Evidence map›Paper›PMID 34315794›Full record

ArticleBMJ open2021

Prevalence, pattern and determinants of chronic disease multimorbidity in Nepal: secondary analysis of a national survey.

Raja Ram Dhungana, Khem Bahadur Karki, Bihungum Bista, Achyut Raj Pandey, Meghnath Dhimal, Mahesh K Maskey

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Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Patterns and Determinants of Multimorbidity in Older Adults: Study in Health-Ecological Perspective.International journal of environmental research and public health · 2022
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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

6 authors.

Raja Ram DhunganaNepal Family Development Foundation, Lalitpur, Nepal raja.dhungana@gmail.com.ORCID 0000-0002-9610-6306
Khem Bahadur KarkiTribhuvan University Institute of Medicine, Maharajgunj, Nepal.
Bihungum BistaNepal Health Research Council, Kathmandu, Nepal.
Achyut Raj PandeyAbt Associates, Kathmandu, Nepal.
Meghnath DhimalNepal Health Research Council, Kathmandu, Nepal.ORCID 0000-0001-7176-7821
Mahesh K MaskeyNepal Public Health Foundation, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the prevalence, pattern and determinants of non-communicable diseases (NCDs) multimorbidity in Nepal.

designSecondary analysis of the data from the NCD survey 2018, which was conducted between 2016 and 2018.

settingThe data belong to the nationally representative survey, that selected the study samples from throughout Nepal using multistage cluster sampling.

participants8931 participants aged 20 years and older were included in the study. PRIMARY OUTCOMES: NCD multimorbidity (occurrence of two or more chronic conditions including hypertension, diabetes, chronic obstructive pulmonary disease, chronic kidney disease, coronary artery disease and cancer). Descriptive statistics, prevalence ratio and odds ratio were computed to assess pattern and determinants of multimorbidity.

resultsMean (SD) age was 46.7 years (14.9 years). The majority of the participants were women (57.8%), without formal education (53.4%) and from urban areas (51.5%). Multimorbidity was present in 13.96% (95% CI: 12.9% to 15.1%). Hypertension and diabetes coexisted in 5.7%. Age, alcohol consumption, body mass index, non-high-density lipoprotein (non-HDL) level and rural-urban setting were significantly associated with multimorbidity.

conclusionMultimorbidity was prevalent in particular groups or geographical areas in Nepal suggesting a need for coordinated and integrated NCD care approach for the management of multiplicative co-comorbid conditions.

Indexed as

MultimorbidityChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedNepalPrevalencechronic airways diseasechronic renal failurecoronary heart diseasegeneral diabeteshypertension

Identifiers

PMID34315794
PMCPMC8317126

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