Evidence map›Paper›PMID 38011977›Full record

ArticleBMJ open2023

Burden, determinants, consequences and care of multimorbidity in rural and urbanising Telangana, India: protocol for a mixed-methods study within the APCAPS cohort.

Judith Lieber, Santosh Kumar Banjara, Poppy Alice Carson Mallinson, Hemant Mahajan, Santhi Bhogadi, Srivalli Addanki, Nick Birk, Wenbo Song, Anoop Sv Shah, Om Kurmi and 7 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

17 authors.

Judith Lieber *Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK judith.lieber1@lshtm.ac.uk.ORCID 0000-0002-8514-0381
Santosh Kumar Banjara *National Institute of Nutrition, Hyderabad, Telangana, India.
Poppy Alice Carson MallinsonDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK.ORCID 0000-0002-7591-8065
Hemant MahajanNational Institute of Nutrition, Hyderabad, Telangana, India.
Santhi BhogadiPublic Health Foundation of India, New Delhi, India.
Srivalli AddankiPublic Health Foundation of India, New Delhi, India.
Nick BirkDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK.
Wenbo SongDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK.ORCID 0000-0002-1588-8597
Anoop Sv ShahCentre for Global Chronic Conditions, Faculty of Epidemiology and Population Health, Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Om KurmiCoventry University, Coventry, UK.
Gowri IyerIndian Institute of Public Health Hyderabad, Hyderabad, India.
Sureshkumar KamalakannanSACDIR, Public Health Foundation of India, New Delhi, India.ORCID 0000-0003-4407-7838
Raghu Kishore GallaEnact Health Private Limited, Hyderabad, India.
Shilpa SadanandIndian Institute of Public Health Hyderabad, Hyderabad, India.
Teena DasiNational Institute of Nutrition, Hyderabad, Telangana, India.
Bharati KulkarniNational Institute of Nutrition, Hyderabad, Telangana, India.ORCID 0000-0003-0636-318X
Sanjay KinraDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine Faculty of Epidemiology and Population Health, London, UK.

Funding

Medical Research Council
6 · The paper itself

Abstract

introductionThe epidemiological and demographic transitions are leading to a rising burden of multimorbidity (co-occurrence of two or more chronic conditions) worldwide. Evidence on the burden, determinants, consequences and care of multimorbidity in rural and urbanising India is limited, partly due to a lack of longitudinal and objectively measured data on chronic health conditions. We will conduct a mixed-methods study nested in the prospective Andhra Pradesh Children and Parents' Study (APCAPS) cohort to develop a data resource for understanding the epidemiology of multimorbidity in rural and urbanising India and developing interventions to improve the prevention and care of multimorbidity. METHODS AND ANALYSIS: We aim to recruit 2100 APCAPS cohort members aged 45+ who have clinical and lifestyle data collected during a previous cohort follow-up (2010-2012). We will screen for locally prevalent non-communicable, infectious and mental health conditions, alongside cognitive impairments, disabilities and frailty, using a combination of self-reported clinical diagnosis, symptom-based questionnaires, physical examinations and biochemical assays. We will conduct in-depth interviews with people with varying multimorbidity clusters, their informal carers and local healthcare providers. Deidentified data will be made available to external researchers. ETHICS AND DISSEMINATION: The study has received approval from the ethics committees of the National Institute of Nutrition and Indian Institute of Public Health Hyderabad, India and the London School of Hygiene and Tropical Medicine, UK. Meta-data and data collection instruments will be published on the APCAPS website alongside details of existing APCAPS data and the data access process (www.lshtm.ac.uk/research/centres-projects-groups/apcaps).

Indexed as

MultimorbidityNutritional StatusChildHumansIndiaLife StyleParentsProspective StudiesAgingCardiac EpidemiologyDementiaEPIDEMIOLOGIC STUDIESGeneral diabetesRisk Factors

Identifiers

PMID38011977
PMCPMC10685937

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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.