Evidence map›Paper›PMID 28674127›Full record

ArticleBMJ open2017

Multimorbidity and patterns of chronic conditions in a primary care population in Switzerland: a cross-sectional study.

Anouk Déruaz-Luyet, A Alexandra N'Goran, Nicolas Senn, Patrick Bodenmann, Jérôme Pasquier, Daniel Widmer, Ryan Tandjung, Thomas Rosemann, Peter Frey, Sven Streit and 5 more

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

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 58 citations in OpenAlex.

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  15. Rising burden of multimorbidity and related socio-demographic factors: a repeated cross-sectional study of Ontarians.Canadian journal of public health = Revue canadienne de sante publique · 2021
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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

15 authors at 6 institutions in 1 country.

Anouk Déruaz-LuyetInstitute of Family Medicine, University of Lausanne, Lausanne, Switzerland.
A Alexandra N'GoranInstitute of Family Medicine, University of Lausanne, Lausanne, Switzerland.
Nicolas SennInstitute of Family Medicine, University of Lausanne, Lausanne, Switzerland.
Patrick BodenmannDepartment of Ambulatory Care and Community Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Jérôme PasquierInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Daniel WidmerInstitute of Family Medicine, University of Lausanne, Lausanne, Switzerland.
Ryan TandjungInstitute of Primary Care, University of Zurich, Zurich, Switzerland.
Thomas RosemannInstitute of Primary Care, University of Zurich, Zurich, Switzerland.
Peter FreyInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Sven StreitInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Andreas ZellerCentre for Primary Health Care, University of Basel, Basel, Switzerland.
Dagmar M HallerPrimary Care Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID 0000-0003-1781-3318
Sophie ExcoffierPrimary Care Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Bernard BurnandInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Lilli HerzigInstitute of Family Medicine, University of Lausanne, Lausanne, Switzerland.
University of Lausanne · CHInstitute of Social and Preventive Medicine · CHUniversity of Bern · CHUniversity of Geneva · CHUniversity of Zurich · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterise in details a random sample of multimorbid patients in Switzerland and to evaluate the clustering of chronic conditions in that sample.

methods100 general practitioners (GPs) each enrolled 10 randomly selected multimorbid patients aged ≥18 years old and suffering from at least three chronic conditions. The prevalence of 75 separate chronic conditions from the International Classification of Primary Care-2 (ICPC-2) was evaluated in these patients. Clusters of chronic conditions were studied in parallel.

resultsThe final database included 888 patients. Mean (SD) patient age was 73.0 (12.0) years old. They suffered from 5.5 (2.2) chronic conditions and were prescribed 7.7 (3.5) drugs; 25.7% suffered from depression. Psychological conditions were more prevalent among younger individuals (≤66 years old). Cluster analysis of chronic conditions with a prevalence ≥5% in the sample revealed four main groups of conditions: (1) cardiovascular risk factors and conditions, (2) general age-related and metabolic conditions, (3) tobacco and alcohol dependencies, and (4) pain, musculoskeletal and psychological conditions.

conclusionGiven the emerging epidemic of multimorbidity in industrialised countries, accurately depicting the multiple expressions of multimorbidity in family practices' patients is a high priority. Indeed, even in a setting where patients have direct access to medical specialists, GPs nevertheless retain a key role as coordinators and often as the sole medical reference for multimorbid patients.

Indexed as

AdultAgedAged, 80 and overAge FactorsChronic DiseaseCluster AnalysisComorbidityCross-Sectional StudiesDrug PrescriptionsGeneral PracticeHumansMiddle AgedPrevalencePrimary Health CareSwitzerlandepidemiologyfamily medicinemultimorbiditySwitzerland

Identifiers

PMID28674127
PMCPMC5734197
OpenAlexW2724440900

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.