ArticleHospital pediatrics2019
Epidemiology of Children With Multiple Complex Chronic Conditions in a Mixed Urban-Rural US Community.
Article in Hospital pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How are children with medical complexity being identified in epidemiological studies? A systematic review.World journal of pediatrics : WJP · 2023Pooled it
- Increasing complexity in children with life-limiting conditions in England: an analysis of national routine data.Archives of disease in childhood · 2026Article
- Chronic complex conditions and functional limitations among Métis children in Alberta, Canada: a retrospective cohort study.Paediatrics & child health · 2026Article
- Did government subsidy program improve quality of care for children with complex chronic conditions in children's hospitals? A quasi-experimental study in South Korea.Clinical and experimental pediatrics · 2026Article
- Identification and characteristics of children with complex chronic diseases in the paediatric ward of a tertiary hospital: a prospective study.European journal of pediatrics · 2026Article
- Sociodemographic and Clinical Predictors of Mortality in Adults With Congenital Heart Disease.Journal of the American Heart Association · 2026Article
- Trends in Hospital Resource Use for Children With Complex Chronic Conditions.JAMA network open · 2025Article
- Family perspectives and experiences on implementing telehealth in pediatric palliative care: a qualitative approach.European journal of pediatrics · 2025Article
- Increasing diagnoses per patient admission at a specialist children's hospital: A retrospective study.PloS one · 2025Article
- Height status matters for risk of mortality in critically ill children.Journal of intensive care · 2024Article
- Rural Health Disparities in Allergy, Asthma, and Immunologic Diseases: The Current State and Future Direction for Clinical Care and Research.The journal of allergy and clinical immunology. In practice · 2024Review
- Crossroads of parental decision making: Intersections of hope, communication, relationships, and emotions.Journal of child health care : for professionals working with children in the hospital and community · 2023Article
- Assessing socioeconomic bias in machine learning algorithms in health care: a case study of the HOUSES index.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Fifteen-year trajectories of multimorbidity and polypharmacy in Dutch primary care-A longitudinal analysis of age and sex patterns.PloS one · 2022Article
- Role of geographic risk factors and social determinants of health in COVID-19 epidemiology: Longitudinal geospatial analysis in a midwest rural region.Journal of clinical and translational science · 2022Article
- The incidence of multimorbidity and patterns in accumulation of chronic conditions: A systematic review.Journal of multimorbidity and comorbidityReview
- Association of Perinatal Factors With Severe Obesity and Dyslipidemia in Adulthood.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesChildren with multiple complex chronic conditions (MCCs) represent a small fraction of our communities but a disproportionate amount of health care cost and mortality. Because the temporal trends of children with MCCs within a geographically well-defined US pediatric population has not been previously assessed, health care planning and policy for this vulnerable population is limited.
methodsIn this population-based, repeated cross-sectional study, we identified and enrolled all eligible children residing in Olmsted County, Minnesota, through the Rochester Epidemiology Project, a medical record linkage system of Olmsted County residents. The pediatric complex chronic conditions classification system version 2 was used to identify children with MCCs. Five-year period prevalence and incidence rates were calculated during the study period (1999-2014) and characterized by age, sex, ethnicity, and socioeconomic status (SES) by using the housing-based index of socioeconomic status, a validated individual housing-based SES index. Age-, sex-, and ethnicity-adjusted prevalence and incidence rates were calculated, adjusting to the 2010 US total pediatric population.
resultsFive-year prevalence and incidence rates of children with MCCs in Olmsted County increased from 1200 to 1938 per 100 000 persons and from 256 to 335 per 100 000 person-years, respectively, during the study period. MCCs tend to be slightly more prevalent among children with a lower SES and with a racial minority background.
conclusionsBoth 5-year prevalence and incidence rates of children with MCCs have significantly increased over time, and health disparities are present among these children. The clinical and financial outcomes of children with MCCs need to be assessed for formulating suitable health care planning given limited resources.
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