Entete 3

Author Archives: Martin Fortin

Publications on multimorbidity January-April 2021

By Martin Fortin

Our search for papers on multimorbidity that were published during the period January-April 2021 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.

Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.

All references are also included in our library. Feel free to share with anyone interested in multimorbidity.

Publications on multimorbidity September-December 2020

By Martin Fortin

Our search for papers on multimorbidity that were published during the period September-December 2020 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.

Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.

All references are also included in our library. Feel free to share with anyone interested in multimorbidity.

Patient-centered interdisciplinary care for multi-morbidity: A Pragmatic Mixed-Methods Randomized Controlled Trial in primary care

By Martin Fortin

The Patient-Centered Innovations for Persons with Multimorbidity research program, funded by the Canadian Institutes of Health Research, had an overall goal to build on existing structures and initiatives to evaluate patient-centered innovations relevant to multimorbidity in primary care. As part of this program, trials were conducted in 2 Canadian provinces, Quebec and Ontario. We reported the Quebec trial where the research team collaborated with a regional health care organization to implement an integrated chronic disease prevention and management program into family medicine groups (FMG), the most prevalent type of primary care practice in Quebec [1].

We conducted a concurrent triangulation mixed methods study, with convergent quantitative and qualitative components. The first component was a pragmatic randomized controlled trial with a delayed intervention in the control group to evaluate the effect of the intervention on patient’s self-management and self-efficacy for managing chronic diseases. The second concurrent component used a descriptive qualitative approach.

Primary outcomes were the Health Education Impact Questionnaire (heiQ) and Self-Efficacy for Managing Chronic Diseases. Secondary outcomes included health status measured by the Veterans RAND 12 Item Health Survey (VR-12), quality of life measured with the EuroQol 5-dimensions questionnaire, psychological distress, measured with the Kessler 6-item Psychological Distress Scale Questionnaire (K6), and health behaviors (tobacco smoking, physical activity, healthy eating, and high risk alcohol consumption) assessed with specific questions from the Enquête de santé du Saguenay–Lac-Saint Jean 2007 and the Behavioral Risk Factor Surveillance System.

The trial randomized 284 patients (144 in intervention group, 140 in control group). After 4 months, the intervention showed a neutral effect for the primary outcomes, but there was significant improvement in 2 health behaviors (healthy eating, and physical activity).

The descriptive qualitative evaluation revealed that the patients reinforced their self-efficacy and improved their self-management which was divergent from the quantitative results. Qualitatively, the intervention was evaluated as positive.

The combination of qualitative and quantitative designs proved to be a good design for evaluating this complex intervention.

  1. Fortin M, Stewart M, Ngangue P, et al. Scaling Up Patient-Centered Interdisciplinary Care for Multimorbidity: A Pragmatic Mixed-Methods Randomized Controlled Trial. Ann Fam Med 2021; 19: 126-134. DOI: https://doi.org/10.1370/afm.2650.

The “Journal of Comorbidity” changed to the “Journal of Multimorbidity and Comorbidity.”

By Martin Fortin

Formerly, we could find in the description of the Journal of Comorbidity that it published “original clinical and experimental research articles on the pathophysiology, diagnosis, prevention and management of patients with comorbidity/multimorbidity.” Now, in the description of the Journal of Multimorbidity and Comorbidity, one reads that it publishes the same type of articles on “comorbidity and multimorbidity.”

The change in the name of the journal and the change in the description from “comorbidity/multimorbidity” to “comorbidity and multimorbidity” may seem natural for those working on multimorbidity or those who are familiar with its meaning. However, for many who still consider both words as interchangeable, writing “comorbidity/multimorbidity” could have been seen as normal and the separation in “comorbidity and multimorbidity” could be seen as redundant.

In 1996, van den Akker and colleagues [1] pointed out the prevailing ambiguity around the use of both terms at that time, and suggested distinct definitions for them. Since then, there has been an increasing awareness about the difference between both terms and the importance of using them correctly. A benefit in using both terms adequately is that publications are then correctly classified, leading to an improvement in the quality of search queries and ultimately to better research.

However, although the first alert on the ambiguity in the use of the terms was published 25 years ago, it has taken a long time for the recognition of the difference between both terms and its effect in slowing down the advance of our knowledge on the subject. For example, in the National Library of Medicine of the National Institutes of Health (NIH), the term “multimorbidity” was a subheading under the Medical Subject Heading (MeSH) “comorbidity” until 2017. It was only in 2018 that the term “multimorbidity” appeared with the hierarchy of a MeSH.

In the editorial of the Journal of Multimorbidity and Comorbidity explaining the change in the name of the journal [2], it is well explained that multimorbidity and comorbidity are distinct concepts in research design, intervention development and healthcare delivery. However, there is not a universal recognition of this distinction yet.

We welcome the change in the name of the journal as another step in clarifying the use of the terms, hoping that it will contribute to our main goal which is to improve the health outcomes of our patients.

  1. van den Akker M, Buntinx F and Knottnerus JA. Comorbidity or multimorbidity: what’s in a name? A review of literature. Eur J Gen Pract 1996; 2: 65-70.
  2. Harrison C, Fortin M, van den Akker M, et al. Comorbidity versus multimorbidity: Why it matters. Journal of Multimorbidity and Comorbidity 2021; 11. Article first published online: March 2, 2021. DOI: https://doi.org/10.1177/2633556521993993.

Publications on multimorbidity May-August 2020

By Martin Fortin


Our search for papers on multimorbidity that were published during the period May-August 2020 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.
Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.
All references are also included in our library. Feel free to share with anyone interested in multimorbidity.

Publications on multimorbidity January-April 2020

By Martin Fortin

Our search for papers on multimorbidity that were published during the period January-April 2020 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.
Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.
All references are also included in our library. Feel free to share with anyone interested in multimorbidity.

Publications on multimorbidity September-December 2019

By Martin Fortin


Our search for papers on multimorbidity that were published during the period September-December 2019 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.


Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.


All references are also included in our library. Feel free to share with anyone interested in multimorbidity.

Publications on multimorbidity May-August 2019


By Martin Fortin

Our search for papers on multimorbidity that were published during the period May-August 2019 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.

Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.

All references are also included in our library. Feel free to share with anyone interested in multimorbidity.

Journal of Comorbidity welcomes your contribution

By Martin Fortin, Susan Smith, Marjan van den Akker, Frances Mair
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We are delighted to update you on the progress of the Journal of Comorbidity. The Journal of Comorbidity is an international, peer-reviewed, open access journal, which focuses on original clinical and experimental research articles on the pathophysiology, prevention, diagnosis and management of comorbidity and multimorbidity. https://journals.sagepub.com/home/cob
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As of July 2018, the Journal of Comorbidity is published by SAGE Publishing. SAGE has a long history of supporting and nurturing interdisciplinary fields of research, and by adopting a multidisciplinary approach and challenging the boundaries of a complex issue within the medical field, JOC provides a welcome platform for the academic community within SAGE’s Open Access portfolio.
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We would like to recognize and thank Profs Jane Gunn and Stewart Mercer who have stepped down from their roles as Co-Editors-In-Chief due to other commitments and welcome our new Co-Editor-In-Chief, Prof France Mair. The following Associate Editors have also joined the editorial team: Fiona Boland, Amalia Calderón-Larrañaga, Chris Harrison, Bhautesh D. Jani and Emma Walace.
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We recognize the importance of publishing high-quality work in a timely manner, and publishing work that can be discovered by the wider community in bibliographic databases. The Journal is currently indexed in PubMed and we are building content to enable MEDLINE indexing as well as inclusion to the Web of Science.
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We are inviting all researchers, clinicians and other healthcare professionals with an interest in comorbidity/multimorbidity to submit their work to the Journal of Comorbidity. Please refer to the online author guidelines for preparing your article (https://us.sagepub.com/en-us/nam/journal-of-comorbidity/journal203523#submission-guidelines ). We are currently seeking publications – original research papers, but also critical reviews and study protocols – to continue to increase our visibility, increase access to our content, and encourage more authors at all levels of experience and expertise to publish their work on multimorbidity and co-morbidity in the journal.
With your help, we can make the Journal of Comorbidity grow, and enhance its impact in this niche field and beyond.
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We would like to thank all members of our editorial board, reviewers, readers, and our contributors, who together have shaped the journal into its current form and who have provided articles of great interest. We look forward to a continued collaboration in further developing this journal into an authoritative resource on comorbidity/multimorbidity.
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To volunteer to become a reviewer for the Journal of Comorbidity, please complete de the online registration at:  https://uk.sagepub.com/en-gb/eur/cob-call-for-reviewers
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Journal of Comorbidity greatly values the work of our reviewers. In recognition of your continued support, we are pleased to announce that we have arranged with our publisher SAGE to offer you free access to all SAGE journals for 60 days upon receipt of your completed review and a 25% book discount on all SAGE books ordered online. We will send you details of how to register for online access and order books at discount as soon as you have submitted your review. We are also collaborating with Publons to give you the recognition you deserve for your peer review contributions. On Publons you can effortlessly track, verify and showcase your review work and expertise without compromising anonymity. Sign up ( https://publons.com/home/ ) now for free so when you complete any reviews they can be instantly added to your profile. We can also provide reviewer certificates upon request.

Publications on multimorbidity January-April 2019


By Martin Fortin

Our search for papers on multimorbidity that were published during the period January-April 2019 has been completed. As in previous searches, we have prepared a PDF file that can be accessed following this link.

Probably, there are some publications that were not detected by our search strategy using the terms “multimorbidity”, “multi-morbidity” and the expression “multiple chronic diseases” in PubMed (https://www.ncbi.nlm.nih.gov/pubmed), but we are sure that most publications on the subject are included in the list.

All references are also included in our library. Feel free to share with anyone interested in multimorbidity.