Multimorbidity and patterns of chronic conditions in a primary care population in Switzerland: a cross-sectional study.

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State: Public
Version: Final published version
Serval ID
serval:BIB_785B7957BA58
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multimorbidity and patterns of chronic conditions in a primary care population in Switzerland: a cross-sectional study.
Journal
BMJ open
Author(s)
Déruaz-Luyet A., N'Goran A.A., Senn N., Bodenmann P., Pasquier J., Widmer D., Tandjung R., Rosemann T., Frey P., Streit S., Zeller A., Haller D.M., Excoffier S., Burnand B., Herzig L.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
02/07/2017
Peer-reviewed
Oui
Volume
7
Number
6
Pages
e013664
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
To characterise in details a random sample of multimorbid patients in Switzerland and to evaluate the clustering of chronic conditions in that sample.
100 general practitioners (GPs) each enrolled 10 randomly selected multimorbid patients aged ≥18 years old and suffering from at least three chronic conditions. The prevalence of 75 separate chronic conditions from the International Classification of Primary Care-2 (ICPC-2) was evaluated in these patients. Clusters of chronic conditions were studied in parallel.
The final database included 888 patients. Mean (SD) patient age was 73.0 (12.0) years old. They suffered from 5.5 (2.2) chronic conditions and were prescribed 7.7 (3.5) drugs; 25.7% suffered from depression. Psychological conditions were more prevalent among younger individuals (≤66 years old). Cluster analysis of chronic conditions with a prevalence ≥5% in the sample revealed four main groups of conditions: (1) cardiovascular risk factors and conditions, (2) general age-related and metabolic conditions, (3) tobacco and alcohol dependencies, and (4) pain, musculoskeletal and psychological conditions.
Given the emerging epidemic of multimorbidity in industrialised countries, accurately depicting the multiple expressions of multimorbidity in family practices' patients is a high priority. Indeed, even in a setting where patients have direct access to medical specialists, GPs nevertheless retain a key role as coordinators and often as the sole medical reference for multimorbid patients.
Keywords
Adult, Age Factors, Aged, Aged, 80 and over, Chronic Disease/epidemiology, Cluster Analysis, Comorbidity, Cross-Sectional Studies, Drug Prescriptions/statistics & numerical data, General Practice/statistics & numerical data, Humans, Middle Aged, Prevalence, Primary Health Care/statistics & numerical data, Switzerland/epidemiology, Switzerland, epidemiology, family medicine, multimorbidity
Pubmed
Web of science
Open Access
Yes
Create date
27/07/2017 12:40
Last modification date
20/08/2019 14:35
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