Combinations of Chronic Conditions, Functional Limitations, and Geriatric Syndromes that Predict Health Outcomes

Journal of General Internal Medicine

Volumn 31, Issue 6, 2016, Pages 630-637

  Koroukian, Siran M ^a   Schiltz, Nicholas ^a   Warner, David F ^b   Sun, Jiayang ^a   Bakaki, Paul M ^a   Smyth, Kathleen A ^a   Stange, Kurt C ^a   Given, Charles W ^c  

^a CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF NEBRASKA LINCOLN   (United States)

^c MICHIGAN STATE UNIVERSITY   (United States)

Author keywords

comorbidity; functional limitations; geriatric syndromes; health status; mortality; multimorbidity; worse health

Indexed keywords

ADL DISABILITY; ADULT; AGED; ALZHEIMER DISEASE; ARTHRITIS; ARTICLE; CEREBROVASCULAR ACCIDENT; CHRONIC DISEASE; CONGESTIVE HEART FAILURE; DAILY LIFE ACTIVITY; DEPRESSION; DIABETES MELLITUS; DISEASE CLASSIFICATION; FEMALE; FOLLOW UP; FUNCTIONAL DISEASE; GERIATRIC DISORDER; HEALTH STATUS; HEART ARRHYTHMIA; HEART INFARCTION; HUMAN; HYPERTENSION; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; NEOPLASM; OUTCOME ASSESSMENT; PREDICTION; SELF CONCEPT; UNDERWEIGHT; VERY ELDERLY; VISUAL IMPAIRMENT; WALKING DIFFICULTY; AGE DISTRIBUTION; COMORBIDITY; GERIATRIC ASSESSMENT; HEALTH STATUS INDICATOR; LONGITUDINAL STUDY; PROCEDURES; PROGNOSIS; RISK FACTOR; SELF REPORT; SEX RATIO; SOCIOECONOMICS; SYNDROME; UNITED STATES;

ACTIVITIES OF DAILY LIVING; AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; CHRONIC DISEASE; COMORBIDITY; FEMALE; GERIATRIC ASSESSMENT; HEALTH STATUS; HEALTH STATUS INDICATORS; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; MOBILITY LIMITATION; PROGNOSIS; RISK FACTORS; SELF REPORT; SEX DISTRIBUTION; SOCIOECONOMIC FACTORS; SYNDROME; UNITED STATES;

EID: 84959167769     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-016-3590-9     Document Type: Article

References (25)

1. Goodman RA, Posner SF, Huang ES, Parekh AK, Koh HK. Defining and measuring chronic conditions: imperatives for research, policy, program, and practice. Prev Chronic Dis. 2013;10:E66.
2. Lochner KA, Shoff CM. County-level variation in prevalence of multiple chronic conditions among Medicare beneficiaries, 2012. Prev Chronic Dis. 2015;12:E07.
3. U.S. Department of Health and Human Services. Multiple chronic conditions—a strategic framework: optimum health and quality of life for individuals with multiple chronic conditions. Washington, DC. December 2010. http://www.hhs.gov/ash/initiatives/mcc/mcc_framework.pdf, Accessed December 15, 2015.
4. Parekh AK, Kronick R, Tavenner M. Optimizing health for persons with multiple chronic conditions. JAMA. 2014;312(12):1199–200.
5. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M. Defining comorbidity: implications for understanding health and health services. Ann Fam Med. 2009;7(4):357–63.
6. Bayliss EA, Edwards AE, Steiner JF, Main DS. Processes of care desired by elderly patients with multimorbidities. Fam Pract. 2008;25(4):287–93.
7. Fortin M, Soubhi H, Hudon C, Bayliss EA, van den Akker M. Multimorbidity’s many challenges. BMJ. 2007;334(7602):1016–7.
8. Fortin M, Stewart M, Poitras ME, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med. 2012;10(2):142–51.
9. Fortin M, Hudon C, Haggerty J, Akker M, Almirall J. Prevalence estimates of multimorbidity: a comparative study of two sources. BMC Health Serv Res. 2010;10:111.
10. Kone Pefoyo AJ, Bronskill SE, Gruneir A, et al. The increasing burden and complexity of multimorbidity. BMC Public Health. 2015;15(1):415.
11. Melis R, Marengoni A, Angleman S, Fratiglioni L. Incidence and predictors of multimorbidity in the elderly: a population-based longitudinal study. PLoS One. 2014;9(7). e103120.
12. Violan C, Foguet-Boreu Q, Roso-Llorach A, et al. Burden of multimorbidity, socioeconomic status and use of health services across stages of life in urban areas: a cross-sectional study. BMC Public Health. 2014;14:530.
13. Koroukian SM, Warner DF, Owusu C, Given CW. Multimorbidity redefined: prospective health outcomes and the cumulative effect of co-occurring conditions. Prev Chronic Dis. 2015;12:E55.
14. Breiman L. Classification and Regression Trees. Belmont: Wadsworth International Group; 1984.
15. Lemon SC, Roy J, Clark MA, Friedmann PD, Rakowski W. Classification and regression tree analysis in public health: methodological review and comparison with logistic regression. Ann Behav Med. 2003;26(3):172–81.
16. Fonda A, Herzog AR. HRS/AHEAD Documentation Report. Documentation of Physical Functioning Measured in the Health and Retirement Study and the Asset and Health Dynamics Among the Oldest Old Study. Ann Arbor, MI: Survey Research Center, University of Michigan; 2004. Accessed October 31, 2015.
17. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55(5):780–91.
18. Brandt J, Folstein SE, Folstein MF. Differential cognitive impairment in Alzheimer’s disease and Huntington’s disease. Ann Neurol. 1988;23(6):555–61.
19. Breiman LCA, Liuw A, et al. Breiman and Cutler’s random forests for classification and regression. http://cran.r-project.org/web/packages/randomForest/index.html, Accessed December 15, 2015.
20. Verbrugge LM, Jette AM. The disablement process. Soc Sci Med. 1994;38(1):1–14.
21. Iezzoni LI. Using administrative data to study persons with disabilities. Milbank Q. 2002;80(2):347–79.
22. Meneses K, Benz R, Azuero A, Jablonski-Jaudon R, McNees P. Multimorbidity and breast cancer. Semin Oncol Nurs. 2015;31(2):163–9.
23. Deschodt M, Devriendt E, Sabbe M, et al. Characteristics of older adults admitted to the emergency department (ED) and their risk factors for ED readmission based on comprehensive geriatric assessment: a prospective cohort study. BMC Geriatr. 2015;15(1):54.
24. Stotter A, Reed MW, Gray LJ, Moore N, Robinson TG. Comprehensive geriatric assessment and predicted 3-year survival in treatment planning for frail patients with early breast cancer. Br J Surg. 2015;102(5):525–33. discussion 533.
25. Carlson C, Merel SE, Yukawa M. Geriatric syndromes and geriatric assessment for the generalist. Med Clin N Am. 2015;99(2):263–79.