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Assessing and Measu...
Assessing and Measuring Chronic Multimorbidity in the Older Population : A Proposal for Its Operationalization
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- Calderón-Larrañaga, Amaia (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Aragon Health Sciences Institute (IACS), Spain
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- Vetrano, Davide L. (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Catholic University of Rome, Italy
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Onder, Graziano (author)
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Gimeno-Feliu, Luis A. (author)
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Coscollar-Santaliestra, Carlos (author)
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Carfí, Angelo (author)
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Pisciotta, Maria S. (author)
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- Angleman, Sara (author)
- Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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Melis, René J. F. (author)
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- Santoni, Giola (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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- Mangialasche, Francesca (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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- Rizzuto, Debora (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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- Welmer, Anna-Karin (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)
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Bernabei, Roberto (author)
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Prados-Torres, Alexandra (author)
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- Marengoni, Alessandra (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),University of Brescia, Italy
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- Fratiglioni, Laura (author)
- Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Stockholm Gerontology Research Center, Sweden
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(creator_code:org_t)
- 2016-12-21
- 2017
- English.
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In: The journals of gerontology. Series A, Biological sciences and medical sciences. - : Oxford University Press (OUP). - 1079-5006 .- 1758-535X. ; 72:10, s. 1417-1423
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Abstract
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- BackgroundAlthough the definition of multimorbidity as the simultaneous presence of two or more chronic diseases is well established, its operationalization is not yet agreed. This study aims to provide a clinically driven comprehensive list of chronic conditions to be included when measuring multimorbidity. MethodsBased on a consensus definition of chronic disease, all four-digit level codes from the International Classification of Diseases, 10th revision (ICD-10) were classified as chronic or not by an international and multidisciplinary team. Chronic ICD-10 codes were subsequently grouped into broader categories according to clinical criteria. Last, we showed proof of concept by applying the classification to older adults from the Swedish National study of Aging and Care in Kungsholmen (SNAC-K) using also inpatient data from the Swedish National Patient Register.ResultsA disease or condition was considered to be chronic if it had a prolonged duration and either (a) left residual disability or worsening quality of life or (b) required a long period of care, treatment, or rehabilitation. After applying this definition in relation to populations of older adults, 918 chronic ICD-10 codes were identified and grouped into 60 chronic disease categories. In SNAC-K, 88.6% had >= 2 of these 60 disease categories, 73.2% had >= 3, and 55.8% had >= 4.ConclusionsThis operational measure of multimorbidity, which can be implemented using either or both clinical and administrative data, may facilitate its monitoring and international comparison. Once validated, it may enable the advancement and evolution of conceptual and theoretical aspects of multimorbidity that will eventually lead to better care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
Keyword
- Chronic disease
- Epidemiology
- International Classification of Diseases
Publication and Content Type
- ref (subject category)
- art (subject category)
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Calderón-Larraña ...
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Vetrano, Davide ...
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Onder, Graziano
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Gimeno-Feliu, Lu ...
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Coscollar-Santal ...
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Carfí, Angelo
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Pisciotta, Maria ...
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Angleman, Sara
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Melis, René J. F ...
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Santoni, Giola
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Mangialasche, Fr ...
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Rizzuto, Debora
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Welmer, Anna-Kar ...
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Bernabei, Robert ...
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Prados-Torres, A ...
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Marengoni, Aless ...
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Fratiglioni, Lau ...
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Stockholm University
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Karolinska Institutet