Evidence map›Paper›PMID 38992158›Full record

ArticleCommunications medicine2024

Mapping multimorbidity progression among 190 diseases.

Shasha Han, Sairan Li, Yunhaonan Yang, Lihong Liu, Libing Ma, Zhiwei Leng, Frances S Mair, Christopher R Butler, Bruno Pereira Nunes, J Jaime Miranda and 3 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

13 authors.

Shasha HanSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. hanshasha@pumc.edu.cn.ORCID http://orcid.org/0000-0001-7388-8125
Sairan LiSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Yunhaonan YangSection of Epidemiology and Population Health, West China Second University Hospital, Sichuan University, Chengdu, China.
Lihong LiuChina-Japan Friendship Hospital, Beijing, China.
Libing MaAffiliated Hospital of Guilin Medical University, Guangxi, China.
Zhiwei LengPeking Union Hospital, Beijing, China.
Frances S MairSchool of Health and Wellbeing, College of Medicine, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-9780-1135
Christopher R ButlerDepartment of Brain Sciences, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7502-9284
Bruno Pereira NunesPostgraduate Program of Nursing, Federal University of Pelotas, Pelotas, Brazil.
J Jaime MirandaSydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-4738-5468
Weizhong YangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Ruitai ShaoSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Chen WangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. wangchen@pumc.edu.cn.

Funding

Chinese Academy of Medical Sciences (CAMS) No. 2023-I2M-3-008Chinese Academy of Medical Sciences (CAMS) No. 2023-ZHCH330-001Medical Research Council MR/M007405/1National Natural Science Foundation of China (National Science Foundation of China) No. 82304269
6 · The paper itself

Abstract

backgroundCurrent clustering of multimorbidity based on the frequency of common disease combinations is inadequate. We estimated the causal relationships among prevalent diseases and mapped out the clusters of multimorbidity progression among them.

methodsIn this cohort study, we examined the progression of multimorbidity among 190 diseases among over 500,000 UK Biobank participants over 12.7 years of follow-up. Using a machine learning method for causal inference, we analyzed patterns of how diseases influenced and were influenced by others in females and males. We used clustering analysis and visualization algorithms to identify multimorbidity progress constellations.

resultsWe show the top influential and influenced diseases largely overlap between sexes in chronic diseases, with sex-specific ones tending to be acute diseases. Patterns of diseases that influence and are influenced by other diseases also emerged (clustering significance P

conclusionOur findings could inform the future development of targeted interventions and provide an essential foundation for future studies seeking to improve the prevention and management of multimorbidity.

Identifiers

PMID38992158
PMCPMC11239867

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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.