Evidence map›Paper›PMID 41551862›Full record

ArticleHealth information science and systems2026

Healthcare utilization and chronic condition clusters in multimorbidity patients using weighted k-means: a register-based study in Denmark.

Danny J Anthonimuthu, Nikolaj N Holm, Anders Stockmarr, Ann-Dorthe Zwisler, Flemming W Udsen

Abstract read
In one paragraph

Article in Health information science and systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

5 authors.

Danny J AnthonimuthuDepartment of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-4565-0624
Nikolaj N HolmDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, Copenhagen, Denmark.
Anders StockmarrDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, Copenhagen, Denmark.
Ann-Dorthe ZwislerDepartment of Oncology, Clinic for Palliative Medicine and Rehabilitation, Rigshospitalet, Copenhagen, Denmark.
Flemming W UdsenDepartment of Clinical Medicine, Danish Center for Health Services Research, Aalborg University, Aalborg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The growing burden of multimorbidity challenges the healthcare system due to increased healthcare utilization and uncoordinated care. Identifying patients with multimorbidity who have high healthcare utilization is essential to improve management and reduce pressure on the healthcare system. Objective: This study aims to identify and characterize clusters of patients with multimorbidity based on both their chronic conditions and healthcare utilization patterns. Methods: A weighted K-means method was applied to a population of 1,184,334 individuals with two or more out of 33 chronic conditions, defined using diagnostic algorithms based on ICD-10 and ATC codes. Sociodemographic variables were applied to describe the identified clusters. Results: Four clusters were identified based on chronic conditions and healthcare utilization. Cluster 1 had the highest healthcare utilization and a high burden of both somatic and mental conditions, combined with low social status. Cluster 2, consisting primarily of younger women with mental conditions, showed high use of psychological services, and few somatic conditions. The largest cluster, cluster 3, had low healthcare utilization and consisted of individuals with common, manageable conditions, and relatively high social status. Cluster 4 was defined by older individuals with complex somatic conditions requiring frequent contact with general practitioners and specialists. Conclusion: The identified clusters showed varying chronic condition patterns and levels of healthcare utilization. The findings underscore the importance of tailored strategies, particularly for multimorbidity patients with mental conditions taking social status into account, in order to improve care and manage resource use more effectively.

Indexed as

Artificial intelligenceClusteringHealth care utilizationk-meansMachine learningMultimorbidityMultiple long-term conditionsUnsupervised learning

Identifiers

PMID41551862
PMCPMC12808006

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.