Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis.
<h4>Objective</h4>The purpose of this study was to identify clusters of diagnoses in elderly patients with multimorbidity, attended in primary care.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>251 primary care centres in Catalonia, Spain.<h4>Particip...
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0141155&type=printable |
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| author | Quintí Foguet-Boreu Concepción Violán Teresa Rodriguez-Blanco Albert Roso-Llorach Mariona Pons-Vigués Enriqueta Pujol-Ribera Yolima Cossio Gil Jose M Valderas |
| author_facet | Quintí Foguet-Boreu Concepción Violán Teresa Rodriguez-Blanco Albert Roso-Llorach Mariona Pons-Vigués Enriqueta Pujol-Ribera Yolima Cossio Gil Jose M Valderas |
| author_sort | Quintí Foguet-Boreu |
| collection | DOAJ |
| description | <h4>Objective</h4>The purpose of this study was to identify clusters of diagnoses in elderly patients with multimorbidity, attended in primary care.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>251 primary care centres in Catalonia, Spain.<h4>Participants</h4>Individuals older than 64 years registered with participating practices.<h4>Main outcome measures</h4>Multimorbidity, defined as the coexistence of 2 or more ICD-10 disease categories in the electronic health record. Using hierarchical cluster analysis, multimorbidity clusters were identified by sex and age group (65-79 and ≥80 years).<h4>Results</h4>322,328 patients with multimorbidity were included in the analysis (mean age, 75.4 years [Standard deviation, SD: 7.4], 57.4% women; mean of 7.9 diagnoses [SD: 3.9]). For both men and women, the first cluster in both age groups included the same two diagnoses: Hypertensive diseases and Metabolic disorders. The second cluster contained three diagnoses of the musculoskeletal system in the 65- to 79-year-old group, and five diseases coincided in the ≥80 age group: varicose veins of the lower limbs, senile cataract, dorsalgia, functional intestinal disorders and shoulder lesions. The greatest overlap (54.5%) between the three most common diagnoses was observed in women aged 65-79 years.<h4>Conclusion</h4>This cluster analysis of elderly primary care patients with multimorbidity, revealed a single cluster of circulatory-metabolic diseases that were the most prevalent in both age groups and sex, and a cluster of second-most prevalent diagnoses that included musculoskeletal diseases. Clusters unknown to date have been identified. The clusters identified should be considered when developing clinical guidance for this population. |
| format | Article |
| id | doaj-art-acaa2a86747743c0bbde688bb28a1be2 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
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| spelling | doaj-art-acaa2a86747743c0bbde688bb28a1be22025-08-20T02:34:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011011e014115510.1371/journal.pone.0141155Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis.Quintí Foguet-BoreuConcepción ViolánTeresa Rodriguez-BlancoAlbert Roso-LlorachMariona Pons-ViguésEnriqueta Pujol-RiberaYolima Cossio GilJose M Valderas<h4>Objective</h4>The purpose of this study was to identify clusters of diagnoses in elderly patients with multimorbidity, attended in primary care.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>251 primary care centres in Catalonia, Spain.<h4>Participants</h4>Individuals older than 64 years registered with participating practices.<h4>Main outcome measures</h4>Multimorbidity, defined as the coexistence of 2 or more ICD-10 disease categories in the electronic health record. Using hierarchical cluster analysis, multimorbidity clusters were identified by sex and age group (65-79 and ≥80 years).<h4>Results</h4>322,328 patients with multimorbidity were included in the analysis (mean age, 75.4 years [Standard deviation, SD: 7.4], 57.4% women; mean of 7.9 diagnoses [SD: 3.9]). For both men and women, the first cluster in both age groups included the same two diagnoses: Hypertensive diseases and Metabolic disorders. The second cluster contained three diagnoses of the musculoskeletal system in the 65- to 79-year-old group, and five diseases coincided in the ≥80 age group: varicose veins of the lower limbs, senile cataract, dorsalgia, functional intestinal disorders and shoulder lesions. The greatest overlap (54.5%) between the three most common diagnoses was observed in women aged 65-79 years.<h4>Conclusion</h4>This cluster analysis of elderly primary care patients with multimorbidity, revealed a single cluster of circulatory-metabolic diseases that were the most prevalent in both age groups and sex, and a cluster of second-most prevalent diagnoses that included musculoskeletal diseases. Clusters unknown to date have been identified. The clusters identified should be considered when developing clinical guidance for this population.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0141155&type=printable |
| spellingShingle | Quintí Foguet-Boreu Concepción Violán Teresa Rodriguez-Blanco Albert Roso-Llorach Mariona Pons-Vigués Enriqueta Pujol-Ribera Yolima Cossio Gil Jose M Valderas Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis. PLoS ONE |
| title | Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis. |
| title_full | Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis. |
| title_fullStr | Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis. |
| title_full_unstemmed | Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis. |
| title_short | Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis. |
| title_sort | multimorbidity patterns in elderly primary health care patients in a south mediterranean european region a cluster analysis |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0141155&type=printable |
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