Evidence map›Paper›PMID 37336537›Full record

Observational studyBMJ open2023

Estimate of the prevalence of subjects with chronic diseases in a province of Northern Italy: a retrospective study based on administrative databases.

Chiara Airoldi, Federico Pagnoni, Tiziana Cena, Daniele Ceriotti, Damiano De Ambrosi, Marta De Vito, Fabrizio Faggiano

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
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

7 authors.

Chiara AiroldiDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Federico PagnoniDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy federico.pagnoni@uniupo.it.ORCID 0000-0002-9058-8535
Tiziana CenaEpidemiologic Unit of the Local Health Authority of Vercelli, Osservatorio Epidemiologico ASL, Vercelli, Italy.
Daniele CeriottiDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Damiano De AmbrosiDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Marta De VitoDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Fabrizio FaggianoDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo find a definition of chronic disease based on literature review and to estimate the population-based prevalence rate of chronicity in a province in Northern Italy.

designRetrospective observational study based on administrative databases. DATA SOURCES/

settingArchives of the National Health Service that contain demographic and administrative information linked with the archives of ticket exemptions (2000-2019), the hospital discharge and drug prescriptions (2016-2019).

participantsSubjects who lived in Vercelli Local Health Authority, a Northern Italian province (Piedmont region), and were alive in December 2019.

main outcome measuresPrevalence of subjects with at least one chronic disease identified by administrative sources and stratification of population according to the number of comorbidities. The pathologies considered were: chronic ischaemic heart disease, congestive heart failure, cardiac arrhythmias, hypertension, stroke, neoplasm, asthma, chronic obstructive pulmonary disease, diabetes, thyroid disorders, osteoporosis, rheumatoid arthritis, chronic kidney disease, dementia, autism spectrum disorder, depression, schizophrenia, hepatitis, HIV and substance use disorders.

resultsOur target population was about 164 344 subjects. The overall prevalence of subjects with at least one chronic condition was 21.43% (n=35 212): 19 541 were female and 15 671 were male with a raw prevalence of 22.96% and 19.77%, respectively. The overall prevalence increases with age until 85 years old, then a decrease is observed. Moreover, 16.39% had only one pathology, 4.30% two diseases and 0.74% had a more complex clinical condition (more than three diseases).

conclusionsDespite the difficulty of having a unique definition of chronic disease, the prevalence obtained was coherent with the estimates reported by other national surveillance systems such as Passi and Passi d'Argento. Underestimates were observed when international comparisons were done; however, when we used less stringent definitions of chronic diseases, similar results were obtained.

Indexed as

Autism Spectrum DisorderAged, 80 and overChronic DiseaseDatabases, FactualFemaleHumansItalyMalePrevalenceRetrospective StudiesState MedicineEPIDEMIOLOGIC STUDIESEPIDEMIOLOGYPUBLIC HEALTH

Identifiers

PMID37336537
PMCPMC10314422

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.