Evidence map›Paper›PMID 32545876›Full record

ArticleInternational journal of environmental research and public health2020

Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study.

Ignatios Ioakeim-Skoufa, Beatriz Poblador-Plou, Jonás Carmona-Pírez, Jesús Díez-Manglano, Rokas Navickas, Luis Andrés Gimeno-Feliu, Francisca González-Rubio, Elena Jureviciene, Laimis Dambrauskas, Alexandra Prados-Torres and 1 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
–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

47 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  8. Multimorbidity Patterns and Obesity Among Americans Turning Forty.American journal of health promotion : AJHP · 2026
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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

11 authors.

Ignatios Ioakeim-SkoufaEpiChron Research Group, IIS Aragón, 50009 Zaragoza, Spain.ORCID 0000-0002-6518-749X
Beatriz Poblador-PlouEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.ORCID 0000-0002-5119-5093
Jonás Carmona-PírezEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.
Jesús Díez-ManglanoEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.ORCID 0000-0002-3132-2171
Rokas NavickasFaculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.ORCID 0000-0002-8258-8009
Luis Andrés Gimeno-FeliuEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.ORCID 0000-0003-2928-6623
Francisca González-RubioEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.
Elena JurevicieneFaculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.ORCID 0000-0003-4331-5179
Laimis DambrauskasFaculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
Alexandra Prados-TorresEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.ORCID 0000-0002-5704-6056
Antonio Gimeno-MiguelEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, 50009 Zaragoza, Spain.ORCID 0000-0002-5440-1710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The correct management of patients with multimorbidity remains one of the main challenges for healthcare systems worldwide. In this study, we analyze the existence of multimorbidity patterns in the general population based on gender and age. We conducted a cross-sectional study of individuals of all ages from the EpiChron Cohort, Spain (1,253,292 subjects), and analyzed the presence of systematic associations among chronic disease diagnoses using exploratory factor analysis. We identified and clinically described a total of 14 different multimorbidity patterns (12 in women and 12 in men), with some relevant differences in the functions of age and gender. The number and complexity of the patterns was shown to increase with age in both genders. We identified associations of circulatory diseases with respiratory disorders, chronic musculoskeletal diseases with depression and anxiety, and a very consistent pattern of conditions whose co-occurrence is known as metabolic syndrome (hypertension, diabetes, obesity, and dyslipidaemia), among others. Our results demonstrate the potential of using real-world data to conduct large-scale epidemiological studies to assess the complex interactions among chronic conditions. This could be useful in designing clinical interventions for patients with multimorbidity, as well as recommendations for healthcare professionals on how to handle these types of patients in clinical practice.

Indexed as

MultimorbidityAdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolChronic DiseaseCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansInfantInfant, Newbornagechronic diseasesfactor analysismultimorbiditypatternsreal-world datasexSpain

Identifiers

PMID32545876
PMCPMC7345112

What OpenQuestion holds

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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.