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dc.contributor.authorGarcía-Olmos, Luis
dc.contributor.authorHernandez-Salvador, Carlos 
dc.contributor.authorAlberquilla, Angel
dc.contributor.authorLora, David
dc.contributor.authorCarmona, Montserrat 
dc.contributor.authorGarcia-Sagredo, Pilar 
dc.contributor.authorPascual, Mario 
dc.contributor.authorMuñoz, Adolfo 
dc.contributor.authorMonteagudo, Jose Luis 
dc.contributor.authorGarcia Lopez, Fernando Jose
dc.identifier.citationPLoS One. 2012;7(2):e32141.es_ES
dc.description.abstractINTRODUCTION: Healthcare management is oriented toward single diseases, yet multimorbidity is nevertheless the rule and there is a tendency for certain diseases to occur in clusters. This study sought to identify comorbidity patterns in patients with chronic diseases, by reference to number of comorbidities, age and sex, in a population receiving medical care from 129 general practitioners in Spain, in 2007. METHODS: A cross-sectional study was conducted in a health-area setting of the Madrid Autonomous Region (Comunidad Autónoma), covering a population of 198,670 individuals aged over 14 years. Multiple correspondences were analyzed to identify the clustering patterns of the conditions targeted. RESULTS: Forty-two percent (95% confidence interval [CI]: 41.8-42.2) of the registered population had at least one chronic condition. In all, 24.5% (95% CI: 24.3-24.6) of the population presented with multimorbidity. In the correspondence analysis, 98.3% of the total information was accounted for by three dimensions. The following four, age- and sex-related comorbidity patterns were identified: pattern B, showing a high comorbidity rate; pattern C, showing a low comorbidity rate; and two patterns, A and D, showing intermediate comorbidity rates. CONCLUSIONS: Four comorbidity patterns could be identified which grouped diseases as follows: one showing diseases with a high comorbidity burden; one showing diseases with a low comorbidity burden; and two showing diseases with an intermediate comorbidity burden.es_ES
dc.description.sponsorshipThis study was partially supported by the CENIT Program (MICINN-CDTI) [CEN-2007-1010 ‘‘Digital personal environment for health and wellbeing – AmiVital’’ project], a grant from the Ministry of Health & Consumer Affairs [FIS PI08-0435], and the MOBIS Program of the Spanish Vodafone Foundation . The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.es_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAdult es_ES
dc.subject.meshAge Factors es_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshChronic Disease es_ES
dc.subject.meshHumans es_ES
dc.subject.meshIncidence es_ES
dc.subject.meshSex Factors es_ES
dc.subject.meshMale es_ES
dc.subject.meshSpain es_ES
dc.titleComorbidity patterns in patients with chronic diseases in general practicees_ES
dc.contributor.funderMinisterio de Ciencia e Innovación (España)
dc.contributor.funderInstituto de Salud Carlos III-ISCIII
dc.contributor.funderFundación Vodafone España
dc.identifier.journalPloS onees_ES
dc.repisalud.centroISCIII::Unidad de Investigación en Telemedicina y eSaludes_ES

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