{"id":690,"date":"2013-05-16T08:11:56","date_gmt":"2013-05-16T13:11:56","guid":{"rendered":"http:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=690"},"modified":"2013-05-16T08:11:56","modified_gmt":"2013-05-16T13:11:56","slug":"comparisons-of-multi-morbidity-in-family-practice-%e2%80%93-issues-and-biases","status":"publish","type":"post","link":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=690","title":{"rendered":"Comparisons of multi-morbidity in family practice \u2013 issues and biases"},"content":{"rendered":"<p><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG \/> <\/o:OfficeDocumentSettings> <\/xml><![endif]--><\/p>\n<p><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal<\/w:View> <w:Zoom>0<\/w:Zoom> <w:TrackMoves \/> <w:TrackFormatting \/> <w:HyphenationZone>21<\/w:HyphenationZone> <w:PunctuationKerning \/> <w:ValidateAgainstSchemas \/> <w:SaveIfXMLInvalid>false<\/w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false<\/w:IgnoreMixedContent> 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Roman\";\n\tmso-fareast-theme-font:minor-fareast;\n\tmso-hansi-font-family:Calibri;\n\tmso-hansi-theme-font:minor-latin;}\n<\/style>\n\n <![endif]--><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">By Moira Stewart, Martin Fortin, Helena Britt, Christopher Harrison, and Heather Maddocks<\/span><\/p>\n<p class=\"MsoNormal\"><a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/2013-group-multimorb-publication.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-691\" title=\"2013 group multimorb publication\" src=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/2013-group-multimorb-publication.jpg\" alt=\"\" width=\"509\" height=\"129\" srcset=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/2013-group-multimorb-publication.jpg 509w, https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/2013-group-multimorb-publication-300x76.jpg 300w\" sizes=\"auto, (max-width: 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<w:DontVertAlignInTxbx \/> <w:Word11KerningPairs \/> <w:CachedColBalance \/> <\/w:Compatibility> <m:mathPr> <m:mathFont m:val=\"Cambria Math\" \/> <m:brkBin m:val=\"before\" \/> <m:brkBinSub m:val=\"&#45;-\" \/> <m:smallFrac m:val=\"off\" \/> <m:dispDef \/> <m:lMargin m:val=\"0\" \/> <m:rMargin m:val=\"0\" \/> <m:defJc m:val=\"centerGroup\" \/> <m:wrapIndent m:val=\"1440\" \/> <m:intLim m:val=\"subSup\" \/> <m:naryLim m:val=\"undOvr\" \/> <\/m:mathPr><\/w:WordDocument> <\/xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState=\"false\" DefUnhideWhenUsed=\"true\"   DefSemiHidden=\"true\" DefQFormat=\"false\" DefPriority=\"99\"   LatentStyleCount=\"267\"> <w:LsdException Locked=\"false\" Priority=\"0\" SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"Normal\" \/> <w:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"heading 1\" \/> <w:LsdException Locked=\"false\" Priority=\"9\" 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SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"Subtle Emphasis\" \/> <w:LsdException Locked=\"false\" Priority=\"21\" SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"Intense Emphasis\" \/> <w:LsdException Locked=\"false\" Priority=\"31\" SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"Subtle Reference\" \/> <w:LsdException Locked=\"false\" Priority=\"32\" SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"Intense Reference\" \/> <w:LsdException Locked=\"false\" Priority=\"33\" SemiHidden=\"false\"    UnhideWhenUsed=\"false\" QFormat=\"true\" Name=\"Book Title\" \/> <w:LsdException Locked=\"false\" Priority=\"37\" Name=\"Bibliography\" \/> <w:LsdException Locked=\"false\" Priority=\"39\" QFormat=\"true\" Name=\"TOC Heading\" \/> <\/w:LatentStyles> <\/xml><![endif]--><!--[if gte mso 10]> \n\n<style>\n \/* Style Definitions *\/\n table.MsoNormalTable\n\t{mso-style-name:\"Tableau Normal\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-priority:99;\n\tmso-style-qformat:yes;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\n\tmso-para-margin-top:0cm;\n\tmso-para-margin-right:0cm;\n\tmso-para-margin-bottom:10.0pt;\n\tmso-para-margin-left:0cm;\n\tline-height:115%;\n\tmso-pagination:widow-orphan;\n\tfont-size:11.0pt;\n\tfont-family:\"Calibri\",\"sans-serif\";\n\tmso-ascii-font-family:Calibri;\n\tmso-ascii-theme-font:minor-latin;\n\tmso-fareast-font-family:\"Times New Roman\";\n\tmso-fareast-theme-font:minor-fareast;\n\tmso-hansi-font-family:Calibri;\n\tmso-hansi-theme-font:minor-latin;}\n<\/style>\n\n <![endif]--><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">A recent study published in Family Practice \u201c<a href=\"http:\/\/fampra.oxfordjournals.org\/cgi\/content\/full\/cmt012?ijkey=MG4sce8MctaTeLs&amp;keytype=ref\" target=\"_blank\">Comparisons of multi-morbidity in family practice \u2013 issues and biases<\/a>\u201d [1] compared the methods and results of three separate prevalence studies of multi-morbidity from; i) the Saguenay region of Quebec [2]; ii) a sub-study of the Bettering Evaluation and Care of Health (BEACH) program in Australia [3,4]; and iii) the Deliver Primary Health Care Information (DELPHI) project in South-western Ontario [5,6].<span style=\"mso-spacerun: yes;\"> <\/span><\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">A re-estimate of the prevalence rates using identical age-sex groups found multi-morbidity prevalence to vary by as much as 61%, where reported prevalence was 95% among females aged 45\u201364 in the Saguenay study, 46% in the BEACH sub-study and 34% in the DELPHI study. <\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">Several aspects of the methods and study designs were identified as differing among the studies, including the sampling of frequent attenders, sampling period, source of data, and both the definition and count of chronic conditions.<span style=\"mso-spacerun: yes;\"> <\/span><\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">The paper offers a guide for authors reporting the methods used in multi-morbidity prevalence research, recommending detailed descriptions of the type of sampling, completeness and accuracy of the source of data, and the definition of chronic conditions.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">Further comparisons among multi-morbidity data using agreed upon standards for the definition of chronic conditions and the way to count multi-morbidity are recommended to assess the impact of these methodological variations.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\"> <\/span><\/p>\n<p class=\"MsoNormal\"><strong><span lang=\"EN-CA\">References:<\/span><\/strong><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">1<span style=\"color: black;\"> <\/span>Stewart M, Fortin M, Britt H, Harrison C,\u00a0<span style=\"mso-bidi-font-weight: bold;\">Maddocks H<\/span>.\u00a0 Comparisons of multi-morbidity in family practice \u2013 issues and biases.\u00a0\u00a0<em>Family Practice<\/em>. May 2013.\u00a0\u00a0doi: 10.1093\/fampra\/cmt012.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">2 Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med 2005; 3: 223\u20138.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">3 Britt HC, Harrison CM, Miller GC, Knox SA. Prevalence and patterns of multimorbidity in Australia. Med J Aust 2008; 189: 72\u20137.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">4 Knox SA, Harrison CM, Britt HC, Henderson JV. Estimating prevalence of common chronic morbidities in Australia. Med J Aust 2008; 189: 66\u201370.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">5 Stewart M, Thind A, Terry AL, et al. Multimorbidity in primary care: a study using electronic medical record (EMR) data. In: Thirty-Seventh Annual Meeting of North American Primary Care Research Group, Quebec, Canada, 14\u201318 November, 2009.<\/span><\/p>\n<p class=\"MsoNormal\"><span lang=\"EN-CA\">6 Stewart M, Thind A, Terry A, Chevendra V, Marshall JN. Implementing and maintaining a researchable database from electronic medical records\u2014a perspective from an academic family medicine department. Healthc Policy 2009; 5: 26\u201339.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Moira Stewart, Martin Fortin, Helena Britt, Christopher Harrison, and Heather Maddocks A recent study published in Family Practice \u201cComparisons of multi-morbidity in family practice \u2013 issues and biases\u201d [1] compared the methods and results of three separate prevalence studies of multi-morbidity from; i) the Saguenay region of Quebec [2]; ii) a sub-study of the <a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=690\"> read more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[7,6],"tags":[],"class_list":["post-690","post","type-post","status-publish","format-standard","hentry","category-epidemiology-outcomes","category-theory-concept-measure"],"_links":{"self":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/690","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=690"}],"version-history":[{"count":3,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/690\/revisions"}],"predecessor-version":[{"id":694,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/690\/revisions\/694"}],"wp:attachment":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}