Epidemiology and impact of multimorbidity in primary care: A retrospective cohort study

British Journal of General Practice

Volumn 61, Issue 582, 2011, Pages

  Salisbury, Chris ^a   Johnson, Leigh ^a   Purdy, Sarah ^a   Valderas, Jose M ^b   Montgomery, Alan A ^a  

^a UNIVERSITY OF BRISTOL   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Chronic disease; Comorbidity; Family practice; Outcome and process assessment (healthcare); Prevalence; Primary health care

Indexed keywords

ADULT; ARTICLE; ASTHMA; BIPOLAR DISORDER; CHRONIC DISEASE; CHRONIC KIDNEY DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ASSESSMENT TOOL; COHORT ANALYSIS; CONSULTATION; CONTROLLED STUDY; DATA BASE; DEMENTIA; DEPRESSION; DIABETES MELLITUS; EPIDEMIOLOGICAL DATA; EPILEPSY; FEMALE; GENERAL PRACTICE; GROUPS BY AGE; HEART ATRIUM FIBRILLATION; HEART FAILURE; HUMAN; HYPERTENSION; ISCHEMIC HEART DISEASE; JOHNS HOPKINS UNIVERSITY ADJUSTED CLINICAL GROUPS CASE MIX SYSTEM; LEARNING DISORDER; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MORBIDITY; MULTICENTER STUDY; MULTIMORBIDITY; NEOPLASM; OBESITY; OUTCOME ASSESSMENT; PATIENT CARE; PREVALENCE; PRIMARY MEDICAL CARE; PSYCHOSIS; QUALITY AND OUTCOMES FRAMEWORK; RETROSPECTIVE STUDY; SCHIZOPHRENIA; STROKE; THYROID DISEASE; UNITED KINGDOM; ADOLESCENT; AGED; COMORBIDITY; EPIDEMIOLOGY; MIDDLE AGED;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHRONIC DISEASE; COMORBIDITY; CONTINUITY OF PATIENT CARE; ENGLAND; EPIDEMIOLOGIC METHODS; FEMALE; GENERAL PRACTICE; HUMANS; MALE; MIDDLE AGED; YOUNG ADULT;

EID: 79952927989     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp11X548929     Document Type: Article

References (36)

1. Valderas JM, Starfield B, Sibbald B, et al. Defining comorbidity: implications for understanding health and health services. Ann Fam Med 2009; 7(4): 357-363.
2. Starfield B. Primary care - balancing health needs, services, and technology.Oxford: Oxford University Press, 1998.
3. Fortin M, Bravo G, Hudon C, et al. Prevalence of multimorbidity among adults seen in family practice. Ann FamMed 2005; 3(3): 223-228. (Pubitemid 40806715)
4. Van den Akker M, Buntinx F, Roos S, Knottnerus JA. Problems in determining occurrence rates of multimorbidity. J Clin Epidemiol 2001; 54(7): 675-679. (Pubitemid 32600043)
5. Schram MT, Frijters D, van de Lisdonk EH, et al. Setting and registry characteristics affect the prevalence and nature of multimorbidity in the elderly. J Clin Epidemiol 2008; 61(11): 1104-1112.
6. Hoffman C, Rice D, Sung HY. Persons with chronic conditions. Their prevalence and costs. JAMA 1996; 276(18): 1473-1479.
7. Starfield B, Lemke KW, Bernhardt T, et al. Comorbidity: implications for the importance of primary care in 'case'management. Ann Fam Med 2003; 1(1): 8-14.
8. Van den Akker M, Buntinz F, Metsemakers JF, et al. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 1998; 51(5): 367-375. (Pubitemid 28223302)
9. Saltman DC, Sayer GP, Whicker SD. Co-morbidity in general practice. PostgradMed J 2005; 81(957): 474-480. (Pubitemid 41002590)
10. Schellevis FG, van der Velden J, van de Lisdonk E, et al. Comorbidity of chronic diseases in general practice. J Clin Epidemiol 1993; 46(5): 469-473.
11. Hippisley-Cox J, Pringle M. Comorbidity of diseases in the New General Medical Services Contract for General Practitioners: analysis of QRESEARCH data. Nottingham: QRESEARCH, 2007. http://www.qresearch.org/Public-Documents/ DataValidation/Co- morbidity%20of%20diseases%20in%20the%20new%20GMS%20contract%20for%20GPs.pdf (accessed 15 Oct 2010).
12. Britt HC, Harrison CM, Miller GC, Knox SA. Prevalence and patterns of multimorbidity in Australia. Med J Aust 2008; 189(2): 72-77.
13. Reid R, Evans R, Barer M, et al. Conspicuous consumption: characterizing high users of physician services in one Canadian province. J Health Serv Res Policy 2003; 8(4): 215-224. (Pubitemid 37237221)
14. Fortin M, Lapointe L, Hudon C, Vanasse A. Multimorbidity is common to family practice. Is it commonly researched? Can Fam Physician 2005; 51: 244-245.
15. Van den Akker M, Buntinx F, Roos S, Knottnerus JA. Problems in determining occurrence rates of multimorbidity. J Clin Epidemiol 2001; 54(7): 675-679. (Pubitemid 32600043)
16. NHS Primary Care Commissioning. QOF implementation business rules v11. http://www.primarycarecontracting.nhs.uk/145.php (accessed 15 Oct 2010).
17. The John Hopkins University ACG case-mix system. http://www.acg.jhsph. edu/html/International.htm (accessed 15 Oct 2010).
18. Office for National Statistics.Distribution of the European standard population, 1998. http://www.statistics.gov.uk/STATBASE/xsdataset.asp?vlnk= 1260&More=Y (accessed 15 Oct 2010).
19. Uijen AA, van de Lisdonk EH. Multimorbidity in primary care: prevalence and trend over the last 20 years. Eur J Gen Pract 2008; 14(suppl 1): 28-32.
20. Macleod U, Mitchell E, Black M, Spence G. Comorbidity and socioeconomic deprivation: an observational study of the prevalence of comorbidity in general practice. Eur J Gen Pract 2004; 10(1): 24-26. (Pubitemid 38455705)
21. Breslau N, Reeb KG. Continuity of care in a university-based practice. J Med Educ 1975; 50(10): 965-969.
22. Bice TW, Boxerman SB. A quantitative measure of continuity of care. Med Care 1977; 15(4): 347-349. (Pubitemid 8096246)
23. Van den Akker M, Buntinx F, Roos S, Knottnerus JA. Problems in determining occurrence rates of multimorbidity. J Clin Epidemiol 2001; 54(7): 675-679. (Pubitemid 32600043)
24. O'Halloran J, Miller GC, Britt H. Defining chronic conditions for primary care with ICPC-2. Fam Pract 2004; 21(4): 381-386. (Pubitemid 39162006)
25. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40(5): 373-383. (Pubitemid 17055592)
26. Esteban-Vasallo MD, Dominguez-Berjon MF, Astray-Mochales J, et al. Epidemiological usefulness of population-based electronic clinical records in primary care: estimation of the prevalence of chronic diseases. Fam Pract 2009; 26(6): 445-454.
27. Perkins AJ, Kroenke K, Unutzer J, et al. Common comorbidity scales were similar in their ability to predict health care costs andmortality. J Clin Epidemiol 2004; 57(10): 1040-1048. (Pubitemid 39446643)
28. Starfield B, Lemke KW, Herbert R, et al. Comorbidity and the Use of Primary Care and Specialist Care in the Elderly. Ann FamMed 2005; 3(3): 215-222. (Pubitemid 40806714)
29. Tooth L, Hockey R, Byles J, Dobson A. Weighted multimorbidity indexes predicted mortality, health service use, and health-related quality of life in older women. J Clin Epidemiol 2008; 61(2): 151-159.
30. Reid R, Evans R, Barer M, et al. Conspicuous consumption: characterizing high users of physician services in one Canadian province. J Health Serv Res Policy 2003; 8(4): 215-224. (Pubitemid 37237221)
31. Sturmberg JP. Morbidity, continuity of care and general practitioner workload: Is there a connection? Asia Pac Fam Med 2002; 1: 12-17.
32. VanWeel C, Schellevis FG. Comorbidity and guidelines: conflicting interests. Lancet 2006; 367(9510): 550-551. (Pubitemid 43247552)
33. Bayliss EA, Edwards AE, Steiner JF, Main DS. Processes of care desired by elderly patients with multimorbidities. Fam Pract 2008; 25(4): 287-293.
34. Cowie L, Morgan M, White P, Gulliford M. Experience of continuity of care of patients with multiple long-term conditions in England. J Health Serv Res Policy 2009; 14(2): 82-87.
35. Haggerty JL, Reid RJ, Freeman GK, et al. Continuity of care: a multidisciplinary review. BMJ 2003; 327(7425): 1219-1221.
36. Salisbury C, Sampson F, Ridd M, Montgomery AA. How should continuity of care in primary health care be assessed? Br J Gen Pract 2009; 59(561): e134-e141.