ArticleJournal of medical Internet research2018
Prevalence of Multiple Chronic Conditions Among Older Adults in Florida and the United States: Comparative Analysis of the OneFlorida Data Trust and National Inpatient Sample.
Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Community-Based Advance Care Planning Interventions for Minority Older Adults: A Systematic Review.Journal of gerontological nursing · 2021Pooled it
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- Using electronic health records to understand multimorbidity in older people: a scoping review.European geriatric medicine · 2025Article
- Functional independence trajectories over 5 years in older veterans with traumatic brain injury: A model systems study.PM & R : the journal of injury, function, and rehabilitation · 2025Observational
- Risk factors and outcomes of hyperactive delirium in older medical inpatients admitted to non-intensive care unit: a prospective cohort study.BMC psychiatry · 2025Observational
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- Comorbidity Networks From Population-Wide Health Data: Aggregated Data of 8.9M Hospital Patients (1997-2014).Scientific data · 2025Article
- Relationships Among Comorbidities, Disease Severity, and Hospitalization Duration in the United States Using the Healthcare Cost and Utilization Project (HCUP) Database.Journal of clinical medicine · 2025Article
- Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients.Pulmonary circulation · 2025Article
- Descriptive Epidemiology of New York City Older Adult Patients With Multiple Chronic Conditions.Preventing chronic disease · 2024Article
- Drug Related Problems among Older Inpatients at a Tertiary Care Setting.Journal of clinical medicine · 2024Article
- Knowledge, attitudes and beliefs toward polypharmacy among older people attending Family Medicine Clinic, Nairobi, Kenya.BMC geriatrics · 2024Article
- A fuzzy based dietary clinical decision support system for patients with multiple chronic conditions (MCCs).Scientific reports · 2023Article
- 20-year trends in multimorbidity by race/ethnicity among hospitalized patient populations in the United States.International journal for equity in health · 2023Article
- Predicting the Risk of Alzheimer's Disease and Related Dementia in Patients with Mild Cognitive Impairment Using a Semi-Competing Risk Approach.Informatics (MDPI) · 2023Article
- Companion: A Pilot Randomized Clinical Trial to Test an Integrated Two-Way Communication and Near-Real-Time Sensing System for Detecting and Modifying Daily Inactivity among Adults >60 Years-Design and Protocol.Sensors (Basel, Switzerland) · 2023Article
- 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
- Observational
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Authors and funding
7 authors.
Funding
Abstract
backgroundOlder patients with multiple chronic conditions are often faced with increased health care needs and subsequent higher medical costs, posing significant financial burden to patients, their caregivers, and the health care system. The increasing adoption of electronic health record systems and the proliferation of clinical data offer new opportunities for prevalence studies and for population health assessment. The last few years have witnessed an increasing number of clinical research networks focused on building large collections of clinical data from electronic health records and claims to make it easier and less costly to conduct clinical research.
objectiveThe aim of this study was to compare the prevalence of common chronic conditions and multiple chronic conditions in older adults between Florida and the United States using data from the OneFlorida Clinical Research Consortium and the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS).
methodsWe first analyzed the basic demographic characteristics of the older adults in 3 datasets-the 2013 OneFlorida data, the 2013 HCUP NIS data, and the combined 2012 to 2016 OneFlorida data. Then we analyzed the prevalence of each of the 25 chronic conditions in each of the 3 datasets. We stratified the analysis of older adults with hypertension, the most prevalent condition. Additionally, we examined trends (ie, overall trends and then by age, race, and gender) in the prevalence of discharge records representing multiple chronic conditions over time for the OneFlorida (2012-2016) and HCUP NIS cohorts (2003-2013).
resultsThe rankings of the top 10 prevalent conditions are the same across the OneFlorida and HCUP NIS datasets. The most prevalent multiple chronic conditions of 2 conditions among the 3 datasets were-hyperlipidemia and hypertension; hypertension and ischemic heart disease; diabetes and hypertension; chronic kidney disease and hypertension; anemia and hypertension; and hyperlipidemia and ischemic heart disease. We observed increasing trends in multiple chronic conditions in both data sources.
conclusionsThe results showed that chronic conditions and multiple chronic conditions are prevalent in older adults across Florida and the United States. Even though slight differences were observed, the similar estimates of prevalence of chronic conditions and multiple chronic conditions across OneFlorida and HCUP NIS suggested that clinical research data networks such as OneFlorida, built from heterogeneous data sources, can provide rich data resources for conducting large-scale secondary data analyses.
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