Article (Scientific journals)
The European General Practice Research Network presents a comprehensive definition of multimorbidity in family medicine and long term care, following a systematic review of relevant literature.
Le Reste, Jean Yves; Nabbe, Patrice; Manceau, Benedicte et al.
2013In Journal of the American Medical Directors Association, 14 (5), p. 319-25
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Keywords :
Clinical Competence; Comorbidity; Europe/epidemiology; Family Practice; Humans; Terminology as Topic
Abstract :
[en] BACKGROUND: Multimorbidity is a new concept encompassing all the medical conditions of an individual patient. The concept links into the European definition of family medicine and its core competencies. However, the definition of multimorbidity and its subsequent operationalization are still unclear. The European General Practice Research Network wanted to produce a comprehensive definition of multimorbidity. METHOD: Systematic review of literature involving eight European General Practice Research Network national teams. The databases searched were PubMed, Embase, and Cochrane (1990-2010). Only articles containing descriptions of multimorbidity criteria were selected for inclusion. The multinational team undertook a methodic data extraction, according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. RESULTS: The team identified 416 documents, selected 68 abstracts, included 54 articles, and found 132 definitions with 1631 different criteria. These criteria were aggregated into 11 themes that led to the following definition: Multimorbidity is defined as any combination of chronic disease with at least one other disease (acute or chronic) or biopsychosocial factor (associated or not) or somatic risk factor. Any biopsychosocial factor, any risk factor, the social network, the burden of diseases, the health care consumption, and the patient's coping strategies may function as modifiers (of the effects of multimorbidity). Multimorbidity may modify the health outcomes and lead to an increased disability or a decreased quality of life or frailty. CONCLUSION: This study has produced a comprehensive definition of multimorbidity. The resulting improvements in the management of multimorbidity, and its usefulness in long term care and in family medicine, will have to be assessed in future studies.
Disciplines :
Human health sciences: Multidisciplinary, general & others
General & internal medicine
Author, co-author :
Le Reste, Jean Yves
Nabbe, Patrice
Manceau, Benedicte
Lygidakis, Charilaos ;  University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE)
Doerr, Christa
Lingner, Heidrun
Czachowski, Slawomir
Munoz, Miguel
Argyriadou, Stella
Claveria, Ana
Le Floch, Bernard
Barais, Marie
Bower, Peter
Van Marwijk, Harm
Van Royen, Paul
Lietard, Claire
More authors (6 more) Less
External co-authors :
yes
Language :
English
Title :
The European General Practice Research Network presents a comprehensive definition of multimorbidity in family medicine and long term care, following a systematic review of relevant literature.
Publication date :
2013
Journal title :
Journal of the American Medical Directors Association
ISSN :
1538-9375
Publisher :
Lippincott Williams & Wilkins, United States - New York
Volume :
14
Issue :
5
Pages :
319-25
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2013 American Medical Directors Association, Inc. All rights reserved.
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