Semantic analysis and clinical importance of comorbidity and multimorbidity
Journal Title: Український терапевтичний журнал - Year 2019, Vol 0, Issue 2
Abstract
Owing to the considerable success of the modern medicine and technology, the number of elderly and senile people is increasing with the corresponding raise of the portion of people who suffer from not only single, but several chronic diseases. Investigations conducted in 28 countries showed that currently the prevalence of the multiple chronic conditions is a global phenomenon. This resulted in the creation of a concept of multiple pathology and formation of different names. The article presents the etymological definition of comorbidity, multimorbidity, polymorbidity, syntrophy, polypathy. The contribution of scientists in creation of multimorbidity concept in chronological sequence have been elucidated. The comprehensive definition of multimorbidity according to experts of WHO and NICE have been generalized. Classification of relationship the combined diseases have been described: causal, complicated, iatrogenic. The methods of quantitative assessment of comorbidity using cumulative scales have been recognized against the historical background. The diagnostic role of a comorbidity indexes for analyses health services efficacy and costs, outcomes of diseases have been included. The author emphasized the importance of the concomitant pathology in clinical practice in modern conditions. Based on the literature data analysis, the discussion questions were proposed, that are being raised in the defining of the semantic importance of comorbidity, multimorbidity and their implementation in family medicine, scientific research and clinical epidemiology.
Authors and Affiliations
О. M. Kovalyova
Keywords
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- EP ID EP634371
- DOI 10.30978/UTJ2019-2-79
- Views 99
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