Observational studyBMC geriatrics2021
Chronic diseases in the geriatric population: morbidity and use of primary care services according to risk level.
Observational study in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06568822 (Examining the Relationship Between Physical Activity, Life Satisfaction, and Medication Adherence Outcomes Among Older Turkish Adults), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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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.
Examining the Relationship Between Physical Activity, Life Satisfaction, and Medication Adherence Outcomes Among Older Turkish Adults
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of nurse practitioners in primary care on patients with chronic diseases in rural and underserved areas: A systematic review.The European journal of general practice · 2026Pooled it
- Chronic conditions and healthcare cost and utilization among underserved Medicare beneficiaries.PloS one · 2026Article
- Usefulness of point-of-care ultrasound for rapid assessment of sarcopenia risk in inpatient frail older people: a cross-sectional study.Internal and emergency medicine · 2025Observational
- Health inequality in the disease burden of non-communicable diseases among the elderly from 1990 to 2021, and projections to 2050: a systematic analysis of global burden of disease study.BMC geriatrics · 2025Article
- Oral Health Status of the Elderly Population in Iran.Clinical and experimental dental research · 2025Article
- Using electronic health records to understand multimorbidity in older people: a scoping review.European geriatric medicine · 2025Article
- Perceptions and Intentions to Prevent Diabetes Among At-Risk Individuals: A Qualitative Study Using the Theory of Planned Behaviour.Journal of clinical nursing · 2025Article
- Nutrition Education Among Community-Dwelling Polish Seniors-A Pilot Study of Diet Quality, Health Status, and Public Health Interventions.Nutrients · 2025Article
- Nonlinear relationship between body roundness index and prevalence of rheumatoid arthritis in American adults.Frontiers in nutrition · 2025Article
- Population health management through human phenotype ontology with policy for ecosystem improvement.Frontiers in artificial intelligence · 2025Article
- Dietary total antioxidant capacity and frailty in Turkish community-dwelling and nursing home: cross-sectional study.Frontiers in medicine · 2025Article
- Highly prevalent geriatric medications and their effect on β-amyloid fibril formation.BMC neurology · 2024Article
- Applicability of the adjusted morbidity groups algorithm for healthcare programming: results of a pilot study in Italy.BMC public health · 2024Article
- Comorbidities and use of health services in people with diabetes mellitus according to risk levels by adjusted morbidity groups.BMC endocrine disorders · 2024Article
- Burden of Chronic and Heavy Opioid Use Among Elderly Community Dwellers in the U.S.AJPM focus · 2024Article
- Validation and Clinical Application of the Japanese Version of the Patient-Reported Experience Measures for Intermediate Care Services: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Influencing factor analysis of family doctor contract service among older adults: evidence from China.Frontiers in public health · 2024Article
- Health Outcomes for Older Patients with Chronic Diseases During the First Pandemic Year.Clinical interventions in aging · 2024Observational
- Differences in healthcare service utilization in patients with polypharmacy according to their risk level by adjusted morbidity groups: a population-based cross-sectional study.Journal of pharmaceutical policy and practice · 2023Article
- Development and initial validation of the Comprehensive Geriatric Oral Health Assessment Tool.Clinical and experimental dental research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeriatric patients have significant morbidity and greater needs for care and assistance. The objective of this study was to describe the characteristics, morbidity, and use of services in primary care (PC) of patients with chronic diseases older than 65 years according to their risk level assigned by the adjusted morbidity groups (AMG) and to analyse the factors associated with the use of PC services.
methodsThis was a cross-sectional descriptive observational study. Patients older than 65 years from a healthcare service area, classified as chronically ill by the AMG classification system of the PC electronic medical record of the Community of Madrid, were included. Sociodemographic, clinical-care, and PC service utilization variables were collected. Univariate, bivariate and multivariate analyses were done.
resultsA total of 3292 chronic patients older than 65 years were identified, of whom 1628 (49.5%) were low risk, 1293 (39.3%) were medium risk and 371 (11.3%) were high risk. Their mean age was 78.1 (SD = 8.1) years and 2167 (65.8%) were women. Their mean number of chronic diseases was 3.8 (SD = 2), 89.4% had multimorbidity and 1550 (47.1%) were polymedicated. The mean number of contacts/year with PC was 19.5 (SD = 18.2) [men: 19.4 (SD = 19.8); women: 19.5 (SD = 17.4)]. The mean number of contacts/year in people over 85 years was 25.2 (SD = 19.6); in people 76-85 years old, it was 22.1 (SD = 20.3); and in people 66-75 years old, it was 14.5 (SD = 13.9). The factors associated with greater use of services were age (B coefficient [BC] = 0.3; 95%CI = 0.2-0.4), high risk level (BC = 1.9; 95%CI =0.4-3.2), weight of complexity (BC = 0.7; 95%CI = 0.5-0.8), and ≥ 4 chronic diseases (BC = 0.7; 95%CI = 0.3-1.1).
conclusionsIn the geriatric population, we found a high number of patients with chronic diseases and there were three levels of risk by AMG with differences in characteristics, morbidity, and use of PC services. The greatest use of services was by patients with older age, high risk level, greater weight of complexity and ≥ 4 chronic diseases. Further research is needed to develop an intervention model more adapted to the reality of the geriatric population based on risk levels by AMG.
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