000086138 001__ 86138
000086138 005__ 20200221144350.0
000086138 0247_ $$2doi$$a10.1093/gerona/glw233
000086138 0248_ $$2sideral$$a114423
000086138 037__ $$aART-2016-114423
000086138 041__ $$aeng
000086138 100__ $$aCalderón-Larrañaga, A.
000086138 245__ $$aAssessing and measuring chronic multimorbidity in the older population: a proposal for its operationalization
000086138 260__ $$c2016
000086138 5060_ $$aAccess copy available to the general public$$fUnrestricted
000086138 5203_ $$aBackground
Although the definition of multimorbidity as “the simultaneous presence of two or more chronic diseases” is well established, its operationalization is not yet agreed. This study aims to provide a clinically driven comprehensive list of chronic conditions to be included when measuring multimorbidity.
Methods
Based on a consensus definition of chronic disease, all four-digit level codes from the International Classification of Diseases, 10th revision (ICD-10) were classified as chronic or not by an international and multidisciplinary team. Chronic ICD-10 codes were subsequently grouped into broader categories according to clinical criteria. Last, we showed proof of concept by applying the classification to older adults from the Swedish National study of Aging and Care in Kungsholmen (SNAC-K) using also inpatient data from the Swedish National Patient Register.
Results
A disease or condition was considered to be chronic if it had a prolonged duration and either (a) left residual disability or worsening quality of life or (b) required a long period of care, treatment, or rehabilitation. After applying this definition in relation to populations of older adults, 918 chronic ICD-10 codes were identified and grouped into 60 chronic disease categories. In SNAC-K, 88.6% had =2 of these 60 disease categories, 73.2% had =3, and 55.8% had =4.
Conclusions
This operational measure of multimorbidity, which can be implemented using either or both clinical and administrative data, may facilitate its monitoring and international comparison. Once validated, it may enable the advancement and evolution of conceptual and theoretical aspects of multimorbidity that will eventually lead to better care.
000086138 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000086138 590__ $$a5.957$$b2016
000086138 591__ $$aGERONTOLOGY$$b1 / 32 = 0.031$$c2016$$dQ1$$eT1
000086138 591__ $$aGERIATRICS & GERONTOLOGY$$b3 / 49 = 0.061$$c2016$$dQ1$$eT1
000086138 592__ $$a3.011$$b2016
000086138 593__ $$aGeriatrics and Gerontology$$c2016$$dQ1
000086138 593__ $$aAging$$c2016$$dQ1
000086138 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000086138 700__ $$aVetrano, D.L.
000086138 700__ $$aOnder, G.
000086138 700__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.A.$$uUniversidad de Zaragoza
000086138 700__ $$0(orcid)0000-0002-4817-9527$$aCoscollar-Santaliestra, C.$$uUniversidad de Zaragoza
000086138 700__ $$aCarfí, A.
000086138 700__ $$aPisciotta, M.S.
000086138 700__ $$aAngleman, S.
000086138 700__ $$aMelis, Rene J.F.
000086138 700__ $$aSantoni, G.
000086138 700__ $$aMangialasche, F.
000086138 700__ $$aRizzuto, D.
000086138 700__ $$aWelmer, A.K.
000086138 700__ $$aBernabei, R.
000086138 700__ $$aPrados-Torres, A.
000086138 700__ $$aMarengoni, A.
000086138 700__ $$aFratiglioni, L.
000086138 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000086138 773__ $$g72, 10 (2016), 1417-1423$$pJ. gerontol., Ser. A, biol. sci. med. sci.$$tJOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES$$x1079-5006
000086138 8564_ $$s719905$$uhttps://zaguan.unizar.es/record/86138/files/texto_completo.pdf$$yVersión publicada
000086138 8564_ $$s109531$$uhttps://zaguan.unizar.es/record/86138/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000086138 909CO $$ooai:zaguan.unizar.es:86138$$particulos$$pdriver
000086138 951__ $$a2020-02-21-13:54:41
000086138 980__ $$aARTICLE