ArticleFamily practice2013
Comparisons of multi-morbidity in family practice--issues and biases.
Article in Family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Prevalence and pattern of acute and chronic multimorbidity across all body systems and age groups in primary health care.Scientific reports · 2022Article
- Clustering of comorbidities.Future healthcare journal · 2021Article
- Association Between Multimorbid Disease Patterns and Pain Outcomes Among a Complex Chronic Care Population in Canada.Journal of pain research · 2020Article
- Measuring multimorbidity in older adults: comparing different data sources.BMC geriatrics · 2019Article
- Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study.BJGP open · 2019Article
- Snapshot of the primary care waiting room: Informing practice redesign to align with the Patient's Medical Home model.Canadian family physician Medecin de famille canadien · 2018Article
- Nutrition and obesity care in multidisciplinary primary care settings in Ontario, Canada: Short duration of visits and complex health problems perceived as barriers.Preventive medicine reports · 2018Article
- Article
- Assessing and Measuring Chronic Multimorbidity in the Older Population: A Proposal for Its Operationalization.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017Article
- A scoping review of the potential for chart stimulated recall as a clinical research method.BMC health services research · 2017Article
- Evidence-based design recommendations for prevalence studies on multimorbidity: improving comparability of estimates.Population health metrics · 2017Article
- The burden of cardiovascular morbidity in a European Mediterranean population with multimorbidity: a cross-sectional study.BMC family practice · 2016Article
- Designing Integrated Approaches to Support People with Multimorbidity: Key Messages from Systematic Reviews, Health System Leaders and Citizens.Healthcare policy = Politiques de sante · 2016Review
- Prevalence of self-reported multimorbidity in the general population and in primary care practices: a cross-sectional study.BMC research notes · 2016Article
- Prevalence of multimorbidity in the adult population attending primary care in Portugal: a cross-sectional study.BMJ open · 2015Article
- Multimorbidity and weight loss in obese primary care patients: longitudinal study based on electronic healthcare records.BMJ open · 2015Article
- Examining the prevalence and patterns of multimorbidity in Canadian primary healthcare: a methodologic protocol using a national electronic medical record database.Journal of comorbidity · 2015Article
- Overcoming cut-off restrictions in multimorbidity prevalence estimates.BMC public health · 2014Article
- Examining different measures of multimorbidity, using a large prospective cross-sectional study in Australian general practice.BMJ open · 2014Article
- Multimorbidity in primary care in Portugal (MM-PT): a cross-sectional three-phase observational study protocol.BMJ open · 2014Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the population ages, practice and policy need to be guided by accurate estimates of chronic disease burden in primary care.
objectiveTo produce a preliminary set of methodological considerations for cross-sectional and retrospective cohort studies of multi-morbidity in primary care using three studies as examples. Prevalence rate results from the three studies were re-estimated using identical age-sex groups.
methodsWe compared the methods and results of three separate studies in primary care: (i) patients in the Saguenay region of Quebec, Canada (2005); (ii) a substudy of the BEACH (Bettering the Evaluation and Care of Health) programme in Australia (2008); and (iii) the DELPHI (Deliver Primary Health Care Information) project in South-western Ontario, Canada (2009). Areas where the methods of multi-morbidity studies may differ were identified. The percentage of patients with two or more chronic conditions was compared by age-sex groups.
resultsMulti-morbidity prevalence varied by as much as 61%, where reported prevalence was 95% among females aged 45-64 in the Saguenay study, 46% in the BEACH substudy and 34% in the DELPHI study. Several aspects of the methods and study designs were identified as differing among the studies, including the sampling of frequent attenders, sampling period, source of data, and both the definition and count of chronic conditions.
conclusionsUnderstanding the differences among the methods used to produce prevalence data on multi-morbidity in primary care can help explain the varying results. Standardization of methods would allow for more valid inter-study comparisons.
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