ArticleBMC geriatrics2019
Associations between prevalent multimorbidity combinations and prospective disability and self-rated health among older adults in Europe.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy and safety of musculoskeletal manipulations in elderly population with musculoskeletal disorders: a systematic review.BMJ open · 2025Pooled it
- Community prevalence and dyad disease pattern of multimorbidity in China and India: a systematic review.BMJ global health · 2022Pooled it
- Predictors of low trust in national healthcare systems in 30 countries.BMC health services research · 2026Article
- Impact of disability and selected factors on the quality of life in the older people in southeastern Poland - a cross-sectional study.BMC public health · 2026Article
- Optimising Investment in Health Innovations in Europe.Journal of market access & health policy · 2026Article
- Disability and its correlates among older adults with common mental disorders in China: a 5-year follow-up study.Frontiers in psychiatry · 2026Article
- A Systematic Review and Meta-analysis of the Global Prevalence of Depression in Older Adults with Multi-morbidity.Indian journal of psychological medicine · 2025Review
- The dual benefits of professional values on income and health among healthcare workers in China: a cross-sectional study.BMC health services research · 2025Article
- Article
- Associations of Pain Characteristics With Physical Capacity Trajectories Among Older Adults in the United States.The Clinical journal of pain · 2025Article
- Examining the severity of disability and vulnerability among older adults and its impact on elder abuse: a cross-sectional study.Scientific reports · 2025Article
- Multimorbidity and Depressive Symptoms and their Association with Self-Reported Health and Life Satisfaction Among Adults Aged ≥ 50 Years in Mexico.Journal of cross-cultural gerontology · 2025Article
- Multimorbidity clusters and their associations with health-related quality of life in two UK cohorts.BMC medicine · 2025Article
- The Effect of Workplace Violence on the Health of Healthcare Workers: Empirical Evidence From a Multicenter Cross-Sectional Study in China.International journal of public health · 2025Article
- Association between insomnia and four domains of health based on an Indigenous Medicine Wheel: Findings from two Saskatchewan First Nation communities.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Multimorbidity and its Associated Factors in Korean Shift Workers: Population-Based Cross-Sectional Study.JMIR public health and surveillance · 2024Article
- Synergistic effects of cognitive frailty and comorbidities on disability: a community-based longitudinal study.BMC geriatrics · 2024Article
- Multimorbidity patterns and health-related quality of life among community-dwelling older adults: evidence from a rural town in Suzhou, China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Determinants of self-rated health among highly educated Ukrainian women refugees in Czechia: analysis based on cross-sectional study in 2022.BMC women's health · 2024Article
- Multistate survival modelling of multimorbidity and transitions across health needs states and death in an ageing population.Journal of epidemiology and community health · 2024Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundMultimorbidity is associated with greater likelihood of disability, health-related quality of life, and mortality, greater than the risk attributable to individual diseases. The objective of this study is to examine the association between unique multimorbidity combinations and prospective disability and poor self-rated health (SRH) in older adults in Europe.
methodsWe conducted a prospective analysis using data from the Survey of Health, Ageing and Retirement in Europe in 2013 and 2015. We used hierarchical models to compare respondents with multiple chronic conditions to healthy respondents and respondents reporting only one chronic condition and made within-group comparisons to examine the marginal contribution of specific chronic condition combinations.
resultsLess than 20% of the study population reported having zero chronic conditions, while 50% reported having at least two chronic conditions. We identified 380 unique disease combinations among people who reported having at least two chronic conditions. Over 35% of multimorbidity could be attributed to five specific multimorbidity combinations, and over 50% to ten specific combinations. Overall, multimorbidity combinations that included high depressive symptoms were associated with increased odds of reporting poor SRH, and increased rates of ADL-IADL disability.
conclusionsMultimorbidity groups that include high depressive symptoms may be more disabling than combinations that include only somatic conditions. These findings argue for a continued integration of both mental and somatic chronic conditions in the conceptualization of multimorbidity, with important implications for clinical practice and healthcare delivery.
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