Evidence map›Paper›PMID 30753214›Full record

ArticlePloS one2019

Trends in multimorbidity and polypharmacy in the Flemish-Belgian population between 2000 and 2015.

Marjan van den Akker, Bert Vaes, Geert Goderis, Gijs Van Pottelbergh, Tine De Burghgraeve, Séverine Henrard

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Marjan van den AkkerDepartment of Family Medicine, School Caphri, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0002-1022-8637
Bert VaesDepartment of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium.ORCID 0000-0001-5244-1930
Geert GoderisDepartment of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium.
Gijs Van PottelberghDepartment of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium.
Tine De BurghgraeveDepartment of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium.
Séverine HenrardDepartment of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium.
KU Leuven · BEMaastricht University · NLUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this paper was to describe the time trends in the prevalence of multimorbidity and polypharmacy in Flanders (Belgium) between 2000 and 2015, while controlling for age and sex.

methodsData were available from Intego, a Flemish-Belgian general practice-based morbidity registration network. The practice population between 2000 and 2015 was used as the denominator, representing a mean of 159,946 people per year. Age and gender-standardised prevalence rates were used for the trends of multimorbidity and polypharmacy in the total population and for subgroups. Joinpoint regression analyses were used to analyse the time trends and breaks in trends, for the entire population as well as for specific age and sex groups.

resultsOverall, in 2015, 22.7% of the population had multimorbidity, while the overall prevalence of polypharmacy was 20%. Throughout the study period the standardised prevalence rate of multimorbidity rose for both sexes and in all age groups. The largest relative increase in multimorbidity was observed in the younger age groups (up to the age of 50 years). The prevalence of polypharmacy showed a significant increase between 2000 and 2015 for all age groups except the youngest (0-25 years).

conclusionFor all adult age groups multimorbidity and polypharmacy are frequent, dynamic over time and increasing. This asks for both epidemiological and interventional studies to improve the management of the resulting complex care.

Indexed as

PolypharmacyAdolescentAdultAgedAged, 80 and overBelgiumChildChild, PreschoolChronic DiseaseDatabases, FactualFemaleHumansMaleMiddle AgedMultimorbidityYoung Adult

Identifiers

PMID30753214
PMCPMC6372187
OpenAlexW2911828070

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.