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European Journal of Epidemiology

Erschienen in:

17.10.2019 | REVIEW

Do replicable profiles of multimorbidity exist? Systematic review and synthesis

verfasst von: Ljoudmila Busija, Karen Lim, Cassandra Szoeke, Kerrie M. Sanders, Marita P. McCabe

Erschienen in: European Journal of Epidemiology | Ausgabe 11/2019

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Abstract

This systematic review aimed to synthesise multimorbidity profiling literature to identify replicable and clinically meaningful groupings of multimorbidity. We searched six electronic databases (Medline, EMBASE, PsycINFO, CINAHL, Scopus, and Web of Science) for articles reporting multimorbidity profiles. The identified profiles were synthesised with multidimensional scaling, stratified by type of statistical analysis used in the derivation of profiles. The 51 studies that met inclusion criteria reported results of 98 separate analyses of multimorbidity profiling, with a total of 407 multimorbidity profiles identified. The statistical techniques used to identify multimorbidity profiles were exploratory factor analysis, cluster analysis of diseases, cluster analysis of people, and latent class analysis. Reporting of methodological details of statistical methods was often incomplete. The discernible groupings of multimorbidity took the form of both discrete categories and continuous dimensions. Mental health conditions and cardio-metabolic conditions grouped along identifiable continua in the synthesised results of all four methods. Discrete groupings of chronic obstructive pulmonary disease with asthma, falls and fractures with sensory deficits and of Parkinson’s disease and cognitive decline where partially replicable (identifiable in the results of more than one method), while clustering of musculoskeletal conditions and clustering of reproductive systems were each observed only in one statistical approach. The two most replicable multimorbidity profiles were mental health conditions and cardio-metabolic conditions. Further studies are needed to understand aetiology and evolution of these multimorbidity groupings. Guidelines for strengthening the reporting of multimorbidity profiling studies are proposed.

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Titel: Do replicable profiles of multimorbidity exist? Systematic review and synthesis
verfasst von: Ljoudmila Busija
Karen Lim
Cassandra Szoeke
Kerrie M. Sanders
Marita P. McCabe
Publikationsdatum: 17.10.2019
Verlag: Springer Netherlands
Erschienen in: European Journal of Epidemiology / Ausgabe 11/2019
Print ISSN: 0393-2990
Elektronische ISSN: 1573-7284
DOI: https://doi.org/10.1007/s10654-019-00568-5

Springer Medizin

Abstract

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