A workshop of the MLTC Cross- #NIHR Collaboration programme suggests three challenge themes in #multimorbidity research #methodology:
https://journals.sagepub.com/doi/full/10.1177/26335565251372222
Wired:
Transparency, standardisation, reproducibility of multimorbidity research made the list!
Tired:
Bullet points in figure 1 have more detail on building methodological capacity than the text. Investing in methodologists (of any kind) is not part mentioned as far as I can see.
Người Việt từ 64 tuổi trở lên thường mắc nhiều bệnh tật cùng lúc, khiến 10 năm cuối đời không khỏe mạnh như ở các nước khác. Dù sống thọ, sức khỏe vẫn cần được chú ý hơn để cải thiện chất lượng cuộc sống!
#SứcKhỏe #Health #NgườiViệt #TuổiGià #Aging #Multimorbidity
https://vietnamnet.vn/nguoi-viet-tren-64-tuoi-mac-cung-luc-nhieu-benh-tat-2443988.html
Meta-analysis of #TaskShifting / #TaskSharing for managing #Multimorbidity shows some associations w depression (d=-.27, k=14), quality of life (d=.10, k=12), increased anxiety (d=.14, k=5), mortality (OR=.77, k=4).
An analysis of electronic health records shows that a third of patients with SMI [severe #MentalIllness] in UK #PrimaryCare are excepted from #MentalHealth indicators at least once. Given the persisting health inequalities in people with #SMI this is concerning:
https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/characteristics-of-people-with-severe-mental-illness-excluded-from-incentivised-physical-health-checks-in-the-uk-electronic-healthcare-record-study/806549AACA75DB0BFA98521A761C36AF
'Multimorbidity Patterns in Patients with Pulmonary Arterial Hypertension Identified Through Hospital Discharge Records: A Network-Based Analysis' - an article in Cardiovascular Innovations and Applications on #ScienceOpen:
🔗 https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2025.0008
🖇️ #CardiovascularMedicine #CardiologyResearch #Multimorbidity #NetworkMedicine
Telehealth interventions for managing #multimorbidity can be cost-effective and improve access and health outcomes in rural and remote areas. This #ScopingReview (n=15) stresses variability in findings and need for standardised implementation:
https://journals.sagepub.com/doi/full/10.1177/26335565251344433
This study used data from national registers to examine the prevalence of multimorbidity in the Danish population btw 2000-2018. They found that the prevalence of #multimorbidity doubled during the study period, with a stronger increase in older age groups:
https://journals.sagepub.com/doi/full/10.1177/26335565251331182
For example, the number of people with at least one morbidity was 26.2% in 2000 and 41.9% in 2018; and the prevalence of multimorbidity (disease count) increased from 7.1% to 16.1%.
Protocol for one of our current trials published:
DIAMONDS evaluates a #diabetes #SelfManagement intervention for people living with severe mental illness
https://bmjopen.bmj.com/content/15/3/e090295
Registration incl. SAP at ISRCTN22275538
https://www.isrctn.com/ISRCTN22275538
#SMI #Multimorbidity #ISRCTN #NIHR #DundeeUni #UniOfYork #PatientCentered
Africa: Living With Multiple Chronic Conditions Cuts Lives Short - but Africans Are Overlooked in Research: [The Conversation Africa] When a person suffers from two or more long-term health conditions at the same time this is known as multimorbidity. http://newsfeed.facilit8.network/THwgXl #Africa #HealthResearch #ChronicConditions #Multimorbidity #PublicHealth
Characteristics of older patients undergoing #surgery in the UK: SNAP-3, a snapshot observational study - PubMed https://pubmed.ncbi.nlm.nih.gov/39765405/ “In the UK, one in five older patients undergoing surgery is living with #frailty, and almost two-thirds of older patients are living with #multimorbidity. These data highlight the importance of frailty screening. “
Nice meeting with people working on the development of an #ICF Core Set for #Multimorbidity Rehabilitation:
https://www.cometinitiative.org/Studies/Details/3266
Two things I found interesting to delve deeper into:
Africa Multimorbidity Alliance:
https://www.africamultimorbidityalliance.com/
Evidence for exercise-based interventions across 45 different long-term conditions:
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00178-0/fulltext
Denosumab for #osteoporosis in older adults in long‐term care: A randomized trial
"...Participants with #multimorbidity, dysmobility, and #cognitive impairment were not excluded..."
#LTC #Geriatrics #MedMastodon #Health #Care #Research #LongTermCare
https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.19260?af=R
🎉👩🎓🎓🥂Congrats to Anastasia Lam!
Last week she successfully defended her thesis "Growing old with multimorbidity: how our differences shape the years we live with disease" at the University of St Andrews passing the viva without any corrections.
Well done! 👏
#PhD #Multimorbidity #Inequality #Demography #Intersectionality #Health #Aging
#Multimorbidity and adverse outcomes following #emergency department attendance: population-based cohort study
"...The increasing prevalence of multimorbidity in the population is likely to exacerbate strain on emergency departments unless practice and #policy evolve to meet the growing demand..."
Links to follow up:
The COSMOS set
https://gh.bmj.com/content/9/8/e015120.info
The COSmm set
https://pubmed.ncbi.nlm.nih.gov/29531104/
And a special plug for the paper presenting an interpretative phenomenological analysis of the lived experience of people with
#multimorbidity in low- and middle-income countries based on the interview data from this study
pubmed.ncbi.nlm.nih.gov/38262681/
Core outcome sets for trials of interventions to prevent and to treat #multimorbidity in adults in low and middle-income countries
https://gh.bmj.com/content/9/8/e015120.info
In the works since early 2020 w #SysReview, 50 qualitative interviews in 10 countries, Delphi study & consensus meetings.
Enormous thanks to all who made this possible!🙇
Summary of core outcomes 👇 incl. earlier seminal #COSmm work in #HIC.
Interesting #CaseStudy in #multimorbidity network visualisation:
https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-024-02286-3
I would challenge the conclusion that only pairs which are selected by multiple statistics should be visualised:
How about using a statistic instead that connects to the underlying theoretical assumptions?
With view to #multimorbidity I focus on work led by Phuong Bich Tran using our COSMOS /
#IMPACTNIHR qualitative data investigating the lived experiences of people living w MM in #LMICs by exploring their perspectives, experiences, and aspirations
https://gh.bmj.com/content/9/1/e013606
The interviews firstly showed strongly the importance of healthcare cost and forgone income as outcomes of #HealthCare, which are often not considered in the development of core outcome sets (see also https://www.medrxiv.org/content/10.1101/2024.01.29.24301589v1)
Mentally preparing for the
#MWMsymposium later today, giving a brief input on severe mental illnesses and #multimorbidity in relation to social determinants of health and health-related quality of life.
I'll be posting here later about the talks, but here I share some resources I'll talk about 👇🧵
Quality of Life Research 05-2024
https://link.springer.com/journal/11136/volumes-and-issues/33-5
#HRQL of people w heart failure in #LMICs
#QOL of people living w mental illness in Africa
https://link.springer.com/article/10.1007/s11136-023-03525-8
#SysReview #SMI #Multimorbidity
#NightshiftEditor seven issues to go...
