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Adapting clinical guidelines to take account of multimorbidity
Abstract
Care of patients with multimorbidity could be improved if new technology is used to bring together guidelines on individual conditions and tailor advice to each patient’s circumstances, say Bruce Guthrie and colleagues
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“This high prevalence of comorbidities in patients with chronic pain can limit the applicability and utility of clinical guidelines to multimorbid patients with chronic pain [15] and restrict what treatment options can be used in pain control.”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [15]
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Metadata
- Authors
- Guthrie, B., Payne, K., Alderson, P., McMurdo, M. E. T., & Mercer, S. W.
- Affiliations
- University of Dundee (GB)
- University of Manchester (GB)
- National Institute for Health and Care Excellence (GB)
- University of Glasgow (GB)
- Corresponding author
- Guthrie, B.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2012-10-04
- Volume
- 345
- Issue
- oct04 1
- Pages
- e6341-e6341
- ISSN
- 1756-1833 (ISSN-L)
- OpenAlex
- W1986327445
- Cited by
- 530
- References
- 19
- Citations by year
- 2026: 17 · 2025: 27 · 2024: 38 · 2023: 47 · 2022: 30 · 2021: 32 · 2020: 48 · 2019: 33 · 2018: 32 · 2017: 38 · 2016: 50 · 2015: 54 · 2014: 41 · 2013: 37 · 2012: 5
- FWCI
- 32.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BMJ (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute for Health and Care Research (11/2003/27)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- multimorbidity, clinical guidelines, guideline adaptation, individualized care, patient-centered care, chronic disease management
- MeSH terms
- Chronic Disease, Decision Making, Humans, Judgment, Comorbidity, Practice Guidelines as Topic, Evidence-Based Medicine
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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