Evidence map›Paper›PMID 40110541›Full record

ReviewJournal of multimorbidity and comorbidity

Descriptions of advanced multimorbidity: A scoping review with content analysis.

Sarah P Bowers, Polly Black, Lewis McCheyne, Darcy Wilson, Rose S Penfold, Liam Stapleton, Pam Channer, Sarah E E Mills, Linda Williams, Frances Quirk and 1 more

Abstract readReview
In one paragraph

Review in Journal of multimorbidity and comorbidity. 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

11 authors.

Sarah P BowersSchool of Medicine, University of St Andrews, St Andrews, UK.ORCID https://orcid.org/0000-0003-0722-8318
Polly BlackSchool of Medicine, University of St Andrews, St Andrews, UK.
Lewis McCheyneNHS Fife, Fife, UK.
Darcy WilsonNHS Tayside, Dundee, UK.
Rose S PenfoldAgeing and Health, Usher Institute, University of Edinburgh, Edinburgh, UK.
Liam StapletonUniversity College London Hospitals NHS Foundation Trust, London, UK.
Pam ChannerSchool of Medicine, Fife Community Advisory Council, University of St Andrews, St Andrews, UK.
Sarah E E MillsSchool of Medicine, University of St Andrews, St Andrews, UK.
Linda WilliamsEdinburgh Clinical Trials Unit, Usher Institute, The University of Edinburgh, Edinburgh, UK.
Frances QuirkSchool of Medicine, University of St Andrews, St Andrews, UK.
Jo BowdenSchool of Medicine, University of St Andrews, St Andrews, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Introduction: Multimorbidity is associated with adverse clinical outcomes, including increased symptom burden and healthcare utilisation, particularly towards the end of life. Despite this, there is no accepted method to identify the point at which individuals with deteriorating health due to long-term conditions are nearing the end of life or might benefit from a palliative care approach - conceptualised as 'Advanced Multimorbidity'. This scoping review explored how Advanced Multimorbidity is described and operationalised within the literature. Methods: Multiple electronic databases and Grey Literature sources were searched following scoping review frameworks. Two reviewers independently performed screening and data extraction. Content analysis was used to examine the different descriptions of Advanced Multimorbidity. Stakeholder consultations were undertaken with clinicians, academics and public participants. Patient and public involvement was separately integrated throughout this review from conceptualisation, design and reporting. Results: Forty-four different descriptions of Advanced Multimorbidity were identified from 38 publications. These varied in terms of the clinical conditions and descriptors used. Eighteen descriptions relied on a single indicator to identify Advanced Multimorbidity; 24 used a multidimensional approach. Stakeholder consultations highlighted the need for descriptions that are user-friendly and actionable. Conclusion: The lack of a standardised definition of Advanced Multimorbidity risks variance in clinical and research practice, potentially affecting patient care. A consensus on defining Advanced Multimorbidity would enable better identification of patients who could benefit from a palliative care approach, ensuring more consistent and person-centred care, as well as supporting research and policy development.

Indexed as

ageingend of lifeMultimorbiditypalliative carescoping review

Identifiers

PMID40110541
PMCPMC11920996

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.