ArticleInternational journal of public health2017
Expansion or compression of multimorbidity? 10-year development of life years spent in multimorbidity based on health insurance claims data of Lower Saxony, Germany.
Article in International journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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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.
The trial behind it
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Who cites it
22 citing papers in PubMed, 56 citations in OpenAlex.
- Life-extending interventions do not necessarily result in compression of morbidity: a case example offering a robust statistical approach.GeroScience · 2026Article
- The impact of ageing, socio-economic differences and the evolution of morbidity on future health expenditure - a dynamic microsimulation.BMC health services research · 2025Article
- Effectiveness of a delegated primary care model in rural areas: design and methodology of a longitudinal observational study.BMC health services research · 2025Article
- Multimorbid life expectancy across race, socio-economic status, and sex in South Africa.Population studies · 2025Article
- Trends over the past 15 years in long-term care in Switzerland: a comparison with Germany, Italy, Norway, and the United Kingdom.BMC geriatrics · 2024Article
- [How has life expectancy without functional limitations developed in Germany? An analysis with data from the German Ageing Survey (DEAS)].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Examining supporting and constraining factors of physicians' acceptance of telemedical online consultations: a survey study.BMC health services research · 2023Article
- [Slow demographic change and neurological rehabilitation-Part 1: state of affairs].Der Nervenarzt · 2023Review
- Living longer, working longer: analysing time trends in working life expectancy in Germany from a health perspective between 2002 and 2018.European journal of ageing · 2022Article
- Compression and Expansion of Morbidity—Secular Trends Among Cohorts of the Same AgeDeutsches Arzteblatt international · 2022Review
- Trends over two decades in life expectancy with complex health problems among older Swedes: implications for the provision of integrated health care and social care.BMC public health · 2022Article
- When do physicians perceive the success of a new care model differently?BMC health services research · 2021Article
- Does social support mediate the effect of multimorbidity on mental wellbeing in the German working population? A longitudinal mediation analysis using structural equation modelling.SSM - population health · 2021Article
- Are Disability Rates among People with Diabetes Increasing in Germany? A Decomposition Analysis of Temporal Change between 2004 and 2015.Journal of aging and health · 2021Article
- People with multimorbidity in outpatient care: patient-focused and needs-oriented healthcare management (MamBo) - protocol for a multiperspective evaluation study.BMC health services research · 2020Article
- Trends in grip strength: Age, period, and cohort effects on grip strength in older adults from Germany, Sweden, and Spain.SSM - population health · 2019Article
- Health of Spanish centenarians: a cross-sectional study based on electronic health records.BMC geriatrics · 2019Observational
- [Integrated neurorehabilitation improves efficacy of treatment].Der Nervenarzt · 2019Article
- Horizons in the evolution of aging.BMC biology · 2018Review
- Widening inequalities in multimorbidity? Time trends among the working population between 2005 and 2015 based on German health insurance data.International journal for equity in health · 2018Observational
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOur study examined how life years spent in multimorbidity changed over a period of 10 years (2005-2014) and whether morbidity expansion or compression has taken place. There is a little evidence on whether life years gained due to increasing life expectancy are spent in good health, or if they are accompanied by morbidity expansion.
methodsThe analyses are based on German administrative claims data. Multimorbidity was defined as a combination of at least six chronic conditions and polypharmacy. After having estimated age-standardized prevalence, time trends for life years with and without multimorbidity, and the proportion of life years spent in multimorbidity (morbidity ratio) were estimated.
resultsPrevalence proportions of multimorbidity rose continuously. Increasing life expectancies were accompanied by increasing life years with multimorbidity, decreasing multimorbidity-free life years, and by an increasing morbidity ratio.
conclusionsThe lifespan spent in multimorbidity was increasing over time. Our findings indicate a growing burden of multimorbidity and an increasing proportion of life years with multiple chronic conditions. It can be concluded that an expansion of morbidity in absolute and in relative terms has occurred. The findings stress the importance of prevention, healthy lifestyles, and improved medical care strategies meeting the specific requirements of patients with multimorbidity.
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