson, Kathryn
• Makovski, Tatjana T.
• Griffith, Lauren E.
• Raina, Parminder
• Stranges, Saverio
• van den Akker, Marjan

Titel

Multimorbidity and comorbidity revisited: refining the concepts for international health research

Ist Teil von

• Journal of clinical epidemiology, 2019-01, Vol.105, p.142-146

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2019

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Additionally, as first noted in a commentary published in 2001 in this journal, there continue to be conceptual and practical issues in determining the appropriate occurrence rates of living with multiple health issues [9]. [...]the objective of this commentary is to highlight the current issues in defining the broad concept of multimorbidity within the context of international research and to re-establish the distinction between the concepts of “multimorbidity” and “comorbidity.” [...]the accumulation is increasingly occurring in younger age groups, indicating a timely opportunity for prevention and a need to focus on patient-relevant outcome measures (PROMs). More appropriate uses of the term comorbidity exist in the literature and are framed as a focus on patients living with a specific chronic condition (such as diabetes, stroke, or dementia) and the implications of these conditions for complex management programs and clinical care delivery [27–29]. Because of the lack of clinical guidelines that actively account and respond to the challenges of multimorbidity in clinical management [15,30,31], the tools that are available to health care professionals often have a comorbidity orientation by assessing the impact of a co-occurring condition (or its management protocol) on another condition. [...]the authors acknowledge the complex interplay between comorbidity, multimorbidity, functional impairments, frailty, aging, patient-centeredness, and complexity.