Evidence map›Paper›PMID 25903064›Full record

ArticleBMC public health2015

The increasing burden and complexity of multimorbidity.

Anna J Koné Pefoyo, Susan E Bronskill, Andrea Gruneir, Andrew Calzavara, Kednapa Thavorn, Yelena Petrosyan, Colleen J Maxwell, YuQing Bai, Walter P Wodchis

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 326 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
326citing papers in PubMed, 12 pooled it
24.2field-weighted citation impact, top 1% 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

326 citing papers in PubMed, 12 syntheses or guidelines pooled it, 636 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.Health expectations : an international journal of public participation in health care and health policy · 2021
    Pooled it
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Article
  19. Article
  20. Article

266 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

9 authors at 3 institutions in 1 country.

Anna J Koné PefoyoCancer Screening, Cancer Care Ontario/Action Cancer Ontario, 505 University Avenue, Room 18-14, Toronto, M5G 1X3, Ontario, Canada. Anna.Kone@cancercare.on.ca.
Susan E BronskillInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. susan.bronskill@ices.on.ca.
Andrea GruneirInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. gruneir@ualberta.ca.
Andrew CalzavaraInstitute for Clinical Evaluative Sciences, Toronto, ON, Canada. andrew.calzavara@ices.on.ca.
Kednapa ThavornInstitute for Clinical Evaluative Sciences, Toronto, ON, Canada. kthavorn@ohri.ca.
Yelena PetrosyanInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. yelena.petrosyan@mail.utoronto.ca.
Colleen J MaxwellInstitute for Clinical Evaluative Sciences, Toronto, ON, Canada. colleen.maxwell@uwaterloo.ca.
YuQing BaiInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. yuqing.bai@utoronto.ca.
Walter P WodchisInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. walter.wodchis@utoronto.ca.
Institute for Clinical Evaluative Sciences · CAUniversity of Toronto · CACancer Care Ontario · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultimorbidity, 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.

methodsThis 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.

resultsThe 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.

conclusionThe 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.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolChronic DiseaseComorbidityFemaleHumansInfantInfant, NewbornMaleMiddle AgedOntarioPrevalence

Identifiers

PMID25903064
PMCPMC4415224
OpenAlexW2017978677

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.