ArticleJournal of comorbidity
Multimorbidity at sea level and high-altitude urban and rural settings: The CRONICAS Cohort Study.
Article in Journal of comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 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.
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.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Effectiveness and Experiences of Self-Management Interventions in Adults With Multiple Long-Term Conditions: A Mixed Methods Systematic Review.Journal of evaluation in clinical practice · 2026Pooled it
- Prevalence and incidence of stroke in Latin America and the Caribbean: a systematic review and meta-analysis.Scientific reports · 2023Pooled it
- Multimorbidity in Latin America and the Caribbean: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- Physical frailty, depression and multimorbidity among older adults in Lima, Peru: a cross-sectional study.BMC geriatrics · 2026Article
- Multimorbidity patterns, sociodemographic characteristics, and mortality: Data science insights from low-resource settings.American journal of epidemiology · 2026Article
- Multimorbidity quantification from the perspective of precision management: challenges and strategies.Annals of medicine · 2025Review
- Multimorbidity and its association with mental health in an adult population of Peru.Revista peruana de medicina experimental y salud publica · 2025Article
- Recommendations for screening of MetS: Utilizing total cholesterol for trend and prevalence estimates of Metabolic Syndrome among adults-findings from STEPS survey of Nepal.PLOS global public health · 2025Article
- Factors associated with self-reported diagnosed asthma in urban and rural Malawi: Observations from a population-based study of non-communicable diseases.PLOS global public health · 2024Article
- Multimorbidity and Sleep Patterns among Adults in a Peruvian Semi-Urban Area.Sleep science (Sao Paulo, Brazil) · 2023Article
- Multimorbidity.Nature reviews. Disease primers · 2022Review
- A comparative analysis of lung function and spirometry parameters in genotype-controlled natives living at low and high altitude.BMC pulmonary medicine · 2022Article
- Population-based stroke incidence estimates in Peru: Exploratory results from the CRONICAS cohort study.Lancet regional health. Americas · 2022Article
- Article
- Hematological Parameters, Lipid Profile, and Cardiovascular Risk Analysis Among Genotype-Controlled Indigenous Kiwcha Men and Women Living at Low and High Altitudes.Frontiers in physiology · 2021Article
- Forty years after Alma-Ata: primary health-care preparedness for chronic diseases in Mozambique, Nepal and Peru.Global health action · 2021Article
- Multimorbidity and acute infectious diseases in urban and semi-urban settings in Peru: A mixed-methods study.Journal of multimorbidity and comorbidityArticle
- Multimorbidity matters in low and middle-income countries.Journal of multimorbidity and comorbidityReview
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 3 countries.
Funding
Abstract
objectiveTo characterize the prevalence and clustering of multimorbidity in four diverse geographical settings in Peru.
methodsMultimorbidity, defined as having ≥2 chronic conditions, was studied in adults aged ≥35 years in four diverse settings in Peru: Lima, Tumbes, and urban and rural Puno. Six of these conditions (alcohol disorder, asthma, chronic obstructive pulmonary disease, depression, diabetes, and hypertension) were cataloged as objectively ascertained chronic conditions and paired in dyads to explore clusters of multimorbidity.
resultsWe analyzed data from 2890 adults, mean age 55.2 years, 49% males. Overall, 19.1% of participants had multimorbidity, ranging from 14.7% in semi-urban Tumbes to 22.8% in Lima. The dyads with the highest coexistence (approximately 20%) were observed in hypertension and diabetes in Tumbes, whereas the dyads with lowest coexistence (approximately 1%) were those involving asthma in all study sites. In terms of clusters, Tumbes showed a predominance of hypertension and diabetes, urban and rural Puno a predominance of depression and alcohol disorders, and Lima a higher degree of coexistence of all of the six conditions than in the other clusters.
conclusionMultimorbidity is common and the pattern of clusters is highly heterogeneous. The conditions to prioritize will vary in each setting.
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Registered trials
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.