ArticleJournal of comorbidity2012
A scoping review and thematic classification of patient complexity: offering a unifying framework.
Article in Journal of comorbidity, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
104 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding "Alert Fatigue" in Primary Care: Qualitative Systematic Review of General Practitioners Attitudes and Experiences of Clinical Alerts, Prompts, and Reminders.Journal of medical Internet research · 2025Pooled it
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Trial
- Assessing the Implementation and Effectiveness of the Electronic Patient-Reported Outcome Tool for Older Adults With Complex Care Needs: Mixed Methods Study.Journal of medical Internet research · 2021Trial
- Beyond scope of practice: a prescribing autonomy framework to support early-career prescribers.International journal of clinical pharmacy · 2026Article
- Using a Large Language Model to Support Thematic Analysis of Patient Experiences in Chronic Illness Management: Comparative Qualitative Study.Journal of medical Internet research · 2026Article
- Complex presentations of child conduct problems: Validation of a competency-based model for clinical practice.JCPP advances · 2026Article
- Exploring Patient and Caregiver Work and Continuity of Care During Hospital-to-Home Transitions of Care in the Canadian Context.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Risk factors associated with nursing-sensitive adverse events in older hospitalised patients: A retrospective chart review.International journal of nursing studies advances · 2026Article
- Multiprofessional and multidisciplinary teleconsultation for the management of multimorbidity: preliminary results from the joint action JADECARE.BMC health services research · 2026Article
- "Your Digital Doctor Will Now See You": A Narrative Review of VR and AI Technology in Chronic Illness Management.Healthcare (Basel, Switzerland) · 2026Review
- Usability and potential impact of a web-based literacy-oriented intervention for community-dwelling patients with complex care needs: a mixed methods case report.Journal of the Medical Library Association : JMLA · 2026Article
- Patient complexity profiles in depression: a machine learning approach to personalized mental health.Frontiers in psychiatry · 2026Article
- What makes patients in primary care complex? A scoping review combined with a focus group analysis.Scandinavian journal of primary health care · 2025Article
- What does 'complex' mean for the general medicine team? Exploring the characteristics, outcomes and clinician perspectives of complex patients: an observational cohort and cross-sectional survey.Internal medicine journal · 2025Observational
- Administrative burden in primary care: Critical review.Canadian family physician Medecin de famille canadien · 2025Review
- Article
- Article
- The evolving landscape of health and social care integration: in search of a unifying theory.Frontiers in medicine · 2025Article
- Shared decision-making with patients with complex care needs: a scoping review.BMC primary care · 2024Article
44 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The path to improving healthcare quality for individuals with complex health conditions is complicated by a lack of common understanding of complexity. Modern medicine, together with social and environmental factors, has extended life, leading to a growing population of patients with chronic conditions. In many cases, there are social and psychological factors that impact treatment, health outcomes, and quality of life. This is the face of complexity. Care challenges, burden, and cost have positioned complexity as an important health issue. Complex chronic conditions are now being discussed by clinicians, researchers, and policy-makers around such issues as quantification, payment schemes, transitions, management models, clinical practice, and improved patient experience. We conducted a scoping review of the literature for definitions and descriptions of complexity. We provide an overview of complex chronic conditions, and what is known about complexity, and describe variations in how it is understood. We developed a Complexity Framework from these findings to guide our approach to understanding patient complexity. It is critical to use common vernacular and conceptualization of complexity to improve service and outcomes for patients with complex chronic conditions. Many questions still persist about how to develop this work with a health and social care lens; our framework offers a foundation to structure thinking about complex patients. Further insight into patient complexity can inform treatment models and goals of care, and identify required services and barriers to the management of complexity. Journal of Comorbidity 2012;2:1-9.
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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.