Evidence map›Paper›PMID 26381383›Full record

ArticleBMC family practice2015

What research agenda could be generated from the European General Practice Research Network concept of Multimorbidity in Family Practice?

J Y Le Reste, P Nabbe, H Lingner, D Kasuba Lazic, R Assenova, M Munoz, A Sowinska, C Lygidakis, C Doerr, S Czachowski and 11 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04386135 (DESVELA Cohort. Analysis of the Role of Personal Skills as Determinants of Incidence of Morbidity, Lifestyles, Quality of Life, Use of Services and Mortality.), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

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

NCT04386135 unknown statusnot on this mapstarted 2021, after this paper: background citation

DESVELA Cohort. Analysis of the Role of Personal Skills as Determinants of Incidence of Morbidity, Lifestyles, Quality of Life, Use of Services and Mortality.

TypeobservationalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2021 to 2025Enrolled3,260ConditionsGeneral Population, Health Knowledge, Attitudes, Practice, Empowerment, Health Care Utilization
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Caring for high-need patients.BMC health services research · 2023
    Article
  7. Article
  8. Observational
  9. Article
  10. Predicting Incident Multimorbidity.Annals of family medicine · 2018
    Article
  11. Article
  12. Article
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

21 authors.

J Y Le ResteERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. lereste@univ-brest.fr.
P NabbeERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. nabbe.patrice@univ-brest.fr.
H LingnerCentre for Public Health and Healthcare, Hannover Medical School, Hannover, Germany. Lingner.Heidrun@mh-hannover.de.
D Kasuba LazicDepartment of General Practice, University of Zagreb, Zagreb, Croatia. djlazic@gmail.com.
R AssenovaDepartment of General Practice, University of Plovdiv, Plovdiv, Bulgaria. r_assenova@yahoo.com.
M MunozIDIAP Jordi GOL Unitat de Support a la Recerca, Barcelona, Spain. mamunoz.bcn.ics@gencat.cat.
A SowinskaDepartment of English, Nicolaus Copernicus University, Torun, Poland. sowinska@umk.pl.
C LygidakisAssociazione Italiana Medici di Famiglia (AIMEF), Bologna, Italy. lygidakis@gmail.com.
C DoerrAllgemein Medizin Hochschule Göttingen, Göttingen, Germany. christa@docdoerr.de.
S CzachowskiDepartment of Family Doctor, University Nicolaus Copernicus, Torun, Poland. s.czachowski@to.home.pl.
S ArgyriadouThe Greek Association of General Practitioners (ELEGEIA), Thessaloniki, Greece. starge@otenet.gr.
J ValderasPatient Centred Care Lead, University of Exeter Collaboration for Academic Primary Care (APEx), University of Exeter Medical School, Exeter, UK. J.M.Valderas@exeter.ac.uk.
B Le FlochERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. blefloch1@univ-brest.fr.
J DeriennicERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. jeremy_derriennic@hotmail.com.
T JanERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. thomas.jan56@hotmail.fr.
E MelotERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. Etienne.melot@gmail.com.
P BarraineERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. Pierre.barraine@univ-brest.fr.
M OdoricoERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France. micky_odo@hotmail.it.
C LietardDepartment of Public Health, Université de Bretagne Occidentale, Brest, France. Claire.Lietard@univ-brest.fr.
P Van RoyenDepartment of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, Universiteit Antwerpen, Antwerpen, Belgium. paul.vanroyen@uantwerpen.be.
H Van MarwijkPrimary Care Research Center, Williamson Building, Oxford Road, Manchester, UK. Harm.vanmarwijk@manchester.ac.uk.

Funding

Department of Health NIHR/CS/010/024
6 · The paper itself

Abstract

backgroundMultimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the concept based on a systematic review of the literature which is closely linked to patient complexity and to the biopsychosocial model. This concept was identified by European Family Physicians (FPs) throughout Europe using 13 qualitative surveys. To further our understanding of the issues around multimorbidity, we needed to do innovative research to clarify this concept. The research question for this survey was: what research agenda could be generated for Family Medicine from the EGPRN concept of Multimorbidity?

methodsNominal group design with a purposive panel of experts in the field of multimorbidity. The nominal group worked through four phases: ideas generation phase, ideas recording phase, evaluation and analysis phase and a prioritization phase.

resultsFifteen international experts participated. A research agenda was established, featuring 6 topics and 11 themes with their corresponding study designs. The highest priorities were given to the following topics: measuring multimorbidity and the impact of multimorbidity. In addition the experts stressed that the concept should be simplified. This would be best achieved by working in reverse: starting with the outcomes and working back to find the useful variables within the concept.

conclusionThe highest priority for future research on multimorbidity should be given to measuring multimorbidity and to simplifying the EGPRN model, using a pragmatic approach to determine the useful variables within the concept from its outcomes.

Indexed as

Biomedical ResearchComorbidityFamily PracticeAdultEuropeFemaleHumansMaleMiddle AgedResearch

Identifiers

PMID26381383
PMCPMC4574005

What OpenQuestion holds

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Registered trials

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.