Evidence map›Paper›PMID 35835758›Full record

ReviewNature reviews. Disease primers2022

Multimorbidity.

Søren T Skou, Frances S Mair, Martin Fortin, Bruce Guthrie, Bruno P Nunes, J Jaime Miranda, Cynthia M Boyd, Sanghamitra Pati, Sally Mtenga, Susan M Smith

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06855719 (Effectiveness of a Multimodal Intervention With Simulation for Learning Home Health Nursing Care of Patients With Multimorbidity and Heart Failure), which is not on this map. Cited by 820 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
820citing papers in PubMed, 11 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.

NCT06855719 nacompletednot on this mapstarted 2025, after this paper: background citation

Effectiveness of a Multimodal Intervention With Simulation for Learning Home Health Nursing Care of Patients With Multimorbidity and Heart Failure: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CadizRan2025 to 2025Enrolled80ConditionsMultimorbidity, Heart FailureArmsTraining in high-fidelity simulation and knowledge of care protocols in patients with multimorbidity and heart failure
3 · Its place in the literature

Who cites it

820 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

760 more citing papers are in PubMed but not listed here.

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

10 authors.

Søren T SkouResearch Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. stskou@health.sdu.dk.ORCID 0000-0003-4336-7059
Frances S MairInstitute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Martin FortinDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Quebec, Canada.ORCID 0000-0002-9874-3771
Bruce GuthrieAdvanced Care Research Centre, Usher Institute, University of Edinburgh, Edinburgh, UK.ORCID 0000-0003-4191-4880
Bruno P NunesPostgraduate Program in Nursing, Faculty of Nursing, Universidade Federal de Pelotas, Pelotas, Brazil.ORCID 0000-0002-4496-4122
J Jaime MirandaCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0002-4738-5468
Cynthia M BoydDivision of Geriatric Medicine and Gerontology, Department of Medicine, Epidemiology and Health Policy & Management, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0001-5642-9015
Sanghamitra PatiICMR Regional Medical Research Centre, Bhubaneswar, Odisha, India.ORCID 0000-0002-7717-5592
Sally MtengaDepartment of Health System Impact Evaluation and Policy, Ifakara Health Institute (IHI), Dar Es Salaam, Tanzania.
Susan M SmithDiscipline of Public Health and Primary Care, Institute of Population Health, Trinity College Dublin, Russell Building, Tallaght Cross, Dublin, Ireland.ORCID 0000-0001-6027-2727

Funding

Household Air Pollution and Health: A Multi-Country LPG Intervention TrialUM1HL134590 · NHLBI · EMORY UNIVERSITY · PI CHECKLEY, WILLIAM, CLASEN, THOMAS F · 2016 to 2021
$31.1M
U.S. Deprescribing Research NetworkR24AG064025 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI BOYD, CYNTHIA MELINDA, STEINMAN, MICHAEL A. · 2019 to 2023
$9.9M
Remote Data Enclave Core (RDEC)P30AG066587 · NIA · JOHNS HOPKINS UNIVERSITY · PI Kali St. Marie Thomas · 2020 to 2026
$6.7M
Latin America Treatment & Innovation Network in Mental Health (LATIN-MH)U19MH098780 · NIMH · FUNDACAO FACULDADE DE MEDICINA · PI ARAYA, RICARDO, MENEZES, PAULO ROSSI · 2013 to 2017
$2.7M
Launching a salt substitute to reduce blood pressure at the population level-PeruU01HL114180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2012 to 2016
$2.0M
Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring ProgramK24AG056578 · NIA · JOHNS HOPKINS UNIVERSITY · PI BOYD, CYNTHIA MELINDA · 2017 to 2021
$1.1M
Building sustainable and innovative research in Cancer and Cardiovascular disease: Planning the design and development of the South American Center of Research Excellence to Counter NCDs (SACREN)P20CA217231 · NCI · INSTITUTO DE EFECTIVIDAD CLINICA Y SANIT · PI IRAZOLA, VILMA · 2017 to 2018
$497k
Implementation of foot thermometry and SMS to prevent diabetic foot ulcerR21TW009982 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI MIRANDA, J JAIME · 2014 to 2015
$329k
Using Burden of Treatment as a Clinical Indicator of Barriers to Multimorbidity Management in Peru: A Mixed Methods ApproachR21TW011740 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI CUBA , MARIA SOFIA · 2020 to 2021
$297k
Planning to Establish a Regional Center of NCD Research Training in PeruD71TW010877 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI MIRANDA, J JAIME · 2017 to 2017
$50k
Biotechnology and Biological Sciences Research Council BB/T009004/1Department of Health NIHR202020Department of Health NIHR202644Department of Health NIHR203986European Research Council 801790FIC NIH HHS D71 TW010877FIC NIH HHS R21 TW009982FIC NIH HHS R21 TW011740Medical Research Council MC_PC_MR/T037849/1Medical Research Council MR/M007405/1Medical Research Council MR/P008984/1Medical Research Council MR/P02386X/1Medical Research Council MR/P024408/1Medical Research Council MR/T03775X/1Medical Research Council MR/T037849/1NCI NIH HHS P20 CA217231NHLBI NIH HHS HHSN268200900033CNHLBI NIH HHS U01 HL114180NHLBI NIH HHS UM1 HL134590NIA NIH HHS K24 AG056578NIA NIH HHS P30 AG066587NIA NIH HHS R24 AG064025NIMH NIH HHS U19 MH098780Wellcome TrustWellcome Trust 074833/Z/04/ZWellcome Trust 093541/Z/10/ZWellcome Trust 103994/Z/14/ZWellcome Trust 107435/Z/15/ZWellcome Trust 205177/Z/16/ZWellcome Trust 214185/Z/18/ZWellcome Trust 218743/Z/19/Z
6 · The paper itself

Abstract

Multimorbidity (two or more coexisting conditions in an individual) is a growing global challenge with substantial effects on individuals, carers and society. Multimorbidity occurs a decade earlier in socioeconomically deprived communities and is associated with premature death, poorer function and quality of life and increased health-care utilization. Mechanisms underlying the development of multimorbidity are complex, interrelated and multilevel, but are related to ageing and underlying biological mechanisms and broader determinants of health such as socioeconomic deprivation. Little is known about prevention of multimorbidity, but focusing on psychosocial and behavioural factors, particularly population level interventions and structural changes, is likely to be beneficial. Most clinical practice guidelines and health-care training and delivery focus on single diseases, leading to care that is sometimes inadequate and potentially harmful. Multimorbidity requires person-centred care, prioritizing what matters most to the individual and the individual's carers, ensuring care that is effectively coordinated and minimally disruptive, and aligns with the patient's values. Interventions are likely to be complex and multifaceted. Although an increasing number of studies have examined multimorbidity interventions, there is still limited evidence to support any approach. Greater investment in multimorbidity research and training along with reconfiguration of health care supporting the management of multimorbidity is urgently needed.

Indexed as

MultimorbidityQuality of LifeHumans

Identifiers

PMID35835758
PMCPMC7613517

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.