An International Perspective on Chronic Multimorbidity: Approaching the Elephant in the Room

Graziano Onder, Matteo Cesari, Amaia Calderón-Larrañaga, Alessandra Marengoni, Jürgen M Bauer, Luigi Ferrucci, Laura Fratiglioni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

60 Citazioni (Scopus)

Abstract

Multimorbidity is a common and burdensome condition that may affect quality of life, increase medical needs, and make people live more years of life with disability. Negative outcomes related to multimorbidity occur beyond what we would expect from the summed effect of single conditions, as chronic diseases interact with each other, mutually enhancing their negative effects, and eventually leading to new clinical phenotypes. Moreover, multimorbidity mirrors an accelerated global susceptibility and a loss of resilience, which are both hallmarks of aging. Due to the complexity of its assessment and definition, and the lack of clear evidence steering its management, multimorbidity represents one of the main current challenges for clinicians, researchers, and policymakers. The authors of this article recently reflected on these issues during two twin international symposia at the 2016 European Union Geriatric Medicine Society (EUGMS) meeting in Lisbon, Portugal, and the 2016 Gerontological Society of America (GSA) meeting in New Orleans, USA. The present work summarizes the most relevant aspects related to multimorbidity, with the ultimate goal to identify knowledge gaps and suggest future directions to approach this condition.
Lingua originaleEnglish
pagine (da-a)1350-1356
Numero di pagine7
RivistaJOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
Volume73
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Chronic diseases
  • Multimorbidity
  • Frailty
  • Guidelines
  • Aged
  • Chronic Disease
  • Delivery of Health Care
  • European Union
  • Geriatrics
  • Humans
  • Internationality
  • Portugal
  • Practice Guidelines as Topic
  • Quality of Life
  • Societies, Medical
  • United States
  • Aging
  • Comorbidity

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