ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2017
Estimating multimorbidity prevalence with the Canadian Chronic Disease Surveillance System.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.
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Who cites it
57 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Pooled it
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- Implementation of a surveillance and monitoring system for chronic disease: A scoping review: Running title: Chronic disease surveillance and monitoring system.AIMS public health · 2026Review
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- Prevalence and sequence of chronic conditions in older people with dementia: a multi-province, population-based cohort study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
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- Examining the association of psychosocial and health behaviors with life satisfaction among canadians: a nationally representative study.Archives of public health = Archives belges de sante publique · 2025Article
- Healthcare trajectories of aging individuals during their last year of life: application of process mining methods to administrative health databases.BMC medical informatics and decision making · 2025Article
- Symptom representations in people with multimorbidity undergoing treatment for cancer: a qualitative descriptive study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
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- Minimum elements for reporting a multi-jurisdiction feasibility assessment of algorithms based on routinely collected health data: Health Data Research Network Canada recommendations.International journal of population data science · 2025Article
- Myocardial Infarction Within 30 Days of Discharge From an Emergency Department: A Descriptive Study of Albertan Women.CJC open · 2024Article
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- Prevalence and patterns of multimorbidity among linguistic groups of patients receiving home care in Ontario: a retrospective cohort study.BMC geriatrics · 2023Article
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- Trends and all-cause mortality associated with multimorbidity of non-communicable diseases among adults in the United States, 1999-2018: a retrospective cohort study.Epidemiology and health · 2023Article
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3 authors.
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Abstract
introductionThe Public Health Agency of Canada's Canadian Chronic Disease Surveillance System (CCDSS) uses a validated, standardized methodology to estimate prevalence of individual chronic diseases, such as diabetes. Expansion of the CCDSS for surveillance of multimorbidity, the co-occurrence of two or more chronic diseases, could better inform health promotion and disease prevention. The objective of this study was to assess the feasibility of using the CCDSS to estimate multimorbidity prevalence.
methodsWe used administrative health data from seven provinces and three territories and five validated chronic conditions (i.e. cardiovascular disease, respiratory disease, mental illness, hypertension and diabetes) to estimate multimorbidity prevalence. We produced age-standardized (using Canada's 1991 population) and age-specific estimates for two multimorbidity definitions: (1) two or more conditions, and (2) three or more conditions from the five validated conditions, by sex, fiscal year and geography.
resultsAmong Canadians aged 40 years and over in the fiscal year 2011/12, the prevalence of two or more and three or more chronic conditions was 26.5% and 10.2%, respectively, which is comparable to other estimates based on administrative health data. The increase in multimorbidity prevalence with increasing age was similar across provinces. The difference in prevalence for males and females varied by province and territory. We observed substantial variation in estimates over time. Results were consistent for the two definitions of multimorbidity.
conclusionThe CCDSS methodology can produce comparative estimates of multimorbidity prevalence across provinces and territories, but there are challenges in using it to estimate temporal trends. Further expansion of the CCDSS in the number and breadth of validated case definitions will improve the accuracy of multimorbidity surveillance for the Canadian population.
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