| Título | Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain |
|---|---|
| Autores | ÁLVAREZ GÁLVEZ, JAVIER, Ortega-Martin, Esther , Ramos-Fiol, Begona , Suarez-Lledo, Victor , CARRETERO BRAVO, JESÚS ANGEL |
| Publicación externa | Si |
| Medio | Nat. Commun. |
| Alcance | Article |
| Naturaleza | Científica |
| Cuartil JCR | 1 |
| Cuartil SJR | 1 |
| Impacto JCR | 14.7 |
| Impacto SJR | 4.887 |
| Web | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85177803103&doi=10.1038%2fs41467-023-43569-5&partnerID=40&md5=a18c9f2306496c92f45ae81f18a9a210 |
| Fecha de publicacion | 24/11/2023 |
| ISI | 001109312400009 |
| Scopus Id | 2-s2.0-85177803103 |
| DOI | 10.1038/s41467-023-43569-5 |
| Abstract | 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.\n Multimorbidity-the occurrence of chronic diseases together-represents a major challenge for healthcare systems. Here, the authors characterise multimorbidity patterns in a large dataset of patients residing in southern Spain and show the unequal distribution of multimorbidity patterns along different socioeconomic areas at the local level. |
| Palabras clave | Chronic Disease; Humans; Multimorbidity; Patient Acceptance of Health Care; Quality of Life; Social Class; Spain; Spain; complexity; data set; epidemiology; health care; adolescent; adult; anxiety disorder; Article; asthma; atopic dermatitis; chronic kidney failure; chronic obstructive lung disease; chronicity; controlled study; developmental disorder; diabetes mellitus; dyslipidemia; epidemiological data; female; gastroesophageal reflux; geography; health care utilization; high risk population; human; hypertension; hypothyroidism; major clinical study; male; medical information; mood disorder; mortality rate; multiple chronic conditions; nutritional intolerance; obesity; osteoarthritis; osteoporosis; prevalence; prognosis; public health; quality of life; rural area; seashore; social inequality; social status; socioeconomics; Spain; spondylosis; tobacco dependence; urolithiasis; chronic disease; epidemiology; patient attitude; quality of life; social class |
| Miembros de la Universidad Loyola |