Evidence map›Paper›PMID 29090187›Full record

ArticleJournal of comorbidity2017

Multimorbidity: constellations of conditions across subgroups of midlife and older individuals, and related Medicare expenditures.

Siran M Koroukian, Nicholas K Schiltz, David F Warner, Jiayang Sun, Kurt C Stange, Charles W Given, Avi Dor

Abstract read
In one paragraph

Article in Journal of comorbidity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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.

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

16 citing papers in PubMed.

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  11. Mining Complex Genetic Patterns Conferring Multiple Sclerosis Risk.International journal of environmental research and public health · 2021
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  16. Increasing Burden of Complex Multimorbidity Across Gradients of Cognitive Impairment.American journal of Alzheimer's disease and other dementias · 2017
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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

7 authors.

Siran M KoroukianDepartment of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Nicholas K SchiltzDepartment of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
David F WarnerDepartment of Sociology, University of Nebraska-Lincoln, Lincoln, NE, USA.
Jiayang SunDepartment of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Kurt C StangeDepartment of Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Charles W GivenDepartment of Family Medicine, Michigan State University, East Lansing, MI, USA.
Avi DorTachtenberg School of Public Policy & Public Administration, George Washington University, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Department of Health and Human Services' 2010 Strategic Framework on Multiple Chronic Conditions called for the identification of common constellations of conditions in older adults.

objectivesTo analyze patterns of conditions constituting multimorbidity (CCMM) and expenditures in a US representative sample of midlife and older adults (50-64 and ≥65 years of age, respectively).

designA cross-sectional study of the 2010 Health and Retirement Study (HRS;

resultsNo large representations of participants within specific CCMM categories were observed; however, functional limitations and geriatric syndromes were prominently present with higher CCMM counts. Among fee-for-service Medicare beneficiaries aged 50-64 years, 26.7% of the participants presented with ≥10 CCMM, but incurred 48% of the expenditure. In those aged ≥65 years, these percentages were 16.9% and 34.4%, respectively.

conclusionFunctional limitations and geriatric syndromes considerably add to the MM burden in midlife and older adults. This burden is much higher than previously reported.

Indexed as

comorbidityfunctional limitationsgeriatric syndromeshealthcare expendituresmultimorbidity

Identifiers

PMID29090187
PMCPMC5556436

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Registered trials

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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.