The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Defining Comorbidity: Implications for Understanding Health and Health Services
Open accessAbstract
Comorbidity is associated with worse health outcomes, more complex clinical management, and increased health care costs. There is no agreement, however, on the meaning of the term, and related constructs, such as multimorbidity, morbidity burden, and patient complexity, are not well conceptualized. In this article, we review definitions of comorbidity and their relationship to related constructs. We show that the value of a given construct lies in its ability to explain a particular phenomenon of interest within the domains of (1) clinical care, (2) epidemiology, or (3) health services planning and financing. Mechanisms that may underlie the coexistence of 2 or more conditions in a patient (direct causation, associated risk factors, heterogeneity, independence) are examined, and the implications for clinical care considered. We conclude that the more precise use of constructs, as proposed in this article, would lead to improved research into the phenomenon of ill health in clinical care, epidemiology, and health services.
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Limitations of the Application of Fourfold Table Analysis to Hospital Data
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Feinstein, A. R. (1970) · Journal of Chronic Diseases · doi:10.1016/0021-9681(70)90054-8 · Cited by 1,544
Comorbidity or multimorbidity: what's in a name? A review of literature
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Processes of care desired by elderly patients with multimorbidities
Bayliss, E. A., Edwards, A. E., Steiner, J. F., & Main, D. S. (2008) · Family Practice · doi:10.1093/fampra/cmn040 · Cited by 328
Cited by
Aging with multimorbidity: A systematic review of the literature
Marengoni, A., Angleman, S., Melis, R., Mangialasche, F., Karp, A., Garmen, A., Meinow, B., & Fratiglioni, L. (2011) · Ageing Research Reviews · doi:10.1016/j.arr.2011.03.003 · Cited by 3,092
Violan, C., Foguet-Boreu, Q., Flores-Mateo, G., Salisbury, C., Blom, J., Freitag, M., Glynn, L., Muth, C., & Valderas, J. M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0102149 · Cited by 1,125
Self-citationEpidemiology and impact of multimorbidity in primary care: a retrospective cohort study
Salisbury, C., Johnson, L., Purdy, S., Valderas, J. M., & Montgomery, A. A. (2011) · British Journal of General Practice · doi:10.3399/bjgp11x548929 · Cited by 894
Self-citationHuntley, A. L., Johnson, R., Purdy, S., Valderas, J. M., & Salisbury, C. (2012) · The Annals of Family Medicine · doi:10.1370/afm.1363 · Cited by 619
Self-citationOverlapping Chronic Pain Conditions: Implications for Diagnosis and Classification
Maixner, W., Fillingim, R. B., Williams, D. A., Smith, S. B., & Slade, G. D. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.06.002 · Cited by 558
Metadata
- Authors
- Valderas, J. M., Starfield, B., Sibbald, B., Salisbury, C., & Roland, M.
- Venue
- The Annals of Family Medicine
- Publisher
- Annals of Family Medicine
- Published
- 2009-07-01
- Volume
- 7
- Issue
- 4
- Pages
- 357-363
- ISSN
- 1544-1709 (ISSN-L)
- 1544-1717
- OpenAlex
- W2150845035
- Cited by
- 1,722
- References
- 5
- FWCI
- 32.28
- Type
- journal article
- Language
- en
- Open access
- diamond
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- Valderas, J. M., Starfield, B., Sibbald, B., Salisbury, C., & Roland, M. (2009). Defining Comorbidity: Implications for Understanding Health and Health Services. The Annals of Family Medicine. https://doi.org/10.1370/afm.983
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
