Evidence map›Paper›PMID 24934411›Full record

Observational studyBMC geriatrics2014

Age and gender differences in the prevalence and patterns of multimorbidity in the older population.

José María Abad-Díez, Amaia Calderón-Larrañaga, Antonio Poncel-Falcó, Beatriz Poblador-Plou, José Manuel Calderón-Meza, Antoni Sicras-Mainar, Mercedes Clerencia-Sierra, Alexandra Prados-Torres

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC geriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 3 syntheses or guidelines pooled it, 247 citations in OpenAlex.

  1. Pooled it
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  15. Health-related quality of life trajectories among older breast cancer survivors: a SEER-MHOS analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  20. Sex-Specific Multimorbidity-Multibehaviour Patterns in Primary Care Populations.International journal of environmental research and public health · 2025
    Observational

54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

José María Abad-DíezDepartment of Health Wellbeing and Family, Government of Aragón, Zaragoza, Spain. jmabad@aragon.es.
Amaia Calderón-Larrañaga
Antonio Poncel-Falcó
Beatriz Poblador-Plou
José Manuel Calderón-Meza
Antoni Sicras-Mainar
Mercedes Clerencia-Sierra
Alexandra Prados-Torres
Instituto de Investigación Sanitaria Aragón · ESBadalona Serveis Assistencials · ESServicio Aragonés de Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coexistence of several chronic diseases in one same individual, known as multimorbidity, is an important challenge facing health care systems in developed countries. Recent studies have revealed the existence of multimorbidity patterns clustering systematically associated distinct clinical entities. We sought to describe age and gender differences in the prevalence and patterns of multimorbidity in men and women over 65 years.

methodsObservational retrospective multicentre study based on diagnostic information gathered from electronic medical records of 19 primary care centres in Aragon and Catalonia. Multimorbidity patterns were identified through exploratory factor analysis. We performed a descriptive analysis of previously obtained patterns (i.e. cardiometabolic (CM), mechanical (MEC) and psychogeriatric (PG)) and the diseases included in the patterns stratifying by sex and age group.

results67.5% of the aged population suffered two or more chronic diseases. 32.2% of men and 45.3% of women were assigned to at least one specific pattern of multimorbidity, and 4.6% of men and 8% of women presented more than one pattern simultaneously. Among women over 65 years the most frequent pattern was the MEC pattern (33.3%), whereas among men it was the CM pattern (21.2%). While the prevalence of the CM and MEC patterns decreased with age, the PG pattern showed a higher prevalence in the older age groups.

conclusionsSignificant gender differences were observed in the prevalence of multimorbidity patterns, women showing a higher prevalence of the MEC and PG patterns, as well as a higher degree of pattern overlapping, probably due to a higher life expectancy and/or worse health. Future studies on multimorbidity patterns should take into account these differences and, therefore, the study of multimorbidity and its impact should be stratified by age and sex.

Indexed as

Population SurveillanceSex CharacteristicsAgedAged, 80 and overAge FactorsAgingCardiovascular DiseasesComorbidityFemaleHumansMaleMental DisordersPrevalenceRetrospective StudiesSpain

Identifiers

PMID24934411
PMCPMC4070347
OpenAlexW2041009929

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.