Evidence map›Paper›PMID 41703588›Full record

SynthesisSystematic reviews2026

The magnitude of multimorbidity in childhood: a global systematic review.

Somen Kumar Pradhan, Jogesh Murmu, Upasana Nayak, Abhinav Sinha, Marjan van den Akker, Mohammad Akhtar Hussain, Krushna Chandra Sahoo, Debdutta Bhattacharya, Jaya Singh Kshatri, Durga Madhab Satapathy and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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.

Somen Kumar PradhanMaharaja Krushna Chandra Gajapati Medical College and Hospital Brahmapur, Ganjam, India.ORCID 0000-0002-4749-9705
Jogesh MurmuICMR-Regional Medical Research Centre, Bhubaneswar, India.ORCID 0000-0001-9428-9113
Upasana NayakICMR-Regional Medical Research Centre, Bhubaneswar, India.ORCID 0009-0001-3657-0158
Abhinav SinhaICMR-Regional Medical Research Centre, Bhubaneswar, India.ORCID 0000-0001-7702-3671
Marjan van den AkkerDepartment of General Practice and Family Medicine, Medical School OWL, Bielefeld University, Bielefeld, Germany.ORCID 0000-0002-1022-8637
Mohammad Akhtar HussainBarwon South West Public Health Unit, Barwon Health Geelong, Geelong, VIC, Australia.ORCID 0000-0002-6012-3702
Krushna Chandra SahooHealth Technology Assessment India, Department of Health Research, Ministry of Health & Family Welfare, New Delhi, India.ORCID 0000-0003-3504-6132
Debdutta BhattacharyaICMR-Regional Medical Research Centre, Bhubaneswar, India.ORCID 0000-0001-5199-5288
Jaya Singh KshatriICMR-Regional Medical Research Centre, Bhubaneswar, India.ORCID 0000-0003-3616-3402
Durga Madhab SatapathyMaharaja Krushna Chandra Gajapati Medical College and Hospital Brahmapur, Ganjam, India.
Sanghamitra PatiIndian Council of Medical Research, Department of Health Research, Ministry of Health & Family Welfare, New Delhi, India. drsanghamitra12@gmail.com.ORCID 0000-0002-7717-5592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood multimorbidity, defined as the co-occurrence of two or more chronic conditions, is an emerging yet underexplored global health concern. Unlike adult multimorbidity, which is predominantly linked to ageing, childhood multimorbidity affects critical developmental phases, impacting physical, cognitive, and emotional well-being. Despite increasing recognition, its prevalence, correlates, and long-term implications remain inadequately understood.

objectivesThis systematic review aims to synthesize existing evidence on the prevalence, correlates, and outcomes of childhood multimorbidity in the general paediatric population.

methodsA comprehensive search was conducted across PubMed, EMBASE, Web of Science, and CINAHL (EBSCO) to identify observational studies published up to May 31, 2024. Studies were included if they reported multimorbidity prevalence among children aged 0-18 years. Owing to high heterogeneity across studies, a meta-analysis was not performed, and the results were synthesized narratively.

resultsNine studies, covering diverse paediatric populations, met the inclusion criteria. The individual study prevalence varied widely, ranging from 1.26% to 17.04%, reflecting differences in chronic conditions, multimorbidity definitions, study designs, and data sources. The key correlates included socioeconomic disadvantage, early-life factors (e.g., preterm birth), and poly-victimization. The co-occurrence of physical and mental health conditions commonly affects health-related quality of life (HRQOL), healthcare utilization, and educational performance.

conclusionsChildhood multimorbidity poses significant health and social challenges, necessitating integrated care approaches and standardized definitions for cross-study comparability. Preventive strategies targeting social determinants and early-life interventions are crucial to mitigate its long-term burden. Future research should focus on longitudinal studies to explore progression and inform targeted interventions. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42024601137.

Indexed as

MultimorbidityAdolescentChildChild, PreschoolChronic DiseaseGlobal HealthHumansInfantInfant, NewbornPrevalenceChildhoodChronic conditionMultimorbidityPrevalence

Identifiers

PMID41703588
PMCPMC12918112

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.