Evidence map›Paper›PMID 37905525›Full record

ArticleJournal of the Royal Society of Medicine2024

Prevalence of multiple long-term conditions (multimorbidity) in England: a whole population study of over 60 million people.

Jonathan Valabhji, Emma Barron, Adrian Pratt, Nasrin Hafezparast, Rupert Dunbar-Rees, Ellie Bragan Turner, Kate Roberts, Jacqueline Mathews, Robbie Deegan, Victoria Cornelius and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the Royal Society of Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 6 pooled it
15.7field-weighted citation impact, top 1% of its field
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

59 citing papers in PubMed, 6 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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  11. Public Perceptions of Multiple Long-Term Conditions: An Analysis of Mass Observation Accounts.Health expectations : an international journal of public participation in health care and health policy · 2026
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  14. Asthma and Multimorbidity Amongst Ethnic Minority Groups in High Income Countries.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
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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

16 authors at 6 institutions in 1 country.

Jonathan ValabhjiNHS England, Wellington House, London SE1 8UG, UK.ORCID 0000-0001-9756-4061
Emma BarronNHS England, Wellington House, London SE1 8UG, UK.ORCID 0000-0001-6257-9044
Adrian PrattNHS Arden & Greater East Midlands Commissioning Support Unit, Westgate House, Warwick CV34 4DE, UK.
Nasrin HafezparastOutcomes Based Healthcare Ltd, London W1G 0AN, UK.
Rupert Dunbar-ReesOutcomes Based Healthcare Ltd, London W1G 0AN, UK.
Ellie Bragan TurnerOutcomes Based Healthcare Ltd, London W1G 0AN, UK.
Kate RobertsNational Institute for Health and Care Research Clinical Research Network National Coordination Centre, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK.ORCID 0009-0001-3942-2353
Jacqueline MathewsNational Institute for Health and Care Research Clinical Research Network National Coordination Centre, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK.
Robbie DeeganNHS Arden & Greater East Midlands Commissioning Support Unit, Westgate House, Warwick CV34 4DE, UK.
Victoria CorneliusNHS England, Wellington House, London SE1 8UG, UK.
Jason PicklesNHS England, Wellington House, London SE1 8UG, UK.
Gary WainmanNHS England, Wellington House, London SE1 8UG, UK.
Chirag BakhaiNHS England, Wellington House, London SE1 8UG, UK.
Desmond G JohnstonDepartment of Diabetes and Endocrinology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, UK.
Edward W GreggSchool of Public Health, Imperial College London, London, SW7 2BU, UK.
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester, LE5 4PW, UK.
Outcomes Based Healthcare · GBImperial College Healthcare NHS Trust · GBNIHR Research Delivery Network · GBUniversity of Leeds · GBImperial College London · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the prevalence of multiple long-term conditions (MLTC) at whole English population level, stratifying by age, sex, socioeconomic status and ethnicity.

designA whole population study.

settingIndividuals registered with a general practice in England and alive on 31 March 2020.

participants60,004,883 individuals.

main outcome measuresMLTC prevalence, defined as two or more of 35 conditions derived from a number of national patient-level datasets. Multivariable logistic regression was used to assess the independent associations of age, sex, ethnicity and deprivation decile with odds of MLTC.

resultsThe overall prevalence of MLTC was 14.8% (8,878,231), varying from 0.9% (125,159) in those aged 0-19 years to 68.2% (1,905,979) in those aged 80 years and over. In multivariable regression analyses, compared with the 50-59 reference group, the odds ratio was 0.04 (95% confidence interval (CI): 0.04-0.04;

conclusionsWhile this study provides useful insight into the burden across the English population to assist health service delivery planning, the heterogeneity of MLTC presents challenges for delivery optimisation.

Indexed as

MultimorbidityAdolescentAdultAgedAged, 80 and overAge DistributionChildChild, PreschoolEnglandEthnicityFemaleHumansInfantInfant, NewbornMaleMiddle AgedEpidemiologic studiesepidemiologyhealth policyhealth service researchmedical managementquality improvement

Identifiers

PMID37905525
PMCPMC11046366
OpenAlexW4388033737

What OpenQuestion holds

Textmetadata
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.