The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
The increasing burden and complexity of multimorbidity
Open accessAbstract
BACKGROUND: Multimorbidity, the co-occurrence of two or more chronic conditions, is common among older adults and is known to be associated with high costs and gaps in quality of care. Population-based estimates of multimorbidity are not readily available, which makes future planning a challenge. We aimed to estimate the population-based prevalence and trends of multimorbidity in Ontario, Canada and to examine patterns in the co-occurrence of chronic conditions. METHODS: This retrospective cohort study includes all Ontarians (aged 0 to 105 years) with at least one of 16 common chronic conditions. Descriptive statistics were used to examine and compare the prevalence of multimorbidity by age and number of conditions in 2003 and 2009. The co-occurrence of chronic conditions among individuals with multimorbidity was also explored. RESULTS: The prevalence of multimorbidity among Ontarians rose from 17.4% in 2003 to 24.3% in 2009, a 40% increase. This increase over time was evident across all age groups. Within individual chronic conditions, multimorbidity rates ranged from 44% to 99%. Remarkably, there were no dominant patterns of co-occurring conditions. CONCLUSION: The high prevalence of multimorbidity and numerous combinations of conditions suggests that single, disease-oriented management programs may be less effective or efficient tools for high quality care compared to person-centered approaches.
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Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60240-2 · Cited by 6,972
Prevalence of multimorbidity among adults seen in family practice
Fortin, M. (2005) · The Annals of Family Medicine · doi:10.1370/afm.272 · Cited by 987 · cited 4×
“Moreover, when using an open list, only a few and specific conditions contribute the most to the prevalence of multimorbidity [13,14,24,25].”
BackgroundInfluentialMultimorbidity in primary care: prevalence and trend over the last 20 years
Uijen, A. A., & van de Lisdonk, E. H. (2008) · European Journal of General Practice · doi:10.1080/13814780802436093 · Cited by 505
Lifestyle risk factors of students: a cluster analytical approach
Dodd, L. J., Al-Nakeeb, Y., Nevill, A., & Forshaw, M. J. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.04.005 · Cited by 241
Oldridge, N. B., Stump, T. E., Nothwehr, F. K., & Clark, D. O. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(01)00350-x · Cited by 113
Cited by
Multimorbidity and depression: A systematic review and meta-analysis
Read, J. R., Sharpe, L., Modini, M., & Dear, B. F. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.06.009 · Cited by 869
Mondor, L., Maxwell, C. J., Hogan, D. B., Bronskill, S. E., Gruneir, A., Lane, N. E., & Wodchis, W. P. (2017) · PLOS Medicine · doi:10.1371/journal.pmed.1002249 · Cited by 173
Self-citation“Just One Thing after Another”: Recursive Cascades and Chronic Conditions
Manderson, L., & Warren, N. (2016) · Medical Anthropology Quarterly · doi:10.1111/maq.12277 · Cited by 101
Bhattacharyya, O., Mossman, K., Gustafsson, L., & Schneider, E. C. (2019) · Journal of Medical Internet Research · doi:10.2196/10318 · Cited by 82
Beyond the grey tsunami: a cross-sectional population-based study of multimorbidity in Ontario
Ryan, B. L., Bray Jenkyn, K., Shariff, S. Z., Allen, B., Glazier, R. H., Zwarenstein, M., Fortin, M., & Stewart, M. (2018) · Canadian Journal of Public Health · doi:10.17269/s41997-018-0103-0 · Cited by 69
Metadata
- Authors
- Koné Pefoyo, A. J., Bronskill, S. E., Gruneir, A., Calzavara, A., Thavorn, K., Petrosyan, Y., Maxwell, C. J., Bai, Y., & Wodchis, W. P.
- Venue
- BMC Public Health
- Published
- 2015-04-23
- Volume
- 15
- Issue
- 1
- Pages
- 415-415
- ISSN
- 1471-2458 (ISSN-L)
- OpenAlex
- W2017978677
- Cited by
- 597
- References
- 5
- FWCI
- 25.00
- Type
- journal article
- Language
- en
- Open access
- gold
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- Koné Pefoyo, A. J., Bronskill, S. E., Gruneir, A., Calzavara, A., Thavorn, K., Petrosyan, Y., Maxwell, C. J., Bai, Y., & Wodchis, W. P. (2015). The increasing burden and complexity of multimorbidity. BMC Public Health. https://doi.org/10.1186/s12889-015-1733-2
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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