3 Definition of multimorbidity and risk of overdiagnosis

Møller, Anne; Willadsen, Tora Grauers; Jønsson, Alexandra Brandt Ryborg; Reventlow, Susanne

doi:10.1136/bmjebm-2018-111070.3

Cited by 2 publications

(3 citation statements)

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“…A lack of conceptualisation of 'OA and comorbidity' supports the report from the Richmond Group of Charities that there is a need to find better ways of describing and understanding perspectives of people with more than one health condition (Aiden, 2018). Previously, other terms such as multi-morbidity, complexity and burden have been used by HCPs and academics (Taskforce RGC, 2018) which yield a descriptive explanation and can offer patients identity in diagnosis (Møller et al, 2018). However, these terms offer little functional applicability for treatment, are often misunderstood, or rejected by patients and can be associated with negative connotations, experiences with healthcare and psychosocial outcomes from diagnosis (Møller et al, 2018;Chew-Graham et al, 2019).…”

Section: Comparison To Existing Literaturementioning

confidence: 99%

“…Previously, other terms such as multi-morbidity, complexity and burden have been used by HCPs and academics (Taskforce RGC, 2018) which yield a descriptive explanation and can offer patients identity in diagnosis (Møller et al, 2018). However, these terms offer little functional applicability for treatment, are often misunderstood, or rejected by patients and can be associated with negative connotations, experiences with healthcare and psychosocial outcomes from diagnosis (Møller et al, 2018;Chew-Graham et al, 2019). The current care system with specialist care targeting individual conditions, rather than the person with multiple LTCs, may in part, contribute to participants not conceptualising their health in terms of comorbidity.…”

Section: Comparison To Existing Literaturementioning

confidence: 99%

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The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation

McKevitt

Jinks

Healey

et al. 2021

Musculoskeletal Care

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Objective: To investigate the attitudes towards, and beliefs about, physical activity (PA) in older adults with osteoarthritis (OA) and comorbidity to understand experiences and seek ways to improve PA participation.Methods: Semi-structured interviews with adults aged ≥45, with self-reported OA and comorbidity (N = 17). Face-to-face interviews explored participant perspectives regarding; (1) attitudes and beliefs about PA in the context of OA and comorbidity and (2) how people with OA and comorbidity could be encouraged to improve and maintain PA levels. Data were transcribed verbatim and inductive thematic analysis was undertaken using a framework approach. Results: Participants did not conceptualise multiple long-term conditions (LTCs) together and instead self-prioritised OA over other LTCs. Barriers to PA included uncertainty about both the general management of individual LTCs and the effectiveness of PA for their LTCs; and, negative perceptions about their health, ageing and PA. Participants experienced dynamic and co-existing barriers to PA, and problematized this as a multi-level process, identifying a barrier, then a solution, followed by a new barrier. Facilitators of PA included social support and support from knowledgeable healthcare professionals (HCPs), together with PA adapted for OA and comorbidity and daily life. PA levels could be increased through targeted interventions to increase self-efficacy for managing OA alongside other LTCs and self-efficacy for PA. Conclusion: People with OA and comorbidity experience complicated PA barriers. To increase PA levels, tailored PA interventions could include HCP and social support to anticipate and overcome multi-level PA barriers and target increased self-efficacy for LTC management and PA.

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Section: Comparison To Existing Literaturementioning

confidence: 99%

Section: Comparison To Existing Literaturementioning

confidence: 99%

The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation

McKevitt

Jinks

Healey

et al. 2021

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

“…Behandlingsbyrden vil formodentlig vaere bedre korreleret til en multisygdomsdefinition baseret på gruppering af diagnoser, som foreslået af f.eks. Willadsen, da flere organsystemer er repraesenteret, når den definition bruges (Møller et al, 2018).…”

Section: Konklusion Og Perspektivering: Multisygdomsbegrebets Baeredyunclassified

Heterogenitet i multisygdomsdefinitionen

Møller¹,

Willadsen²,

Jønsson³

et al. 2020

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Antallet af mennesker, der lever med multisygdom, er gennem de seneste år steget markant, både som et resultat af en aldrende befolkning, men også på grund af en forbedret medicinsk behandling af, og tertiær forebyggelse hos, mennesker med kroniske sygdomme. Interessen i forskning om multisygdom har også været støt stigende de seneste år, men, trods denne interesse, er der fortsat ingen konsensus om, hvordan multisygdom skal defineres, og varia- tionen i, hvordan multisygdom bliver defineret og brugt i den videnskabelige litteratur, er stor. Med denne artikel vil vi diskutere konsekvenserne af heterogeniteten i definitionen af multisygdom. Vi tager udgangspunkt i en systematisk gennemgang af definitionen af mul- tisygdom, og diskuterer, om begrebet multisygdom giver mening og for hvem, og om vi med de eksisterende definitioner kan risikere at fokusere på andre patienter end dem, der har det største behov. Dette leder derefter over i en diskussion om, hvorvidt definitionsproblematikkerne skaber risiko for, at multisygdom i sig selv som begreb kan føre til overdiagnostik og dermed være til mere skade end gavn for patienterne.

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3 Definition of multimorbidity and risk of overdiagnosis

Cited by 2 publications

References 0 publications

The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation

The attitudes towards, and beliefs about, physical activity in people with osteoarthritis and comorbidity: A qualitative investigation

Heterogenitet i multisygdomsdefinitionen

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