Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age?

Research output: Contribution to journalEditorialResearchpeer-review

Standard

Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age? / Thygesen, Lau Caspar; Christensen, Kaare; Rorth, Mikael; Sørensen, Henrik Toft; Vandenbroucke, Jan P.; Westendorp, Rudi G. J.

In: Clinical Epidemiology, Vol. 13, 2021, p. 853-857.

Research output: Contribution to journalEditorialResearchpeer-review

Harvard

Thygesen, LC, Christensen, K, Rorth, M, Sørensen, HT, Vandenbroucke, JP & Westendorp, RGJ 2021, 'Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age?', Clinical Epidemiology, vol. 13, pp. 853-857. https://doi.org/10.2147/CLEP.S325348

APA

Thygesen, L. C., Christensen, K., Rorth, M., Sørensen, H. T., Vandenbroucke, J. P., & Westendorp, R. G. J. (2021). Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age? Clinical Epidemiology, 13, 853-857. https://doi.org/10.2147/CLEP.S325348

Vancouver

Thygesen LC, Christensen K, Rorth M, Sørensen HT, Vandenbroucke JP, Westendorp RGJ. Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age? Clinical Epidemiology. 2021;13:853-857. https://doi.org/10.2147/CLEP.S325348

Author

Thygesen, Lau Caspar ; Christensen, Kaare ; Rorth, Mikael ; Sørensen, Henrik Toft ; Vandenbroucke, Jan P. ; Westendorp, Rudi G. J. / Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age?. In: Clinical Epidemiology. 2021 ; Vol. 13. pp. 853-857.

Bibtex

@article{328af57de86248589034fe167889e32f,
title = "Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age?",
abstract = "Aging of the population is a pressing challenge for healthcare systems and knowledge of a patient's prognosis is a key to shaping effective interventions. As the prevalence of multimorbidity strongly increases with age, the prognostic value of multiple disease diagnoses for survival among older people may diminish, whereas other measures of health, such as functional status (defined as a measure of an individual's ability to perform activities of daily living), may become more important. In this commentary, the impact of age on the prognostic value of multimorbidity is discussed, with the aim of identifying relevant alternative risk indicators for different age groups. The key question is to determine at what age the prognostic value of multimorbidity for meaningful clinical outcomes decreases and is overridden by the prognostic value of functional status. This tipping point likely depends on age, calendar time, and birth cohort. The public health and clinical implications of these tipping points are important. Among younger and middle-aged persons, interventions could be directed towards prevention and treatment of specific diseases, while among older persons efforts should focus more on improving functional levels that include physical, emotional, and social dimensions.",
keywords = "chronic disease, health services, public health, aged, multimorbidity, OLDER-ADULTS, HEALTH, COMORBIDITY, FRAILTY, TIME, PREVALENCE, MORTALITY, DEMENTIA, QUALITY, TRENDS",
author = "Thygesen, {Lau Caspar} and Kaare Christensen and Mikael Rorth and S{\o}rensen, {Henrik Toft} and Vandenbroucke, {Jan P.} and Westendorp, {Rudi G. J.}",
year = "2021",
doi = "10.2147/CLEP.S325348",
language = "English",
volume = "13",
pages = "853--857",
journal = "Clinical Epidemiology",
issn = "1179-1349",
publisher = "Dove Medical Press Ltd",

}

RIS

TY - JOUR

T1 - Tipping Points-Do the Prognostic Values of Multimorbidity and Functional Status Vary with Age?

AU - Thygesen, Lau Caspar

AU - Christensen, Kaare

AU - Rorth, Mikael

AU - Sørensen, Henrik Toft

AU - Vandenbroucke, Jan P.

AU - Westendorp, Rudi G. J.

PY - 2021

Y1 - 2021

N2 - Aging of the population is a pressing challenge for healthcare systems and knowledge of a patient's prognosis is a key to shaping effective interventions. As the prevalence of multimorbidity strongly increases with age, the prognostic value of multiple disease diagnoses for survival among older people may diminish, whereas other measures of health, such as functional status (defined as a measure of an individual's ability to perform activities of daily living), may become more important. In this commentary, the impact of age on the prognostic value of multimorbidity is discussed, with the aim of identifying relevant alternative risk indicators for different age groups. The key question is to determine at what age the prognostic value of multimorbidity for meaningful clinical outcomes decreases and is overridden by the prognostic value of functional status. This tipping point likely depends on age, calendar time, and birth cohort. The public health and clinical implications of these tipping points are important. Among younger and middle-aged persons, interventions could be directed towards prevention and treatment of specific diseases, while among older persons efforts should focus more on improving functional levels that include physical, emotional, and social dimensions.

AB - Aging of the population is a pressing challenge for healthcare systems and knowledge of a patient's prognosis is a key to shaping effective interventions. As the prevalence of multimorbidity strongly increases with age, the prognostic value of multiple disease diagnoses for survival among older people may diminish, whereas other measures of health, such as functional status (defined as a measure of an individual's ability to perform activities of daily living), may become more important. In this commentary, the impact of age on the prognostic value of multimorbidity is discussed, with the aim of identifying relevant alternative risk indicators for different age groups. The key question is to determine at what age the prognostic value of multimorbidity for meaningful clinical outcomes decreases and is overridden by the prognostic value of functional status. This tipping point likely depends on age, calendar time, and birth cohort. The public health and clinical implications of these tipping points are important. Among younger and middle-aged persons, interventions could be directed towards prevention and treatment of specific diseases, while among older persons efforts should focus more on improving functional levels that include physical, emotional, and social dimensions.

KW - chronic disease

KW - health services

KW - public health

KW - aged

KW - multimorbidity

KW - OLDER-ADULTS

KW - HEALTH

KW - COMORBIDITY

KW - FRAILTY

KW - TIME

KW - PREVALENCE

KW - MORTALITY

KW - DEMENTIA

KW - QUALITY

KW - TRENDS

U2 - 10.2147/CLEP.S325348

DO - 10.2147/CLEP.S325348

M3 - Editorial

C2 - 34588816

VL - 13

SP - 853

EP - 857

JO - Clinical Epidemiology

JF - Clinical Epidemiology

SN - 1179-1349

ER -

ID: 281701439