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Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain

Multimorbidity –understood as the occurrence of chronic diseases together– represents a major challenge for healthcare systems due to its impact on disability, quality of life, increased use of services and mortality. However, despite the global need to address this health problem, evidence is still...

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Autores principales: Alvarez-Galvez, Javier, Ortega-Martin, Esther, Ramos-Fiol, Begoña, Suarez-Lledo, Victor, Carretero-Bravo, Jesus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673852/
https://www.ncbi.nlm.nih.gov/pubmed/38001107
http://dx.doi.org/10.1038/s41467-023-43569-5
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author Alvarez-Galvez, Javier
Ortega-Martin, Esther
Ramos-Fiol, Begoña
Suarez-Lledo, Victor
Carretero-Bravo, Jesus
author_facet Alvarez-Galvez, Javier
Ortega-Martin, Esther
Ramos-Fiol, Begoña
Suarez-Lledo, Victor
Carretero-Bravo, Jesus
author_sort Alvarez-Galvez, Javier
collection PubMed
description Multimorbidity –understood as the occurrence of chronic diseases together– represents a major challenge for healthcare systems due to its impact on disability, quality of life, increased use of services and mortality. However, despite the global need to address this health problem, evidence is still needed to advance our understanding of its clinical and social implications. Our study aims to characterise multimorbidity patterns in a dataset of 1,375,068 patients residing in southern Spain. Combining LCA techniques and geographic information, together with service use, mortality, and socioeconomic data, 25 chronicity profiles were identified and subsequently characterised by sex and age. The present study has led us to several findings that take a step forward in this field of knowledge. Specifically, we contribute to the identification of an extensive range of at-risk groups. Moreover, our study reveals that the complexity of multimorbidity patterns escalates at a faster rate and is associated with a poorer prognosis in local areas characterised by lower socioeconomic status. These results emphasize the persistence of social inequalities in multimorbidity, highlighting the need for targeted interventions to mitigate the impact on patients’ quality of life, healthcare utilisation, and mortality rates.
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spelling pubmed-106738522023-11-24 Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain Alvarez-Galvez, Javier Ortega-Martin, Esther Ramos-Fiol, Begoña Suarez-Lledo, Victor Carretero-Bravo, Jesus Nat Commun Article Multimorbidity –understood as the occurrence of chronic diseases together– represents a major challenge for healthcare systems due to its impact on disability, quality of life, increased use of services and mortality. However, despite the global need to address this health problem, evidence is still needed to advance our understanding of its clinical and social implications. Our study aims to characterise multimorbidity patterns in a dataset of 1,375,068 patients residing in southern Spain. Combining LCA techniques and geographic information, together with service use, mortality, and socioeconomic data, 25 chronicity profiles were identified and subsequently characterised by sex and age. The present study has led us to several findings that take a step forward in this field of knowledge. Specifically, we contribute to the identification of an extensive range of at-risk groups. Moreover, our study reveals that the complexity of multimorbidity patterns escalates at a faster rate and is associated with a poorer prognosis in local areas characterised by lower socioeconomic status. These results emphasize the persistence of social inequalities in multimorbidity, highlighting the need for targeted interventions to mitigate the impact on patients’ quality of life, healthcare utilisation, and mortality rates. Nature Publishing Group UK 2023-11-24 /pmc/articles/PMC10673852/ /pubmed/38001107 http://dx.doi.org/10.1038/s41467-023-43569-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Alvarez-Galvez, Javier
Ortega-Martin, Esther
Ramos-Fiol, Begoña
Suarez-Lledo, Victor
Carretero-Bravo, Jesus
Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain
title Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain
title_full Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain
title_fullStr Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain
title_full_unstemmed Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain
title_short Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain
title_sort epidemiology, mortality, and health service use of local-level multimorbidity patterns in south spain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673852/
https://www.ncbi.nlm.nih.gov/pubmed/38001107
http://dx.doi.org/10.1038/s41467-023-43569-5
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