A Systematic Review of the Patterns of Associative Multimorbidity in Asia
| Autor: | Eng Sing Lee, Shawn S Rajoo, Fang Yan Wong, Poay Sian Sabrina Lee, Zhi Jie Wee |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Risk medicine.medical_specialty Asia Adolescent MEDLINE Scopus CINAHL Disease Review Article General Biochemistry Genetics and Molecular Biology 03 medical and health sciences Young Adult 0302 clinical medicine medicine Multimorbidity Humans 030212 general & internal medicine Aged Aged 80 and over General Immunology and Microbiology Subject (documents) General Medicine Middle Aged Mental health Family medicine Medicine Psychology Publication Bias 030217 neurology & neurosurgery Medical literature |
| Zdroj: | BioMed Research International BioMed Research International, Vol 2021 (2021) |
| ISSN: | 2314-6141 |
| Popis: | Patients with multimorbidity are commonly seen in primary care. An increasing number of multimorbidity patterns are being reported in the Western literature with a few from Asia. The main objective of this systematic review was to describe patterns of associative multimorbidity, defined as associations beyond chance or patterns of diseases, in the Asian population. We searched Medical Literature Analysis and Retrieval System Online (MEDLINE (Ovid)), Excerpta Medica Database (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science (Clarivate Analytics), and Scopus (Elsevier) databases from their inception to April 22, 2019 using medical subject headings, keywords in titles, abstracts, and text. We used the Modified Newcastle-Ottawa Scale for risk-of-bias assessment. Eight articles from China, India, Indonesia, and Japan met the inclusion criteria. Patterns of associative multimorbidity were reported as dyadic/triadic disease combinations or disease clusters. The most common multimorbidity pattern, “cardiovascular and metabolic diseases,” was identified in six of eight articles. The other four multimorbidity patterns are comprised of “mental health problems,” “degenerative diseases,” pulmonary diseases,” and “cancer diseases.” The eight articles showed methodological heterogeneity in terms of the list of chronic diseases, ascertainment of multimorbidity, statistical methods, and study populations. This systematic review identified five common patterns of associative multimorbidity in Asia. “Cardiovascular and metabolic diseases” and “mental diseases” were two patterns that were similarly reported in the Western world. Alignment of the definition of multimorbidity and the statistical methodology are needed to identify the unique patterns of multimorbidity in Asia so that clinical practice guidelines on multimorbidity can be developed for the Asian population. |
| Databáze: | OpenAIRE |
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