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Multimorbidity and comorbidity revisited: refining the concepts for international health research
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Multimorbidity and comorbidity revisited: refining the concepts for international health research
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Journal Article
Multimorbidity and comorbidity revisited: refining the concepts for international health research
2019
Overview
Additionally, as first noted in a commentary published in 2001 in this journal, there continue to be conceptual and practical issues in determining the appropriate occurrence rates of living with multiple health issues [9]. [...]the objective of this commentary is to highlight the current issues in defining the broad concept of multimorbidity within the context of international research and to re-establish the distinction between the concepts of “multimorbidity” and “comorbidity.” [...]the accumulation is increasingly occurring in younger age groups, indicating a timely opportunity for prevention and a need to focus on patient-relevant outcome measures (PROMs). More appropriate uses of the term comorbidity exist in the literature and are framed as a focus on patients living with a specific chronic condition (such as diabetes, stroke, or dementia) and the implications of these conditions for complex management programs and clinical care delivery [27–29]. Because of the lack of clinical guidelines that actively account and respond to the challenges of multimorbidity in clinical management [15,30,31], the tools that are available to health care professionals often have a comorbidity orientation by assessing the impact of a co-occurring condition (or its management protocol) on another condition. [...]the authors acknowledge the complex interplay between comorbidity, multimorbidity, functional impairments, frailty, aging, patient-centeredness, and complexity.
