000063293 001__ 63293
000063293 005__ 20171129112116.0
000063293 0247_ $$2doi$$a10.1371/journal.pone.0100375
000063293 0248_ $$2sideral$$a100147
000063293 037__ $$aART-2014-100147
000063293 041__ $$aeng
000063293 100__ $$aPoblador-Plou, B.
000063293 245__ $$aSimilar multimorbidity patterns in primary care patients from two European regions: Results of a factor analysis
000063293 260__ $$c2014
000063293 5060_ $$aAccess copy available to the general public$$fUnrestricted
000063293 5203_ $$aObjective: To compare the similarities among the multimorbidity patterns identified in primary care patients from two European regions (Spain and the Netherlands) with similar organisational features of their primary care systems, using validated methodologies. Methodology: This observational, retrospective, multicentre study analysed information from primary care electronic medical records. Multimorbidity patterns were assessed using exploratory factor analysis of the diagnostic information of patients over 14 years of age. The analysis was stratified by age groups and sex. Results: The analysis of Dutch data revealed a higher prevalence of multimorbidity which corresponds with the clustering of a higher number of diseases in each of the patterns. Relevant clinical similarities were found between both countries for three multimorbidity patterns that were previously identified in the original Spanish study: cardiometabolic, mechanical and psychiatric-substance abuse. In addition, the clinical evolution towards complexity of the cardiometabolic pattern with advancing age -already demonstrated in the original study- was corroborated in the Dutch context. A clear association between mechanical and psychosocial disorders was unique to the Dutch population, as well as the recurrent presentation of the psychiatric-substance abuse pattern in all age and sex groups. Conclusions: The similarities found for the cardiometabolic, mechanical and psychiatric-substance abuse patterns in primary care patients from two different European countries could offer initial clues for the elaboration of clinical practice guidelines, if further evidenced in other contexts. This study also endorses the use of primary care electronic medical records for the epidemiologic characterization of multimorbidity.
000063293 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-01126
000063293 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000063293 590__ $$a3.234$$b2014
000063293 591__ $$aMULTIDISCIPLINARY SCIENCES$$b9 / 57 = 0.158$$c2014$$dQ1$$eT1
000063293 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000063293 700__ $$aVan, Den Akker
000063293 700__ $$aVos, R.
000063293 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga, A.
000063293 700__ $$aMetsemakers, J.
000063293 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000063293 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDepartamento de Microbiología, Medicina Preventiva y Salud Pública$$cMedicina Preventiva y Salud Pública
000063293 773__ $$g9, 6 (2014), e100375 [14 pp]$$pPLoS One$$tPLoS One$$x1932-6203
000063293 8564_ $$s243126$$uhttp://zaguan.unizar.es/record/63293/files/texto_completo.pdf$$yVersión publicada
000063293 8564_ $$s121004$$uhttp://zaguan.unizar.es/record/63293/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000063293 909CO $$ooai:zaguan.unizar.es:63293$$particulos$$pdriver
000063293 951__ $$a2017-11-28-12:45:46
000063293 980__ $$aARTICLE