Precision medicine to precision care: managing multimorbidity

The Lancet

Volumn 388, Issue 10061, 2016, Pages 2721-2723

  Bierman, Arlene S ^a   Tinetti, Mary E ^b,c  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c YALE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; CLINICAL DECISION MAKING; CLINICAL OUTCOME; GLYCEMIC CONTROL; GOAL ATTAINMENT; HEALTH CARE DELIVERY; HEALTH STATUS; HUMAN; MEDICAL SOCIETY; NOTE; PATIENT CARE; PERSONALIZED MEDICINE; PHYSICIAN; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; CHRONIC DISEASE; COMORBIDITY; GERIATRICS; PRIMARY HEALTH CARE; PROCEDURES;

CHRONIC DISEASE; COMORBIDITY; GERIATRICS; GUIDELINES AS TOPIC; HUMANS; PRECISION MEDICINE; PRIMARY HEALTH CARE;

EID: 85003443894     PISSN: 01406736     EISSN: 1474547X     Source Type: Journal    
DOI: 10.1016/S0140-6736(16)32232-2     Document Type: Note

References (13)

1. 1 Prince, MJ, Wu, F, Guo, Y, et al. The burden of disease in older people and implications for health policy and practice. Lancet 385 (2015), 549–562.
2. 2 Ward, BW, Schiller, JS, Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010. Prev Chronic Dis, 10, 2013, e65.
3. 3 Barnett, K, Mercer, SW, Norbury, M, Watt, G, Wyke, S, Guthrie, B, Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380 (2012), 37–43.
4. 4 Wyatt, KD, Stuart, LM, Brito, JP, et al. Out of context: clinical practice guidelines and patients with multiple chronic conditions: a systematic review. Med Care 52:suppl 3 (2014), S92–100.
5. 5 Tinetti, ME, Bogardus, ST Jr, Agostini, JV, Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N Engl J Med 351 (2004), 2870–2874.
6. 6 NICE. Multimorbidity: clinical assessment and management. http://www.nice.org.uk/guidance/NG56/documents/html-content, 2016 (accessed Nov 13, 2016).
7. 7 American Geriatrics Society. Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: American Geriatrics Society Expert Panel on the care of older adults with multimorbidity. J Am Geriatr Soc 60 (2012), e1–25.
8. 8 Muth, C, van den Akker, M, Blom, JW, et al. The Ariadne principles: how to handle multimorbidity in primary care consultations. BMC Med, 12, 2014, 223.
9. 9 Arnett, DK, Goodman, RA, Halperin, JL, Anderson, JL, Parekh, AK, Zoghbi, WA, AHA/ACC/HHS strategies to enhance application of clinical practice guidelines in patients with cardiovascular disease and comorbid conditions: from the American Heart Association, American College of Cardiology, and US Department of Health and Human Services. J Am Coll Cardiol 64 (2014), 1851–1856.
10. 10 National Guideline Clearinghouse. About multiple chronic condition (MCC) guidelines. https://www.guideline.gov/help-and-about/summaries/about-multiple-chronic-condition-mcc-guidelines, 2016 (accessed Nov 13, 2016).
11. 11 Moreno, G, Mangione, CM, Kimbro, L, Vaisberg, E, for the American Geriatrics Society Expert Panel on Care of Older Adults with Diabetes Mellitus. Guidelines abstracted from the American Geriatrics Society guidelines for improving the care of older adults with diabetes mellitus: 2013 update. J Am Geriatr Soc 61 (2013), 2020–2026.
12. 12 Korsen, N, Blount, A, Peek, CJ, et al. Integration Playbook: Agency for Healthcare Research and Quality, Academy for Integrating Behavioral Health and Primary Care. http://integrationacademy.ahrq.gov/playbook/about-playbook, 2016 (accessed Nov 13, 2016).
13. 13 Tinetti, ME, Esterson, J, Ferris, R, Posner, P, Blaum, CS, Patient priority-directed decision making and care for older adults with multiple chronic conditions. Clin Geriatr Med 32 (2016), 261–275.