Respiratory Medicine
Volume 105, Issue 2 , Pages 236-242 , February 2011

Chronic respiratory disease and multimorbidity: Prevalence and impact in a general practice setting

  • S. O’Kelly

      Affiliations

    • Department of Public Health and Primary Care, Trinity College Dublin, Ireland
    • Corresponding Author InformationCorresponding author. Tel.: +353 1 8961087.
  • ,
  • S.M. Smith

      Affiliations

    • Department of Public Health and Primary Care, Trinity College Dublin, Ireland
  • ,
  • S. Lane

      Affiliations

    • Department of Respiratory Medicine, AMNCH, Tallaght, Dublin 24, Ireland
  • ,
  • C. Teljeur

      Affiliations

    • Department of Public Health and Primary Care, Trinity College Dublin, Ireland
  • ,
  • T. O’Dowd

      Affiliations

    • Department of Public Health and Primary Care, Trinity College Dublin, Ireland

Received 18 February 2010 ,Accepted 27 July 2010.

References 

  1. Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005 May-Jun;3(3):223–228
  2. Smith SM, Ferede A, O’Dowd T. Multimorbidity in younger deprived patients: an exploratory study of research and service implications in general practice. BMC Fam Pract. 2008;9(1):6
  3. Uijen AA, van de Lisdonk EH. Multimorbidity in primary care: prevalence and trend over the last 20 years. Eur J Gen Pract. 2008;14(Suppl. 1):28–32
  4. Wang HM, Beyer M, Gensichen J, Gerlach FM. Health-related quality of life among general practice patients with differing chronic diseases in Germany: cross sectional survey. BMC Public Health. 2008;8:246
  5. Fortin M, Bravo G, Hudon C, Lapointe L, Almirall J, Dubois MF, et al. Relationship between multimorbidity and health-related quality of life of patients in primary care. Qual Life Res. 2006 Feb;15(1):83–91
  6. Fortin M, Dubois MF, Hudon C, Soubhi H, Almirall J. Multimorbidity and quality of life: a closer look. Health Qual Life Outcomes. 2007;5:52
  7. Noel PH, Frueh BC, Larme AC, Pugh JA. Collaborative care needs and preferences of primary care patients with multimorbidity. Health Expect. 2005 Mar;8(1):54–63
  8. Noel PH, Parchman ML, Williams JW, Cornell JE, Shuko L, Zeber JE, et al. The challenges of multimorbidity from the patient perspective. J Gen Intern Med. 2007 Dec;22(Suppl. 3):419–424
  9. Ben-Noun L. Characteristics of comorbidity in adult asthma. Public Health Rev. 2001;29(1):49–61
  10. Caughey GE, Vitry AI, Gilbert AL, Roughead EE. Prevalence of comorbidity of chronic diseases in Australia. BMC Public Health. 2008;8:221
  11. Soriano JB, Visick GT, Muellerova H, Payvandi N, Hansell AL. Patterns of comorbidities in newly diagnosed COPD and asthma in primary care. Chest. 2005 Oct;128(4):2099–2107
  12. Van Manen JG, Bindels PJ, IJ CJ, van der Zee JS, Bottema BJ, Schade E. Prevalence of comorbidity in patients with a chronic airway obstruction and controls over the age of 40. J Clin Epidemiol. 2001 Mar;54(3):287–293
  13. Barnes PJ, Celli BR. Systemic manifestations and co-morbidities of COPD. Eur Respir J. 2009;33:1165–1185
  14. Adams RJ, Wilson DH, Taylor AW, Daly A, Tursan d’Espaignet E, Dal Grande E, et al. Coexistent chronic conditions and asthma quality of life: a population-based study. Chest. 2006 Feb;129(2):285–291
  15. Crisafulli E, Costi S, Luppi F, Cirelli G, Cilione C, Coletti O, et al. Role of comorbidities in a cohort of patients with COPD undergoing pulmonary rehabilitation. Thorax. 2008 Jun;63(6):487–492
  16. Sin DD, Anthonisen NR, Soriano JB, Agusti AG. Mortality in COPD: Role of comorbidities. Eur Respir J. 2006 Dec;28(6):1245–1257
  17. Hansell AL, Walk JA, Soriano JB. What do chronic obstructive pulmonary disease patients die from? A multiple cause coding analysis. Eur Respir J. 2003 Nov;22(5):809–814
  18. Smith SM, O’Dowd T. Chronic diseases: what happens when they come in multiples?. Br J Gen Pract. 2007 Apr;57(537):268–270
  19. O’Dowd T, O’Kelly M, O’Kelly F. Structure of general practice in Ireland: 1982–2005. Dublin: Irish College of General Practitioners, Trinity College Dublin; 2006;
  20. O’Halloran J, Miller GC, Britt H. Defining chronic conditions for primary care with ICPC-2. Fam Pract. 2004 Aug;21(4):381–386
  21. Hosmer DW, Hosmer T, le Cessie S, Lemeshow S. A comparison of goodness–of–fit tests for the logistic regression model. Stat Med. 1997;16:965–980
  22. Bland M. An introduction to medical statistics. 3rd ed.. Oxford: Oxford University Press; 2000;
  23. Van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol. 1998 May;51(5):367–375
  24. <www.cso.ie>. Central Statistics Office, Republic of Ireland.
  25. Schellevis FG, Van de Lisdonk EH, Van der Velden J, Hoogbergen SH, Van Eijk JT, Van Weel C. Consultation rates and incidence of intercurrent morbidity among patients with chronic disease in general practice. Br J Gen Pract. 1994 Jun;44(383):259–262
  26. Mercer SW, Watt GC. The inverse care law: clinical primary care encounters in deprived and affluent areas of Scotland. Ann Fam Med. 2007 Nov-Dec;5(6):503–510
  27. Jeffreys LA, Clark AL, Koperski M. Practice nurses’ workload and consultation patterns. Br J Gen Pract. 1995 Aug;45(397):415–418Takahashi T, Ichinose M, Inoue H, Shirato K, Hattori T, Takishima T. Underdiagnosis and undertreatment of COPD in primary care settings. Respirology. 2003 Dec;8(4):504–508
  28. Bednarek M, Maciejewski J, Wozniak M, Kuca P, Zielinski J. Prevalence, severity and underdiagnosis of COPD in the primary care setting. Thorax. 2008 May;63(5):402–407
  29. Lindberg A, Jonsson AC, Ronmark E, Lundgren R, Larsson LG, Lundback B. Prevalence of chronic obstructive pulmonary disease according to BTS, ERS, GOLD and ATS criteria in relation to doctor’s diagnosis, symptoms, age, gender, and smoking habits. Respiration. 2005 Sep-Oct;72(5):471–479
  30. Diaz-Lobato S, Mayoralas S. Underuse of spirometry in primary care. Chest. 2004 Nov;126(5):1712
  31. Roland M. Linking physician pay to quality of care: a major experiment in the UK. N Engl J Med. 2004;351:1448–1454
  32. Bingham P. The Limitations of QOF data 2005. Report for the Eastern Regional Public Health Observatory, UK.
  33. Ashworth M, Seed P, Armstrong D, Durbaba S, Jones R. The relationship between social deprivation and the quality of primary care: a national survey using indicators from the UK quality and outcomes framework. Br J Gen Pract. 2007;57:441–448
  34. Mant J, Murphy M, Rose P, Vessey M. The accuracy of general practitioner records of smoking and alcohol use: comparison with patient questionnaires. J Public Health Med. 2000 Jun;22(2):198–201
  35. McBride PE, Plane MB, Underbakke G, Brown RL, Solberg LI. Smoking screening and management in primary care practices. Arch Fam Med. 1997 Mar-Apr;6(2):165–172
  36. Selak V, Wells S, Whittaker R, Stewart A. Smoking status recording in GP electronic records: the unrealised potential. Inform Prim Care. 2006;14(4):235–241
  37. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M. Defining comorbidity: implications for understanding health and health services. Ann Fam Med. 2009 Jul-Aug;7(4):357–363
  38. Economic and Social Research Institute, Ireland (ESRI). Living in Ireland survey 2002.
  39. Fortin M, Soubhi H, Hudon C, Bayliss EA, van den Akker M. Multimorbidity’s many challenges. BMJ. 2007 May 19;334(7602):1016–1017
  40. Boyd CM, et al. Guided care for multimorbid older adults. Gerontologist. 2007;47(5):697–704
  41. Smith SM, Allwright S, O’Dowd T. Effectiveness of shared care across the interface between primary and specialty care in chronic disease management. Cochrane Database of Systematic Reviews 2007, Issue 3.
  42. Leff B, et al. Guided care and the cost of complex health care. Am J Manag Care. 2009;15(8):555–559
  43. Boult C, et al. Early effects of “Guided care” on the quality of health care for Multimorbid older persons: A Cluster- Randomized controlled trial. J Gerontol Med Sci. 2008;63A(3):321–327
  44. Boyd CM, et al. The effects of guided care on the perceived quality of health care for multi-morbid older persons: 18-month outcomes from a cluster-randomized controlled trial. J Gen Intern Med. 2010;25(3):235–242

PII: S0954-6111(10)00340-9

doi: 10.1016/j.rmed.2010.07.019

Respiratory Medicine
Volume 105, Issue 2 , Pages 236-242 , February 2011