Article
Factors associated with accelerated health decline in persons with multimorbidity: an evidence mapping review
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Authors
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Philip Schmidt
- Universität Bielefeld, Medizinische Fakultät OWL, AG Allgemein- und Familienmedizin, Bielefeld, Deutschland
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Amaia Calderón Larrañaga
- Karolinska Institut und Universität Stockholm, Aging Research Center, Schweden; Stockholm Gerontology Research Center, Stockholm, Schweden
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José María Valderas
- Nationale Universität Singapur, NUS Yong Loo Lin School of Medicine, Department of Medicine, Singapur, Singapur
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Marjan van den Akker
- Goethe-Universität Frankfurt am Main, Institut für Allgemeinmedizin, Frankfurt am Main, Deutschland
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Christiane Muth
- Universität Bielefeld, Medizinische Fakultät OWL, AG Allgemein- und Familienmedizin, Bielefeld, Deutschland
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Svetlana Puzhko
- Universität Bielefeld, Medizinische Fakultät OWL, AG Allgemein- und Familienmedizin, Bielefeld, Deutschland
| Published: | September 27, 2023 |
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Outline
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Hintergrund: Multimorbidity is associated with negative health outcomes, poor quality of life, and a high burden for the public health system. The course of multimorbidity remains highly complex and includes interactions between different clinical-, bibliographical- and care-related factors. While many patients with multimorbidity with rapidly deteriorating health need a great amount of medical care, a subgroup of patients maintains a relatively stable health status without extended medical attention from general practitioners. The identification of risk factors for accelerated health decline in patients with multimorbidity may help prevent a rapid worsening of health for patients with risks and decrease unnecessary interventions for patients with stable health. An evidence-mapping review focused on longitudinal studies would help scope the body of evidence on the risk factors for accelerated health decline in people with multimorbidity and identify knowledge gaps.
Fragestellung: “What are the scope and clusters of evidence on the clinical, biographical, and care-related factors that can be associated with accelerated health decline in persons with multimorbidity?“ We will perform an evidence-mapping review with a systematic comprehensive search, identify clusters of evidence related to this topic, show the body of evidence for each of the clusters, and identify knowledge gaps. All settings that can be related to primary care patients will be included.
Diskussionspunkt: Our review will help determine the scope and nature of the evidence on the risk factors for accelerated health decline in patients with multimorbidity and define domains with abundant literature that can be further developed in systematic reviews. In your opinion, what clinical-, bibliographical- and care-related factors can be linked to the accelerated health decline in patients with multimorbidity? What can help distinguish between the patients in need of immediate tailored interventions and those patients with multimorbidity who do not require extended medical care?
