[Increased multimorbidity in patients in general practice in the period 2003-2009]
| Autor: | Tacken, M.A.J.B., Opstelten, W., Vossen, I., Smeele, I.J.M., Calsbeek, H., Jacobs, J.E., Braspenning, J.C.C. |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Nederlands Tijdschrift voor Geneeskunde, 155, A3109-A3109 Nederlands Tijdschrift voor Geneeskunde, 155, 26, pp. A3109-A3109 |
| ISSN: | 0028-2162 |
| Popis: | Contains fulltext : 96542.pdf (Publisher’s version ) (Closed access) OBJECTIVE: To determine the prevalence of chronic multimorbidity and its increase in primary care. DESIGN: Descriptive longitudinal study. METHOD: We selected patients suffering from chronic pulmonary disease, chronic cardiovascular disease, or diabetes from a national representative general practice research database (LINH). For each year in the period 2003-2009, we calculated the prevalence of these separate conditions. We subsequently assessed the prevalence of multimorbidity and its increase for 4 different age groups (0-14, 15-44, 45-64, >/= 65 years). RESULTS: The percentage of all patients suffering from at least 1 of these chronic conditions increased from 12.6% in 2003 to 15.0% in 2009, an increase of almost 20%. The multimorbidity among these patients rose from 15.9% in 2003 to 18.3% in 2009. This increase in multimorbidity was found in all 3 chronic conditions under study and in all adult age groups. To what extent this increase was caused by improvements in morbidity registration could not be identified. CONCLUSION: There appears to be a considerable increase in recent years in the prevalence of chronic diseases; multimorbidity appears also to have increased. If this trend continues, in 2015 the multimorbidity among patients over 65 years of age with diabetes, chronic pulmonary and/or cardiovascular disease will be more than 30%. |
| Databáze: | OpenAIRE |
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