Evidence map›Paper›PMID 41239268›Full record

ArticleBMC geriatrics2025

Association between multimorbidity and disability among elderly with chronic obstructive pulmonary disease in Shanghai, China: a cross-sectional study.

Xin Liu, Yifan Cao, Ying Shi, Hansheng Ding

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

4 authors.

Xin Liu *Shanghai Medical Information Center, Shanghai Health Development Research Center, Shanghai, 200040, People's Republic of China.
Yifan Cao *Shanghai Medical Information Center, Shanghai Health Development Research Center, Shanghai, 200040, People's Republic of China.
Ying ShiShanghai Medical Information Center, Shanghai Health Development Research Center, Shanghai, 200040, People's Republic of China.
Hansheng DingShanghai Medical Information Center, Shanghai Health Development Research Center, Shanghai, 200040, People's Republic of China. dinghansheng@shdrc.org.

Funding

National Natural Science Foundation of China (General Program, Study on the Development of Automatic Generation Model of Personalized Long-term Care Plan Based on Care Needs Grade and Performance Evaluation and Popularization) no. 72074152
6 · The paper itself

Abstract

backgroundIn the elderly population with chronic obstructive pulmonary disease (COPD), the prevalence of multimorbidity and functional disability is notable, yet the link between these conditions remains somewhat elusive. This investigation seeks to delineate the patterns of multimorbidity and assess their association with functional disability among older COPD sufferers.

methodsUtilizing data from the 2023 Unified Needs Assessment Form for Older Adults Care Questionnaire, this research incorporated a latent class analysis (LCA) to categorize multimorbidity patterns in elderly patients afflicted with COPD. These individuals also undertook assessments for activities of daily living (ADL) and instrumental activities of daily living (IADL). Logistic regression analyses were employed to evaluate how the counts and types of multimorbidity associated with functional disabilities.

resultsAmong 7676 identified COPD patients (mean age: 81.67 ± 8.10 years; 64.75% male), 7074 (92.16%) exhibited multimorbidity. ADL disabilities were found in 70.19% of the cases, whereas IADL disabilities were present in 94.80%. The analysis identified four distinct multimorbidity patterns: metabolic/cardiovascular (63.30%), cardiorespiratory (10.84%), osteoarticular (20.13%), and multisystem involvement (5.73%). All these patterns were significantly linked to increased odds of ADL and IADL disabilities (odds ratio [OR] 1.55, 95% confidence interval [CI] = 1.29–1.86; OR 2.03, 95%CI = 1.76–2.35; OR 1.35, 95%CI = 1.25–1.45 ; OR 1.81, 95%CI = 1.62–2.02) and IADL disability (OR 1.89, 95%CI = 1.38–2.58; OR 2.43, 95%CI = 1.74–3.38; OR 1.25, 95%CI = 1.11–1.42; OR1.35, 95%CI = 1.13–1.61).

conclusionsThe findings highlight a high incidence of multimorbidity and functional disabilities among elderly COPD patients in Shanghai, underscoring a significant association between multimorbidity in COPD and increased disability levels. The adoption of patient-centered approaches over traditional disease-centered models in clinical and health management practices may mitigate the impacts of multimorbidity and decrease the risk associated with ADL and IADL disabilities.

Indexed as

Activities of Daily LivingMultimorbidityPersons with DisabilitiesPulmonary Disease, Chronic ObstructiveAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansLatent Class AnalysisMaleChronic obstructive pulmonary diseaseDisabilityElderlyLatent class analysisMultimorbidity

Identifiers

PMID41239268
PMCPMC12619405

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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.