Prevalence of multiple chronic conditions by U.S. state and territory, 2017

Newman, Daniel R.; Tong, Michelle; Levine, Erica; Kishore, Sandeep P.

doi:10.1371/journal.pone.0232346

Cited by 28 publications

(41 citation statements)

References 21 publications

(35 reference statements)

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“…The percentage of the US adult population known to have 2 or more underlying medical conditions ranges from approximately 38% to 64% by state ( 12 ). Previous studies demonstrated that patients with medically attended COVID-19 often had multiple underlying medical conditions ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

“…We used a multistep approach to identify underlying medical conditions. First, we used the Chronic Condition Indicator (CCI) to identify chronic ICD-10-CM codes (11,803 of 73,205 total ICD-10-CM codes), which were then aggregated into 314 categories using the Clinical Classifications Software Refined (CCSR) (10,11). To further differentiate underlying conditions from acute complications of COVID-19, a panel of physicians (K.K.W., W.M.K., H.G.R., B.B., N.T.A., J.M.N.)…”

Section: Methodsmentioning

confidence: 99%

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Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020–March 2021

et al. 2021

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In this cross-sectional study of 540,667 adult hospitalized patients with COVID-19, 94.9% had at least 1 underlying medical condition. Hypertension and disorders of lipid metabolism were the most frequent, whereas obesity, diabetes with complication, anxiety disorders, and the total number of conditions were the strongest risk factors for severe COVID-19 illness. What are the implications for public health practice?Preventing COVID-19 in populations with these underlying conditions and multiple conditions should remain a public health priority, with targeted mitigation efforts and ensuring high uptake of vaccine, when available, in these individuals and their close contacts.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020–March 2021

et al. 2021

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“…These factors in the context of MCC increase the risk of poor health outcomes. The prevalence of MCC also varies by geography—one study found MCC prevalence to range from 37.9% in the District of Columbia to 64.4% in West Virginia 8 . To be effective, interventions will need to be tailored to local context and resources.…”

Section: Health Equity and MCCmentioning

confidence: 99%

“…The coronavirus disease 2019 (COVID‐19) pandemic has underscored the need to increase attention to MCC and the challenges MCC present. People living with MCC are at higher risk for severe disease and mortality from severe acute respiratory syndrome–related coronavirus (SARS‐CoV‐2) infection 8 . In a study from a large integrated health system, 88% of individuals hospitalized with SARS‐CoV‐2 infection had MCC 9 .…”

Section: Coronavirus Disease 2019 and MCCmentioning

confidence: 99%

Transforming care for people with multiple chronic conditions: Agency for Healthcare Research and Quality's research agenda

Bierman

Wang

O’Malley

et al. 2021

Health Services Research

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Care more particularly for the individual patient than for the especial features of the disease. William Osler 1 One of the most daunting challenges confronting the health care system is how to prevent and manage multiple chronic conditions (MCC) effectively and efficiently. MCC are commonly defined as the co-occurrence of two or more chronic physical or mental health conditions. Some use the term multimorbidity as synonymous with MCC, while others define MCC as including additional factors that contribute to the burden of illness, including disease severity, functional impairments and disabilities, syndromes such as frailty, and sometimes social factors such as homelessness. 2 Regardless of definition, MCC are common, costly, and place a high burden on individuals, their caregivers, clinicians, health care teams, and health systems alike. Our fragmented, disease-focused health care system is ill-designed to meet the needs of this growing population.Although prevalence varies with definition, 3 MCC is the most common chronic condition seen in clinical practice. One in three American adults, four in five Medicare beneficiaries, and a growing number of children have MCC. People living with MCC account for a disproportionate share of health care utilization and costs, 64% of all clinician visits, 70% of all inpatient stays, 83% of all prescriptions, 71% of all health care spending, and 93% of Medicare spending. Almost half have functional impairments. Nearly all readmissions among Medicare beneficiaries occur among those with MCC. 4 The prevalence of MCC will grow with our aging population. The need to

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“…With the progress in terms of early detection and care of chronical disease, a significant number of patients has more than one disease [ 102 ]. Auto-immune diseases such as inflammatory arthritis could have an impact on multiple organs, and also on mental health [ 103 ].…”

Section: Limits Of Activity Tracker In Clinical Practicesmentioning

confidence: 99%

Wearable Activity Trackers in the Management of Rheumatic Diseases: Where Are We in 2020?

Davergne

Rakotozafiarison

Servy³

et al. 2020

Sensors

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In healthcare, physical activity can be monitored in two ways: self-monitoring by the patient himself or external monitoring by health professionals. Regarding self-monitoring, wearable activity trackers allow automated passive data collection that educate and motivate patients. Wearing an activity tracker can improve walking time by around 1500 steps per day. However, there are concerns about measurement accuracy (e.g., lack of a common validation protocol or measurement discrepancies between different devices). For external monitoring, many innovative electronic tools are currently used in rheumatology to help support physician time management, to reduce the burden on clinic time, and to prioritize patients who may need further attention. In inflammatory arthritis, such as rheumatoid arthritis, regular monitoring of patients to detect disease flares improves outcomes. In a pilot study applying machine learning to activity tracker steps, we showed that physical activity was strongly linked to disease flares and that patterns of physical activity could be used to predict flares with great accuracy, with a sensitivity and specificity above 95%. Thus, automatic monitoring of steps may lead to improved disease control through potential early identification of disease flares. However, activity trackers have some limitations when applied to rheumatic patients, such as tracker adherence, lack of clarity on long-term effectiveness, or the potential multiplicity of trackers.

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Prevalence of multiple chronic conditions by U.S. state and territory, 2017

Cited by 28 publications

References 21 publications

Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020–March 2021

Underlying Medical Conditions and Severe Illness Among 540,667 Adults Hospitalized With COVID-19, March 2020–March 2021

Transforming care for people with multiple chronic conditions: Agency for Healthcare Research and Quality's research agenda

Wearable Activity Trackers in the Management of Rheumatic Diseases: Where Are We in 2020?

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