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- W2896492706 abstract "Globally, approximately one in three of all adults suffer from multiple chronic conditions (MCCs). This review provides a comprehensive overview of the resulting epidemiological, economic and patient burden. There is no agreed taxonomy for MCCs, with several terms used interchangeably and no agreed definition, resulting in up to three-fold variation in prevalence rates: from 16% to 58% in UK studies, 26% in US studies and 9.4% in Urban South Asians. Certain conditions cluster together more frequently than expected, with associations of up to three-fold, e.g. depression associated with stroke and with Alzheimer's disease, and communicable conditions such as TB and HIV/AIDS associated with diabetes and CVD, respectively. Clusters are important as they may be highly amenable to large improvements in health and cost outcomes through relatively simple shifts in healthcare delivery. Healthcare expenditures greatly increase, sometimes exponentially, with each additional chronic condition with greater specialist physician access, emergency department presentations and hospital admissions. The patient burden includes a deterioration of quality of life, out of pocket expenses, medication adherence, inability to work, symptom control and a high toll on carers. This high burden from MCCs is further projected to increase. Recommendations for interventions include reaching consensus on the taxonomy of MCC, greater emphasis on MCCs research, primary prevention to achieve compression of morbidity, a shift of health systems and policies towards a multiple-condition framework, changes in healthcare payment mechanisms to facilitate this change and shifts in health and epidemiological databases to include MCCs." @default.
- W2896492706 created "2018-10-26" @default.
- W2896492706 creator A5090712145 @default.
- W2896492706 creator A5091417658 @default.
- W2896492706 date "2018-12-01" @default.
- W2896492706 modified "2023-10-16" @default.
- W2896492706 title "The global burden of multiple chronic conditions: A narrative review" @default.
- W2896492706 cites W1026936696 @default.
- W2896492706 cites W121542356 @default.
- W2896492706 cites W147487975 @default.
- W2896492706 cites W1499147456 @default.
- W2896492706 cites W1558422206 @default.
- W2896492706 cites W1565078889 @default.
- W2896492706 cites W1677033108 @default.
- W2896492706 cites W1891939305 @default.
- W2896492706 cites W1907411261 @default.
- W2896492706 cites W1959947112 @default.
- W2896492706 cites W1973477417 @default.
- W2896492706 cites W1983643872 @default.
- W2896492706 cites W1986477668 @default.
- W2896492706 cites W1992650721 @default.
- W2896492706 cites W1992923858 @default.
- W2896492706 cites W1993104946 @default.
- W2896492706 cites W1997683054 @default.
- W2896492706 cites W2003982930 @default.
- W2896492706 cites W2009011762 @default.
- W2896492706 cites W2014162232 @default.
- W2896492706 cites W2014739457 @default.
- W2896492706 cites W2021874620 @default.
- W2896492706 cites W2023349830 @default.
- W2896492706 cites W2024445668 @default.
- W2896492706 cites W2032980606 @default.
- W2896492706 cites W2045679384 @default.
- W2896492706 cites W2048848385 @default.
- W2896492706 cites W2054164550 @default.
- W2896492706 cites W2061573260 @default.
- W2896492706 cites W2066191620 @default.
- W2896492706 cites W2074677382 @default.
- W2896492706 cites W2075285473 @default.
- W2896492706 cites W2078320157 @default.
- W2896492706 cites W2080696239 @default.
- W2896492706 cites W2080910583 @default.
- W2896492706 cites W2082998320 @default.
- W2896492706 cites W2084079665 @default.
- W2896492706 cites W2086606120 @default.
- W2896492706 cites W2087812194 @default.
- W2896492706 cites W2094043926 @default.
- W2896492706 cites W2094625675 @default.
- W2896492706 cites W2095598339 @default.
- W2896492706 cites W2095714612 @default.
- W2896492706 cites W2096856326 @default.
- W2896492706 cites W2100847633 @default.
- W2896492706 cites W2101037929 @default.
- W2896492706 cites W2102195380 @default.
- W2896492706 cites W2102999566 @default.
- W2896492706 cites W2103096860 @default.
- W2896492706 cites W2104101804 @default.
- W2896492706 cites W2110664743 @default.
- W2896492706 cites W2112383708 @default.
- W2896492706 cites W2115931410 @default.
- W2896492706 cites W2116687494 @default.
- W2896492706 cites W2116891129 @default.
- W2896492706 cites W2117057656 @default.
- W2896492706 cites W2122231459 @default.
- W2896492706 cites W2123715863 @default.
- W2896492706 cites W2125115221 @default.
- W2896492706 cites W2126243764 @default.
- W2896492706 cites W2127960841 @default.
- W2896492706 cites W2130425502 @default.
- W2896492706 cites W2130501785 @default.
- W2896492706 cites W2132735550 @default.
- W2896492706 cites W2136691071 @default.
- W2896492706 cites W2137431162 @default.
- W2896492706 cites W2141954955 @default.
- W2896492706 cites W2142827889 @default.
- W2896492706 cites W2143972306 @default.
- W2896492706 cites W2150704067 @default.
- W2896492706 cites W2150712216 @default.
- W2896492706 cites W2151585080 @default.
- W2896492706 cites W2151670387 @default.
- W2896492706 cites W2157590806 @default.
- W2896492706 cites W2157758947 @default.
- W2896492706 cites W2163492263 @default.
- W2896492706 cites W2163925289 @default.
- W2896492706 cites W2164434259 @default.
- W2896492706 cites W2166512046 @default.
- W2896492706 cites W2167311183 @default.
- W2896492706 cites W2224234779 @default.
- W2896492706 cites W2258956934 @default.
- W2896492706 cites W2266821176 @default.
- W2896492706 cites W2320299173 @default.
- W2896492706 cites W2418932483 @default.
- W2896492706 cites W2466192476 @default.
- W2896492706 cites W2475261460 @default.
- W2896492706 cites W2593069082 @default.
- W2896492706 cites W2614986146 @default.
- W2896492706 cites W2735136142 @default.
- W2896492706 cites W2783976765 @default.